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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - an inadvertent push), and the infant slid out of the vaginal canal, slipped out of the resident’s hands
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - While falling asleep, he was noted to have eye-rolling and he did not respond to his name, shaking his hands
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - 2020
Culture change in infection control: applying psychological principles to improve hand
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psnet.ahrq.gov/node/33803/psn-pdf
January 01, 2015 - Typically only a smattering of audience members will raise their hands.
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psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
March 24, 2025 - Studies have explored challenging staff about washing their hands , marking surgical sites, or checking
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - SPOTLIGHT CASE
When the Lytes Go Out: A Case of Inpatient Cardiac Arrest
Citation Text:
Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.…
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psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
August 29, 2021 - if an anesthesia provider administers a dose of a paralytic agent but fails to record this and then hands-off
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psnet.ahrq.gov/node/49861/psn-pdf
May 01, 2019 - Updates in the Management of High-Risk Pulmonary
Embolism
May 1, 2019
Kabrhel C, Aaronson E. Updates in the Management of High-Risk Pulmonary Embolism. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
Case Objectives
Review common risk factors, typical present…
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psnet.ahrq.gov/node/73145/psn-pdf
April 28, 2021 - If they comply with proper
hand hygiene, etc.?
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - department, caregivers are taught to wipe their mobile devices with alcohol at the same time they wash their hands
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psnet.ahrq.gov/node/74021/psn-pdf
October 25, 2021 - sources, accounting for the shelf life and the storage of the medication, and even keeping a
quantity on hand
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psnet.ahrq.gov/node/33756/psn-pdf
October 01, 2013 - In Conversation With… Rebecca Smith-Bindman, MD
October 1, 2013
In Conversation With… Rebecca Smith-Bindman, MD. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
Editor's note: Rebecca Smith-Bindman, MD, is professor in residence at the University of California, San
…
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psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
June 15, 2024 - Research is not done for just research sake, but with an eye toward how it can be moved into the hands
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - These will be important next steps to move U.S. hospitals forward toward the real work at hand—reliably … reporting systems rely on voluntary reporting; however, despite much investment and effort in the best of hands
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - reporting systems rely on voluntary reporting; however, despite much investment and effort in the best of hands … These will be important next steps to move U.S. hospitals forward toward the real work at hand—reliably
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psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
October 31, 2023 - This focus goes hand in hand with some of the policy work that could be directed at addressing workplace
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - where you look at a lot of labs is very amenable to telemedicine, versus sports medicine which is very hands-on … Our model before was to send in nurses and let them hold the hand of the providers and help them to adopt
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - This focus goes hand in hand with some of the policy work that could be directed at addressing workplace
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - In addition, retail pharmacies may also benefit from improving effective hand-off procedures to ensure
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - In my view, while these actions appear to solve the problem at hand, these "fix-the-bridge-as-you-walk-on-it