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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
January 01, 2021 - Spotlight
Spotlight
Dangers of Missing an Epidural Abscess:
Multiple Visits and Delayed Diagnosis with
a Severely Negative Outcome
Source and Credits
• This presentation is based on the June 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Comm…
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psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
February 01, 2014 - a growing knowledge of the nature and type of interruptions, there is limited evidence available to guide
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - Guide to Reducing Unintended Consequences of Electronic Health Records.
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psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
July 01, 2017 - liability insurers and medical regulators generally do not use individual-level predictive modeling to guide
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
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/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - liability insurers and medical regulators generally do not use individual-level predictive modeling to guide
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
July 01, 2012 - Guide to Reducing Unintended Consequences of Electronic Health Records.
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - Until then, the approaches described above provide a good starting point to guide medical centers in
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - and differentiated hospitals, but that further research is needed to elucidate how the model could guide
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - and differentiated hospitals, but that further research is needed to elucidate how the model could guide
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - become a significant component of educational programs, and educators lacked a formal framework to guide
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psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
May 01, 2013 - in, and then use, research about the outcomes of these initiatives (both intended and otherwise), to guide
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psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx
Spotlight
A Complicated Course: Severe Alcohol Withdrawal with
Dexmedetomidine Infusion
Source and Credits
• This presentation is based on the July 2023 AHRQ WebM&M
Spotlight Case
o See the full article at ht…
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - Becoming a Patient Safety Organization
Rory Jaffe, MD, MBA | July 1, 2011
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. Rockville (MD): Agency for Healthcare …
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psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety
Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN | September 1, 2008
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Rothschild JM, Keohane C. The Role of Bar Coding and Sm…
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - The Role of Community Pharmacists in Patient Safety
October 24, 2021
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Luchen GG, Hall KK, Hough KR. The Role of Community Pharmacists in Patient Safety . PSNet [internet]. Rockv…
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psnet.ahrq.gov/node/73902/psn-pdf
September 29, 2021 - Dangers of Missing an Epidural Abscess: Multiple Visits
and Delayed Diagnosis with a Severely Negative Outcome
September 29, 2021
Lantz L, Yoon J, Barnes DK. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed
Diagnosis with a Severely Negative Outcome. PSNet [internet]. 2021.
https://psnet.ahrq.go…
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - Evaluation Guide for Older Adult Clinical Fall Prevention Programs Stopping Elderly Accidents, Deaths
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - in, and then use, research about the outcomes of these initiatives (both intended and otherwise), to guide
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - Evaluation Guide for Older Adult Clinical Fall Prevention Programs Stopping Elderly Accidents, Deaths