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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - (or even automate) repeating serum potassium levels shortly after treatment to assess response and guide
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - reduce cognitive error, but these have shown mixed results. 7 , 8 AHRQ has developed the Calibrate Dx guide
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - May;96(5):219-22. [ Free full text ]
The SHARE Approach—Using the teach-Back Technique: A Reference Guide
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psnet.ahrq.gov/web-mm/forgotten-turn
August 01, 2018 - [go to PubMed]
15. 5 Million Lives Campaign, Getting Started Kit: Prevent Pressure Ulcers How-To-Guide
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - A field guide to healthy workforce best practices.
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - Vascular injury at laparoscopy: a guide to management. J Obstet
Gynaecol. 2018;38(5):598-606.
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psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
January 01, 2022 - Vascular injury at laparoscopy: a guide to management. J Obstet Gynaecol. 2018;38(5):598-606.
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psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
May 19, 2021 - Little data exist to guide provider selection.
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psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
December 08, 2021 - A Guide to Understanding Interpreting and Translation in Healthcare.
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psnet.ahrq.gov/node/42531/psn-pdf
December 06, 2013 - Is evidence guiding practice? Reported versus observed
adherence to contact precautions: a pilot study.
December 6, 2013
Jessee MA, Mion LC. Is evidence guiding practice? Reported versus observed adherence to contact
precautions: a pilot study. Am J Infect Control. 2013;41(11):965-70. doi:10.1016/j.ajic.2013.05.005…
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psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident
October 19, 2016 - Guide to curricular development and evaluation of longer-term resident perceptions. … October 16, 2019
I-PASS Mentored Implementation Handoff Curriculum: implementation guide
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psnet.ahrq.gov/issue/patient-safety-ambulatory-settings
June 08, 2011 - October 26, 2016
Designing and Delivering Whole-Person Transitional Care: Hospital Guide … December 7, 2018
Guide to Improving Patient Safety in Primary Care Settings by Engaging
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psnet.ahrq.gov/node/44723/psn-pdf
December 16, 2015 - Situation, background, assessment, and
recommendation–guided huddles improve
communication and teamwork in the emergency
department.
December 16, 2015
Martin HA, Ciurzynski SM. Situation, Background, Assessment, and Recommendation-Guided Huddles
Improve Communication and Teamwork in the Emergency Department. Jour…
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psnet.ahrq.gov/node/38330/psn-pdf
September 24, 2010 - Medication safety teams' guided implementation of
electronic medication administration records in five
nursing homes.
September 24, 2010
Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of
electronic medication administration records in five nursing homes. Jt Comm J Qu…
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psnet.ahrq.gov/node/847730/psn-pdf
February 26, 2018 - “Brave men” and “emotional women”: a theory-guided
literature review on gender bias in health care and
gendered norms towards patients with chronic pain.
February 26, 2018
Samulowitz A, Gremyr I, Eriksson E, et al. “Brave men” and “emotional women”: a theory-guided literature
review on gender bias in health care a…
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psnet.ahrq.gov/node/39509/psn-pdf
August 08, 2010 - Bad stars or guiding lights? Learning from disasters to
improve patient safety.
August 8, 2010
Hughes C, Travaglia JF, Braithwaite J. Bad stars or guiding lights? Learning from disasters to improve
patient safety. Qual Saf Health Care. 2010;19(4):332-6. doi:10.1136/qshc.2008.030148.
https://psnet.ahrq.gov/issue/ba…
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psnet.ahrq.gov/node/36708/psn-pdf
April 21, 2011 - Missed breast cancers at US-guided core needle biopsy:
how to reduce them.
April 21, 2011
Youk JH, Kim E-K, Kim MJ, et al. Missed breast cancers at US-guided core needle biopsy: how to reduce
them. Radiographics. 2007;27(1):79-94.
https://psnet.ahrq.gov/issue/missed-breast-cancers-us-guided-core-needle-biopsy-how-…
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psnet.ahrq.gov/node/35009/psn-pdf
May 27, 2011 - Guided prescription of psychotropic medications for
geriatric inpatients.
May 27, 2011
Peterson JF, Kuperman GJ, Shek C, et al. Guided prescription of psychotropic medications for geriatric
inpatients. Arch Intern Med. 2005;165(7):802-7.
https://psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-ger…
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psnet.ahrq.gov/node/40764/psn-pdf
December 29, 2014 - Wristbands as aids to reduce misidentification: an
ethnographically guided task analysis.
December 29, 2014
Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically
guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.1093/intqhc/mzr045.
https://psnet…
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psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
October 01, 2013 - March 20, 2019
Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era