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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - In the past, regulatory agencies created lengthy forms that asked standardized questions.
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - In the past, regulatory agencies created lengthy forms that asked standardized questions.
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psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - Abbreviation of dose units, dosage form, dose routes, dose rates, and frequency will similarly produce
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psnet.ahrq.gov/web-mm/lost-black-hole
December 01, 2005 - the more sensitive test.( 14 ) In fact, the reporter of this case mentioned that the hospital´s order form
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - They frequently contribute to serious patient harms in the form of delayed or missed diagnoses, or undertreatment
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - This can come in the form of sharing teamwork success stories or in sharing data collected from coaches
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
August 01, 2014 - PowerPoint Presentation
Spotlight
Pitfalls in Diagnosing Necrotizing Fasciitis
This presentation is based on the July/August 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Terence Goh, MBBS, Department of Plastic Surgery, Singapore General Hos…
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - hospitalized patient, the physician must order the medication in an electronic system or on a paper form
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - This common application of artificial intelligence effectively automated a form of availability bias.
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psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - Failure to Rescue the Mother
Citation Text:
Vivero A, Klapper EB, Gregory KD, et al. Failure to Rescue the Mother. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote…
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - Prompt treatment, generally in the form of surgical evacuation, before the onset of severe neurological
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psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
May 16, 2022 - Relevant documentation includes the case history, physical examination, signed consent form, and pre-anesthesia
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - In some health care systems, these wishes or plans may be further codified in the form of written instructional
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psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
December 01, 2005 - pressures to address safety problems, the fact that these pressures came from myriad sources (often in the form
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psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - Cognitive aids in the past have sometimes been in the form of mnemonics (e.g. iSoBAR ( 5 ), a handover
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - information delivery processes by providing "backups" to our direct interpersonal interactions, in the form
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - if the patient's neck mass was a result of anaplastic thyroid cancer (ie, a rare and rapidly fatal form
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psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
April 01, 2010 - April 4, 2011
Use of an anatomic marking form as an alternative to the Universal Protocol
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - Patients undergoing emergency laparotomy
form the highest risk group of all emergency surgical admissions
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - The checklist can be integrated into the electronic health record or a form can be provided to the patient