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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/node/840256/psn-pdf
November 16, 2022 - We used that analysis as a foundation to guide the design of our patient safety passport, which is a
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psnet.ahrq.gov/node/33828/psn-pdf
March 01, 2017 - So my bread and butter is looking at aspects of
how people behave, the norms that guide them, the values
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - Finally, the products need to follow the standards, anticipate our needs, and help guide us toward
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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
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psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
February 26, 2025 - acquiring diagnostic or monitoring data and still having an intimate relationship with a doctor to help guide
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psnet.ahrq.gov/node/73553/psn-pdf
July 28, 2021 - The medical director can provide protocols and training that guide the actions with the patient.
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psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
September 28, 2022 - and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide … AHRQ Resources That Support Safety in Primary Care Guide to Improving Patient Safety in Primary Care
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - Use of a validated fall risk screening tool can help identify risks and guide development of an
individualized
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - Prior to catheterization, the patent's history is important as it can guide the insertion process.
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psnet.ahrq.gov/web-mm/lot-pain-medications
September 23, 2020 - identifies harm reported from sudden discontinuation of opioid pain medicines and requires label changes to guide
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psnet.ahrq.gov/node/84413/psn-pdf
February 23, 2022 - Prevention (CDC) released “CDC Guideline for
Prescribing Opioids for Chronic Pain,” which was intended to guide
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psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - Systems Solutions
Unfortunately, we have no randomized trials of safety solutions to help guide the
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psnet.ahrq.gov/node/49597/psn-pdf
February 01, 2010 - The following principles can help guide discussion of
sexuality with an adolescent patient: confidentiality
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - Use of TEE to guide ongoing resuscitation would have enabled management of the patient’s hemodynamics
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - RCA will guide this commentary with a focus on diagnostic
failure, failure to identify and target early
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - educating them, offering multiple sources for support, and getting to know their goals and values to guide