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psnet.ahrq.gov/node/854973/psn-pdf
October 31, 2023 - learning more about their patients’ access to
technology, offering information in different media forms
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psnet.ahrq.gov/node/36677/psn-pdf
February 21, 2007 - medication safety initiatives:
use of color-coded storage bins and a venothromboembolism risk assessment form
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psnet.ahrq.gov/node/864860/psn-pdf
March 20, 2024 - JMIR Form Res. 2023;7:e51921. doi:10.2196/51921.
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psnet.ahrq.gov/node/41292/psn-pdf
October 20, 2015 - How to master the new art of training: teamwork on the
fly.
October 20, 2015
Edmondson AC. Harv Bus Rev. April 2012;90:72-80.
https://psnet.ahrq.gov/issue/how-master-new-art-training-teamwork-fly
This piece discusses the challenges of forming temporary teams in emergency departments and describes
strategies to im…
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psnet.ahrq.gov/node/73225/psn-pdf
May 05, 2021 - This
article examines race correction as a form of bias in health care and discusses efforts to reduce
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psnet.ahrq.gov/node/836878/psn-pdf
April 27, 2022 - instance, a survey of stakeholders in Australian hospitals found that Facebook was the predominant
form … While Facebook
use predominated, other forms of social media used to a lesser extent included YouTube … However, this
type of media holds potential as an easily accessible form of communication that, in theory
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psnet.ahrq.gov/node/842775/psn-pdf
January 18, 2023 - Safer Together Survey: Advancing Patient and Workforce
Safety
January 18, 2023
Cambridge, MA: Institute for Healthcare Improvement: January 2023.
https://psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety
The National Steering Committee for Patient Safety (NSC) was formed to engage w…
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psnet.ahrq.gov/node/36944/psn-pdf
July 08, 2008 - evaluated an intervention of pharmacist medication assessments and a postoperative
medication order form
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psnet.ahrq.gov/node/36417/psn-pdf
April 12, 2011 - Excess mortality caused by medical injury.
April 12, 2011
Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med.
2006;4(5):410-6.
https://psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
The authors describe a state-based review of discharge diagnoses to identify medi…
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psnet.ahrq.gov/node/73999/psn-pdf
October 27, 2021 - The only remifentanil
available was a vial of 1 mg in powder form. … Undiluted remifentanil in the OR’s
automated medication dispensing system comes in a 1 mg powdered form … A concentrated form of the medication, in either powdered or liquid form, is mixed
into a solution of
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psnet.ahrq.gov/node/866400/psn-pdf
January 01, 2025 - high concern requiring additional research: classifying omissions as
administration errors and dose form
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psnet.ahrq.gov/node/40269/psn-pdf
January 01, 2016 - rapid-response-systems-netherlands
Nearly 80% of Dutch hospitals have implemented a rapid response system in some form
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psnet.ahrq.gov/node/44573/psn-pdf
October 21, 2015 - Getting the diagnosis wrong.
October 21, 2015
Ofri D. New York Times. October 8, 2015.
https://psnet.ahrq.gov/issue/getting-diagnosis-wrong
This news article offers insights from a physician about the complexities around establishing a diagnosis in
frontline practice and the recent IOM report recommendation to imp…
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - A just culture balances
accountability with learning.(1) What we see here is only (one very narrow form … In this lipid overdose case, the response can easily be seen as unjust: only (one narrow form of)
accountability
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psnet.ahrq.gov/node/33879/psn-pdf
May 01, 2019 - making sure that we hear what the patient
has to say, whether that's in a DNR [do not resuscitate] form … patient's life
while also making sure that patient is heard, whether that's in a written or a verbal form … Movements in the 1990s and thereafter with MOLST forms and POLST and others have
helped. … We have a recent example from a nearby
county where EMS providers honored a DNR form, the patient died … medical records are making an enormous difference
https://molst.org/how-to-complete-a-molst/molst-form
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psnet.ahrq.gov/node/865486/psn-pdf
April 03, 2024 - JMIR Form Res. 2024;8:e53302. doi:10.2196/53302.
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psnet.ahrq.gov/node/35294/psn-pdf
May 04, 2015 - The text includes a sample
sentinel event root cause analysis form and a glossary.
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psnet.ahrq.gov/node/837504/psn-pdf
June 22, 2022 - and SWOT (strengths, weaknesses, opportunities, threats) of existing patient safety
dashboards can form
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psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - After his recovery, he completed a
DNR (do not resuscitate) form signifying his desire to avoid such … Although his DNR form was with him, neither the ED staff nor
the consulting surgeon looked at it. … Postoperatively, an internist came upon the DNR form in the patient's chart and discussed
resuscitation … older nursing home resident is transferred to an acute care setting, not only should an
interagency form
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psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
March 15, 2025 - Patient engagement in safety takes many forms: patients may report unique safety incidents, encourage … Patient engagement in safety takes many forms: patients may report unique safety incidents, encourage