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psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - Duplicate Insulin Order
March 1, 2019
Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/duplicate-insulin-order
The Case
A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency
department (ED) for complaints of letharg…
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psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - Heuristics made easy: an effort-reduction framework.
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psnet.ahrq.gov/node/33663/psn-pdf
September 15, 2008 - After that meeting, we adopted a curriculum built on the "Achieving Safe and Reliable Healthcare" (
4) framework
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Its framework requires the individual harboring the safety concern to voice it to the appropriate person
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psnet.ahrq.gov/web-mm/more-treatment-better-care
August 11, 2021 - This case fits the Less is More (LIM) framework, as there is no benefit to the extended apheresis treatments
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psnet.ahrq.gov/node/865656/psn-pdf
April 24, 2024 - It is recommended for organizations to establish a framework for retrospective review of override
activity
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - What gives you enthusiasm that this
new organizational framework, that's much larger and in many ways
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - , and much of what falls under the rubric of patient engagement have yet to be integrated into
the framework
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psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
February 21, 2024 - utilized to convey clinical information—the Situation, Background, Assessment, Recommendation (SBAR) framework
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psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - a standard structure embedded into all
components of the intervention that serves as an organizing framework
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psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - July Syndrome
Citation Text:
Young JQ. July Syndrome. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
D…
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meps.ahrq.gov/data_files/publications/st482/stat482.shtml
November 01, 2015 - This classification scheme is consistent with the HHS strategic framework on Measuring Chronic Conditions
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - Diagnostic Error
January 11, 2022
WebM&M Cases
A framework
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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.
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Format:
Google Scholar BibTeX EndNote…
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digital.ahrq.gov/sites/default/files/docs/page/AppendixB.pdf
February 01, 2012 - ● Adult Learning Theory: a theoretical framework for helping adults learn new skills or
information
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psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - Patient Safety Innovations
The I-READI Quality and Safety Framework
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Annual Perspective
Impact of System Failures on Healthcare Workers
George Zangaro, PhD, RN, FAAN, Cindy Manaoat Van, MHSA, Sarah Mossburg, RN, PhD
| March 21, 2023
View more articles from the same authors.
Citation Text:
Zangaro G, Van CM, Mossburg S. Imp…
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - February 17, 2017
A framework to assess patient-reported adverse outcomes arising during
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/misuse-prescription-protocol.pdf
September 13, 2024 - Judging the quality of evidence in reviews of
prognostic factor research: adapting the GRADE framework
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/maternal-child-outcomes-wic-disposition-comments.pdf
April 19, 2022 - This decision was
based on the wording of the
key questions and the
associated PICOTS framework
as