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psnet.ahrq.gov/issue/healthcare-411-mistake-proofing-health-care-environment
October 12, 2011 - March 14, 2007
Health IT implementation stories: HANDS care plan tool seeks to improve
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psnet.ahrq.gov/issue/qualitytoolstm
April 25, 2018 - March 14, 2007
Health IT implementation stories: HANDS care plan tool seeks to improve
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psnet.ahrq.gov/issue/manitoba-institute-patient-safety
March 06, 2005 - Improving Diagnostic Safety and Quality
April 26, 2023
Your Safety in our Hands
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psnet.ahrq.gov/issue/acr-white-paper-magnetic-resonance-mr-safety-combined-papers-2002-and-2004
August 13, 2008 - February 15, 2006
Impact of a successful speaking up program on health-care worker hand
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psnet.ahrq.gov/node/49447/psn-pdf
June 01, 2004 - In addition, community pharmacies are required to have updated
references on hand to answer dosing and
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psnet.ahrq.gov/node/49393/psn-pdf
April 01, 2003 - Surgeons require practice
manipulating tissues that remain one foot or more away from their hands without
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psnet.ahrq.gov/web-mm/lap-burn
March 01, 2018 - Lap Burn
Citation Text:
Ball K. Lap Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/node/49830/psn-pdf
May 01, 2018 - Suicide Risk in the Hospital
May 1, 2018
Mills PD. Suicide Risk in the Hospital. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/suicide-risk-hospital
The Case
A 37-year-old woman with a past medical history of depression, anxiety, and posttraumatic stress disorder
presented to the emergency department (ED)…
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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - Medication Reconciliation Pitfalls
February 1, 2010
Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
The Case
A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture and was
brought to the eme…
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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - and colleagues point out that "few care processes reach patients without first passing through the hands … Checklists , care bundles , hand hygiene , and rapid response teams all seemed doable.
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psnet.ahrq.gov/perspective/overuse-patient-safety-problem
September 01, 2014 - At a National Patient Safety Foundation meeting, 80% of people raised their hand indicating that they … And a slightly smaller percentage raised their hands.
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psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
September 01, 2014 - At a National Patient Safety Foundation meeting, 80% of people raised their hand indicating that they … And a slightly smaller percentage raised their hands.
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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - Our community distribution plans need to continue to identify ways to get naloxone into the hands of … using grant funds, pharmacy laws, and regulations, and whether your
organization will allow you to hand
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psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - In Conversation With… Mark L. Graber, MD
January 1, 2016
In Conversation With… Mark L. Graber, MD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
Editor's note: Dr. Graber is a Senior Fellow at RTI International and Professor Emeritus of Medicine at
the State University o…
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - .
– Examples include hand-knob area infarction (which can present as monoparesis), brain
infarcts with … offloading and expedites critical decisions, it
may be more compromised by biases, especially in the hands
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psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
March 01, 2018 - Checklists , care bundles , hand hygiene , and rapid response teams all seemed doable. … and colleagues point out that "few care processes reach patients without first passing through the hands
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
November 01, 2006 - But on the other hand, that's a fact of life—people cannot pay attention all the time, and not everybody
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psnet.ahrq.gov/node/49471/psn-pdf
December 01, 2004 - I find
it useful to hand out to my patients to help them understand our local rules and their responsibilities
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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - Fairview, we have incorporated just culture into our performance improvement initiatives, such as
hand
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psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - be modeled on successful past patient safety interventions, such as the WHO’s “My
Five Moments for Hand