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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - The result is
incremental change that sticks, as opposed to radical change that either fails to take hold
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psnet.ahrq.gov/node/49830/psn-pdf
May 01, 2018 - several hours postingestion, and she was evaluated by a psychiatrist who placed
an involuntary legal hold
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psnet.ahrq.gov/node/49740/psn-pdf
August 21, 2015 - Electronic medical records (EMRs) hold promise in this area, but thus far there is no clear
evidence
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psnet.ahrq.gov/node/33840/psn-pdf
August 01, 2017 - These efforts, and other studies, may hold implications for
further development or modification of these
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psnet.ahrq.gov/node/49406/psn-pdf
June 01, 2003 - year-old woman was admitted to the Medicine service
for observation after being placed on a 72-hour hold
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psnet.ahrq.gov/node/49449/psn-pdf
June 01, 2004 - At that point
(10:00 PM), the physician decided to hold her overnight in the ED and admit her if she
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - procedure's difficulty, the cardiac technician controlling the syringe for injecting dye failed to
hold
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psnet.ahrq.gov/web-mm/see-patient-first
September 27, 2023 - But See the Patient First
Citation Text:
Sinigayan VR. But See the Patient First. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/training
October 06, 2007 - Risk Management (ASHRM) Sponsor Type: Member association Event Description: Conference intends to hold
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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - They will exfiltrate a large amount of data (data extortion) and hold terabytes of patient data.
-
psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - They will exfiltrate a large amount of data (data extortion) and hold terabytes of patient data.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
February 01, 2013 - Spotlight Case July 2008
Spotlight Case
Delay in Treatment:
Failure to Contact Patient Leads to Significant Complications
*
*
Source and Credits
This presentation is based on the February 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: …
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psnet.ahrq.gov/node/49539/psn-pdf
June 01, 2007 - Informed or Misled?
June 1, 2007
White SM. Informed or Misled? . PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/informed-or-misled
The Case
A 50-year-old man arrived at the hospital for an elective total knee replacement. Based on preoperative
discussions, the patient expected to receive spinal anesthesia.…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.293_slideshow.ppt
March 01, 2013 - Spotlight Case July 2008
Spotlight Case
A Weighty Mistake
*
*
Source and Credits
This presentation is based on the March 2013
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Seth J. Bokser, MD, MPH, Associate Professor of Pediatrics & Medical…
-
psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - “This is the wrong patient's blood!”: Evaluating a Near-
Miss Wrong Transfusion Event
January 29, 2020
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-…
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - and we discovered that if you call after 9 p.m. there's a lovely voicemail in English saying please hold … be in the room with the mother depending on the medical care she’s receiving and how able she is to hold
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - and we discovered that if you call after 9 p.m. there's a lovely voicemail in English saying please hold … be in the room with the mother depending on the medical care she’s receiving and how able she is to hold
-
psnet.ahrq.gov/node/865697/psn-pdf
April 24, 2024 - As challenging as it may
sometimes be, you will still knock on doors, call for help, and hold people
-
psnet.ahrq.gov/node/836878/psn-pdf
April 27, 2022 - The Media’s Role in Patient Safety
April 27, 2022
Millenson ML, Dowell P, Mossburg SE. The Media’s Role in Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/medias-role-patient-safety
Brief History of the Media Influencing Patient Safety
Despite studies raising questions about avoidable ha…
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psnet.ahrq.gov/web-mm/coming-short
May 20, 2020 - Coming Up Short
Citation Text:
Hochberg Z'ev. Coming Up Short. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…