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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Despite Clues, Failed to Rescue
August 1, 2017
Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
Case Objectives
Define failure to rescue.
Identify the main contributors to failure-to-rescue events.
Appreciate the ongoing areas of scien…
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - SPOTLIGHT CASE
Which Line: Ordering Provider or Proceduralist?
Citation Text:
Blackmore CC. Which Line: Ordering Provider or Proceduralist?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format: …
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psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
February 01, 2012 - Mistakes may happen because you allow people a little bit of room in their training to be autonomous.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
October 01, 2016 - inspired to make a change or test an idea, the QI team huddles with them to figure
out how to make it happen
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_5_InfoSession_508.pptx
April 02, 2025 - That can happen when you are working with a team as an advisor, too.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/preparing-data-for-analysis.pdf
May 15, 2017 - data is less imperative with Web surveys and optical scanning
because most of these problems cannot happen
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
January 01, 2024 - nine patient safety event types that
represent the majority of reported preventable injuries that happen
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www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
November 01, 2017 - Khanna responded that, were that to happen, AHRQ would remain as a singular enterprise, although it could
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/epbnursep.pdf
November 01, 2007 - Nurses can help make this happen by
educating themselves and their patients about preventive
services
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digital.ahrq.gov/sites/default/files/docs/quality-metrics-slides-042811.pdf
January 01, 2011 - .
– But how many ways can this happen without any real
change in the quality of care?
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023987-fuad-final-report-2018.pdf
January 01, 2018 - patients answered at a higher % correct
were:
• Q6: “While you are in this research study, what will happen
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psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
March 01, 2009 - In Conversation with...Dean Schillinger, MD
March 22, 2009
Also Read an Essay
Citation Text:
In Conversation with..Dean Schillinger, MD. PSNet [internet]. 2009.In Conversation with...Dean Schillinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Re…
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - In Conversation with...Allan Frankel, MD
July 1, 2006
Also Read an Essay
Citation Text:
In Conversation with..Allan Frankel, MD. PSNet [internet]. 2006.In Conversation with...Allan Frankel, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
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psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - Key Issues in Developing a Successful Hospital Safety Program
John Whittington, MD | July 1, 2006
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Whittington JC. Key Issues in Developing a Successful Hospital Safety Program. PS…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
January 01, 2011 - • Failure causes (Why would the failure
happen?)
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - Planning Grants Final Evaluation Report
Appendix A. Grantee Profiles
Previous Page Next Page
Table of Contents
Planning Grants Final Evaluation Report
Executive Summary
Introduction
Methodology
Findings
Appendix A. Grantee Profiles
Appendix B. References
Carilion Medical …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
January 01, 2011 - • Failure causes (Why would the failure
happen?)
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digital.ahrq.gov/sites/default/files/docs/Event%20Transcipt%20August.pdf
August 27, 2009 - A National Web Conference, E-Prescribing and Medication Management: Current Realities and
Future Directions
(August 27, 2009)
Ladies and gentlemen, we appreciate your patience. Now I would like to turn things over to Bob
Mayes AHRQ to introduce the panel. Bob?
Welcome to the national web conference sponso…
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024538-adelman-final-report-2022.pdf
January 01, 2022 - Develop and Validate Health IT Safety Measures to Capture Violations of the 5 Rights of Medication Safety – Final Report
Final Progress Report to Agency for Healthcare Research and Quality
Title of Project
Develop and Val…
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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - SPOTLIGHT CASE
Despite Clues, Failed to Rescue
Citation Text:
Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndN…