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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - All forms of debriefing have a shared structure that involves setting the stage followed by three phases
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors
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March 3, 2021
Innovation…
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - include:
1. the name and description of the medication;
2. the route of administration, dosage form
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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - shall also include: the name and description of the medication; the route of administration, dosage form
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - percent of all pediatric intensive care unit (PICU) admissions affected by a medication error in some form
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - All forms of debriefing have a shared structure that involves setting the stage followed by three phases
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - Suicide Prevention in an Emergency Department Population: ED-SAFE
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April 24, 2024
View more articles from the same authors.
Innovation
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - Annual Perspective
Technology as a Tool for Improving Patient Safety
A Jay Holmgren, Susan McBride,Bryan Gale, Sarah Mossburg
| March 29, 2023
View more articles from the same authors.
Citation Text:
Holmgren AJ, McBride S, Gale B, et al. Technology as a …
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psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
November 16, 2022 - The Commentary
The case history that forms the basis for this commentary illustrates several of the
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - Without obvious external signs of trauma, recognizing NAT, including milder forms of AHT, can be especially
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psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
March 01, 2018 - "( 2 ) Missed care thus represents a form of health care underuse which, argues safety expert James Reason
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psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - This case demonstrates a distinct and particularly frightening form of diagnostic error in psychiatry
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - We used a different form of deprivation score then, which was called the Jarman Index .
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psnet.ahrq.gov/node/49720/psn-pdf
December 01, 2014 - loss of
fluency or facility of comprehension,
without significant limitation on ideas
expressed or form
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - providers to review potential drug-drug or drug-disease interactions. 16 The “brown bag” method is a form
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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - "( 2 ) Missed care thus represents a form of health care underuse which, argues safety expert James Reason
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - In addition, audio-only telehealth should be carefully planned for; typically, audio-only forms of telehealth
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psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
June 29, 2020 - have been urging our members to be vigilant about reporting suspected ADEs though the FDA MedWatch form
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psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - SPOTLIGHT CASE
Pitfalls in Diagnosing Necrotizing Fasciitis
Citation Text:
Goh T, Goh LG. Pitfalls in Diagnosing Necrotizing Fasciitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon
Citation Text:
Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…