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psnet.ahrq.gov/issue/impact-educational-initiative-targeting-non-radiologist-staff-overall-notification-times
March 09, 2022 - March 16, 2016
Using the Targeted Solutions Tool to improve hand hygiene compliance is
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psnet.ahrq.gov/issue/producing-effective-treatment-enhancing-safety-medical-physicists-strategies-ensure-quality
July 12, 2023 - Related Resources From the Same Author(s)
A scoping review of legibility of hand-written
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - officer on a ship, for example a family caregiver who can help relay or extend the eyes, ears, and hands … Colton Hood : We were pretty hands-on, and I think that allowed it to be successful. … There were so many unknowns that we had to be very hands-on because we did not know what the course of … It sounds like one of the ways that you maintained patient safety with the increased volume was that hands-on
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psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
March 15, 2023 - officer on a ship, for example a family caregiver who can help relay or extend the eyes, ears, and hands … Colton Hood : We were pretty hands-on, and I think that allowed it to be successful. … There were so many unknowns that we had to be very hands-on because we did not know what the course of … It sounds like one of the ways that you maintained patient safety with the increased volume was that hands-on
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psnet.ahrq.gov/node/60790/psn-pdf
February 23, 2022 - aerosol-generating dental procedures.5,25
Follow standard, contact, and airborne precautions including hand … Visitors should be limited to those who are
necessary.5,28
Use a dental hand-piece with anti-retraction … When and how to wash your hands. Centers for Disease Control and Prevention.
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psnet.ahrq.gov/web-mm/all-history
February 28, 2011 - Based on the minimal information at hand (the history of shortness of breath, the low oxygen levels, … The internist, on the other hand, can avoid this cognitive trap by making a conscious effort not to accept
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - Over the next few
days, however, she developed ischemia in her right hand, which eventually became cold … references
Shortly after admission, this patient did develop signs of arterial insufficiency with right hand
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - Communication through these care hand-offs about the feeding tube reflected only “PEG tube” or “G tube … develop mechanisms to mitigate this risk. 38 , 42 Current best practices include using checklists at hand-offs … , implementing standardized hand-off tools, and standardizing the content of discharge summaries regarding
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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - Over the next few days, however, she developed ischemia in her right hand, which eventually became cold … Shortly after admission, this patient did develop signs of arterial insufficiency with right hand ischemia
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - These hand-offs should include a plan for the next tracheostomy change, an explanation of complications … September 1, 2008
WebM&M Cases
On the Other Hand
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
June 01, 2011 - Spotlight Case July 2008
Spotlight Case
The ECG is Not Normal
*
*
Source and Credits
This presentation is based on the June 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Abigail Zuger, MD, Columbia University
Editor, AHRQ WebM&M: Robe…
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psnet.ahrq.gov/node/49464/psn-pdf
December 27, 2020 - Lap Burn
October 1, 2004
Ball K. Lap Burn. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lap-burn
The Case
A woman was scheduled for an elective diagnostic laparoscopy for dysfunctional uterine bleeding. After
accessing the abdomen with the trocar without complication, the surgeon inserted the laparoscope…
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - affected. 27
Interestingly, there is no federal statutory or regulatory requirement for EMS providers to hand … not necessarily evaluate and treat
that patient, and the treating provider often never received the hand-written
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psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
January 01, 2006 - On one hand, this heterogeneity may impede information sharing and learning, but it also may result in … surgery felt empowered to actually speak up when one individual sneezed and then, without washing his hands … Then this person who sneezed said, "Okay, yeah, you're right, I need to go wash my hands," and did it
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - walking around that I've seen is based on, "get out there, be visible, slap people on the back, shake hands … For example, if people aren't washing their hands often enough, there are usually systemic problems getting … in the way of practicing proper hand hygiene.
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - walking around that I've seen is based on, "get out there, be visible, slap people on the back, shake hands … For example, if people aren't washing their hands often enough, there are usually systemic problems getting … in the way of practicing proper hand hygiene.
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - Automatic, subconscious cognition matches up the features of the case at hand with one or more of these … arrive at their initial diagnostic choicesthese are the first possibilities that fit the facts at hand … Surprisingly, "fast and frugal" decisions are highly accurate, especially in the hands of experts.( 4
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psnet.ahrq.gov/issue/hospitals-boost-patients-power-advisers
August 17, 2016 - June 25, 2014
Why hospitals want patients to ask doctors, 'Have you washed your hands … October 14, 2015
Why hospitals want patients to ask doctors, 'Have you washed your hands
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psnet.ahrq.gov/node/50844/psn-pdf
January 29, 2020 - to improve patient safety in a range of areas such as wrong-site surgery,
medication errors, poor hand
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psnet.ahrq.gov/node/33617/psn-pdf
August 01, 2005 - We hand off patients and information from one
discipline to another, and everything that we know from