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psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - The appropriate action would have been to hand the medication vial directly to the resident.
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psnet.ahrq.gov/web-mm/near-miss-neonate
August 15, 2018 - Delivery
Health Care Providers
Obstetrics
Infectious Diseases
Discontinuities, Gaps, and Hand-Off
-
psnet.ahrq.gov/node/49427/psn-pdf
January 01, 2004 - pre-operative "pauses" or team-briefings, have the capacity to efficiently
orient team members to the task at hand
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psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
October 30, 2024 - The Topic
General Hospitals
Long-Term Care
Communication between Providers
Structured Hand-offs
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psnet.ahrq.gov/web-mm/situational-unawareness
August 01, 2009 - Recognizing this potential catastrophe in the case at hand, the pharmacist attempted to manually override
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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - The Commentary
The case at hand may strike many readers as uncommon or unlikely to befall careful and
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psnet.ahrq.gov/web-mm/it-safe-be-direct
September 30, 2015 - See More About The Topic
Hospitals
Gynecology
Cardiology
Discontinuities, Gaps, and Hand-Off
-
psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - a colleague present during critical moments of the anesthetic administration to support
and lend a hand
-
psnet.ahrq.gov/node/49430/psn-pdf
January 01, 2004 - most sensitive in identifying patients who subsequently required hospitalization.(8) On the
other hand
-
psnet.ahrq.gov/node/49772/psn-pdf
October 01, 2016 - Hand-off communication does affect patient safety. Plast Surg Nurs. 2009;29:266-270.
-
psnet.ahrq.gov/node/33838/psn-pdf
July 01, 2017 - payment (or "payoff") value.(4,7,8) Proponents of the National Practitioner Data Bank, on the other hand
-
psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
April 01, 2008 - As we hand over the reins of AHRQ PSNet to new technical and editorial teams, we are proud to have influenced
-
psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - Good eyesight and hand-eye coordination are
needed to connect the medication bag to the IV tubing.
-
psnet.ahrq.gov/node/853772/psn-pdf
September 27, 2023 - On the other hand, overdosing
insulin can cause severe hypoglycemia, coma, seizures, and even death.
-
psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - to improve patient safety in a range of areas such as wrong-site surgery , medication errors, poor hand
-
psnet.ahrq.gov/web-mm/one-ace-too-many
June 21, 2016 - Departments
Ambulatory Clinic or Office
Physicians
Emergency Medicine
Discontinuities, Gaps, and Hand-Off
-
psnet.ahrq.gov/web-mm/weak-response
February 24, 2011 - Office
Health Care Providers
Primary Care
Diagnostic Errors
Discontinuities, Gaps, and Hand-Off
-
psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - Facts about the Hand-off Communications Project.
-
psnet.ahrq.gov/primer/individual-clinician-performance-issues
March 15, 2025 - exacerbated by the fact that clinicians often do not report impaired colleagues even when they have first-hand
-
psnet.ahrq.gov/web-mm/not-miscarriage
June 01, 2005 - The Commentary
In the case at hand, several important systems failed and a patient with a continuing