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psnet.ahrq.gov/issue/minnesota-alliance-patient-safety-maps
October 31, 2023 - February 5, 2014
WebM&M Cases
The “Great Pretender” (
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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - disclose substance use to healthcare providers out of fear they will be reported,
even if they are taking great … I would say those are
some great successes. … you're prescribing other meds and you know your patient is going to the
pharmacy anyway, it can be a great … Naloxone is a great example, where we've seen tremendous improvements across most states. … The overdose
prevention sites in New York City and opening soon in Rhode Island offer great chances
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psnet.ahrq.gov/node/33877/psn-pdf
April 01, 2019 - TM: There are so many great things in the IOM report. … They also were great at launching our immediate peer
support or care for the caregiver program. … The physicians learned this is a great number to call because
you're going to get all that support. … Then when we started hearing out of Michigan what Richard Boothman was
doing there, he was a great resource
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psnet.ahrq.gov/node/50392/psn-pdf
September 01, 2019 - SA: I always take great pains to remind people we are a private nonprofit. … Another large
chunk of our funding comes from membership dues, and that's a great way to make sure that … They're a great source of intelligence about what's going on in quality and the greatest
needs. … Endorsement can be a great leverage point for that, so that we are putting into the ecosystem
only the
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psnet.ahrq.gov/node/45116/psn-pdf
February 15, 2017 - postoperative-adverse-events-inconsistently-improved-world-health-
organization-surgical
The World Health Organization surgical safety checklist garnered a great
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psnet.ahrq.gov/issue/physicians-and-electronic-health-records-statewide-survey
December 31, 2014 - The investigators surveyed Massachusetts physicians and found great variability in the functions that
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psnet.ahrq.gov/node/39548/psn-pdf
November 02, 2010 - patient-specific-electronic-decision-support-reduces-prescription-excessive-
doses
Clinician decision support systems (CDSS) hold great
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psnet.ahrq.gov/node/44813/psn-pdf
February 15, 2017 - An accompanying editorial calls implementing videos with
feedback the "next great leap forward" for
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psnet.ahrq.gov/issue/impact-nursing-skill-mix-adverse-events-intensive-care-single-centre-cohort-study
November 21, 2021 - patients admitted to a tertiary intensive care unit (ICU) in Australia between 2016 and 2020 found that a great
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psnet.ahrq.gov/issue/how-often-are-potential-patient-safety-events-present-admission
January 26, 2022 - measuring and withholding payment for complications of care not present on admission (POA), hospitals have great
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psnet.ahrq.gov/node/33615/psn-pdf
June 01, 2005 - By exposing that, we revealed the
dissonance between our pride and our belief that we are a great institution … Rather than resting on our laurels and saying well, we're great, those were just rare events,
people … I also think that we had great senior leadership support for this.
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - Other organizations now do work on patient safety, which is great because it shows that the
importance … TG: That's a great point. … We're getting over that adoption hump and getting into these new
systems, which have great potential … AHRQ has had attention on patient safety for a long time, but having the
attention from CMS is great … TG: That's a great question.
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psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - Back to Basics
March 1, 2007
Hellman R. Back to Basics. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/back-basics
The Case
A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with
right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - I think that surgical checklists are one of the great things that have come along. … LL : The great voyage we're on in patient safety, which we've been working on now for almost 20 years … it's our moral sense that we shouldn't be hurting people, we don't want to hurt people, and we have a great … What's disappointing is that the great majority of physicians and the great majority of health care is
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - TM : There are so many great things in the IOM report. … They also were great at launching our immediate peer support or care for the caregiver program. … The physicians learned this is a great number to call because you're going to get all that support. … Then when we started hearing out of Michigan what Richard Boothman was doing there, he was a great
-
psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
February 26, 2025 - SA : I always take great pains to remind people we are a private nonprofit. … Another large chunk of our funding comes from membership dues, and that's a great way to make sure that … They're a great source of intelligence about what's going on in quality and the greatest needs. … Endorsement can be a great leverage point for that, so that we are putting into the ecosystem only the
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - degree to which a Just Culture is embraced as an organizational principle, and for many EMS systems, a great … CC: I think that that's a great point, and I don't know that there's any healthcare provider who's going … I think that's a great way to start but more importantly, the challenge is with the caliber of leadership … Over the past year, one of the great things that this pandemic has done is it has brought continuity … This was a great lesson for all EMS associations and all EMS leaders, and it enables us to say that we
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psnet.ahrq.gov/node/33656/psn-pdf
September 01, 2007 - Now you can look on the Web and know where the great centers, and the mediocre
centers, are. … But it's very clear
that a great number of centers are very upset about this having gone public. … It has caused a great deal of ferment that I think is tremendously positive. … We have
patients suffering difficulties with great bravery.
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psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families
June 13, 2012 - This report suggests that a systems approach to child social services in Great Britain would facilitate
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psnet.ahrq.gov/node/47575/psn-pdf
December 19, 2018 - Some systems have had
great success with CRPs and most see them as a morally wise approach to errors