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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - KH : Going back to our discussion about specific adverse events, we had talked about infection control
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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - medical officers, continued working through weekends and nights without a break trying to keep things going
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - Slippery Slide Into Life
December 1, 2005
Halamek LP. Slippery Slide Into Life. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/slippery-slide-life
The Case
A 25-year-old woman presented to the hospital in labor and at full gestation after receiving uncomplicated
prenatal care. A third-year obstetrics and g…
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datatools.ahrq.gov/meps-ic/
January 01, 2022 - Skip to main content
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psnet.ahrq.gov/node/49762/psn-pdf
June 01, 2016 - The Case of Mistaken Intubation
June 1, 2016
Silveira MJ. The Case of Mistaken Intubation. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/case-mistaken-intubation
Case Objectives
Appreciate that most older adults and many younger chronically ill patients have discussed or
documented their preferences for l…
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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - Infused, Not Ingested
Citation Text:
Foley M. Infused, Not Ingested. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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www.ahrq.gov/talkingquality/assess/index.html
September 01, 2019 - Assess Your Health Care Quality Reporting Project
Reporting comparative quality information to consumers is typically not a one-time event but an ongoing activity. For this reason, evaluation is a key part of your work, an aspect that has to be thought about and, in some cases, acted upon from the outset.
An …
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psnet.ahrq.gov/node/37424/psn-pdf
May 25, 2011 - Responding to serious medical error in general
practice—consequences for the GPs involved: analysis of
75 cases from Germany.
May 25, 2011
Fisseni G, Pentzek M, Abholz H-H. Responding to serious medical error in general practice--consequences
for the GPs involved: analysis of 75 cases from Germany. Fam Pract. 2008…
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psnet.ahrq.gov/node/837811/psn-pdf
August 10, 2022 - Examining the Status of VA’s Electronic Health Record
Modernization Program.
August 10, 2022
US Senate Committee on Veterans Affairs. 117th Cong (2021-2022). (July 20, 2022).
https://psnet.ahrq.gov/issue/examining-status-vas-electronic-health-record-modernization-program
Large-scale electronic health record (EHR) …
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psnet.ahrq.gov/node/40442/psn-pdf
May 18, 2011 - Communicating pathology and laboratory errors:
anatomic pathologists' and laboratory medical directors'
attitudes and experiences.
May 18, 2011
Dintzis SM, Stetsenko GY, Sitlani CM, et al. Communicating pathology and laboratory errors: anatomic
pathologists' and laboratory medical directors' attitudes and experien…
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psnet.ahrq.gov/node/42469/psn-pdf
August 07, 2013 - Characteristics of paid malpractice claims settled in and
out of court in the USA: a retrospective analysis.
August 7, 2013
Rubin JB, Bishop TF. Characteristics of paid malpractice claims settled in and out of court in the USA: a
retrospective analysis. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002985.
https:/…
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/PrescriptionRenewalRequest-ElectronicSystem.pdf
January 01, 2010 - Prescription Renewal Request - Electronic System
Prescription Renewal Request – Electronic system
P
ha
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ac
y
N
ur
si
ng
S
ta
ff
P
ro
vi
de
r
P
at
ie
nt Call pharmacy
requesting prescription
renewal
Send
electronic
renewal
request to
clinic
Need to
forward to
provider?
Yes
No Approve or decl…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/cs9vzudB23PJoPEtbqU3hJ
Ocular Prophylaxis for Gonococcal Opththalmia Neonatorum
OCULAR PROPHYLAXIS FOR GONOCOCCAL OPHTHALMIA NEONATORUM
CLINICAL SUMMARY OF U.S. PREVENTIVE SERVICES TASK FORCE REAFFIRMATION RECOMMENDATION
Population
All newborn infants
Recommendation
Provide prophylactic ocular topical medicati…
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psnet.ahrq.gov/node/857459/psn-pdf
December 06, 2023 - Five strategies for a safer EHR modernization journey.
December 6, 2023
Sittig DF, Yackel EE, Singh H. Five strategies for a safer EHR modernization journey. J Gen Intern Med.
2023;38(S4):940-942. doi:10.1007/s11606-023-08331-z.
https://psnet.ahrq.gov/issue/five-strategies-safer-ehr-modernization-journey
Large-sca…
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digital.ahrq.gov/year-survey/created-prior-2009
January 01, 2009 - Created prior to 2009
Patient's Use of Computers: University of Missouri at Columbia
Description
This is a questionnaire designed to be completed by patients in a home setting. The tool includes questions to assess the current state of patient portals and secure messaging.
…
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psnet.ahrq.gov/node/43979/psn-pdf
April 29, 2015 - The Report of the Morecambe Bay Investigation.
April 29, 2015
Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306.
https://psnet.ahrq.gov/issue/report-morecambe-bay-investigation
Sharing information about large-scale investigations into failures can provide insights on factors that
contribute to…
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psnet.ahrq.gov/node/47159/psn-pdf
August 01, 2018 - Safety II behavior in a pediatric intensive care unit.
August 1, 2018
Merandi J, Vannatta K, Davis T, et al. Safety II Behavior in a Pediatric Intensive Care Unit. Pediatrics.
2018;141(6):e20180018. doi:10.1542/peds.2018-0018.
https://psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit
The tradit…
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psnet.ahrq.gov/node/47341/psn-pdf
August 29, 2018 - AORN Position Statement on Criminalization of Human
Errors in the Perioperative Setting.
August 29, 2018
AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. AORN J.
2018;108(1):64-65. doi:10.1002/aorn.12292.
https://psnet.ahrq.gov/issue/aorn-position-statement-criminalization-h…
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psnet.ahrq.gov/node/50839/psn-pdf
January 29, 2020 - Mid Staffs scandal: 10 years on, inquiry chair worries NHS
staff too scared to speak up.
January 29, 2020
Lintern S. The Independent. January 15, 2020.
https://psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
The Francis report is a primary example of a large-scale …
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psnet.ahrq.gov/node/47473/psn-pdf
December 05, 2018 - Holding out for an apology.
December 5, 2018
Holding out for an apology. BMJ. 2018;363:k3033. doi:10.1136/bmj.k3033.
https://psnet.ahrq.gov/issue/holding-out-apology
Patients who experience care complications are vulnerable to psychological consequences that can affect
their relationship with their clinical teams.…