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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - What do you think the next 5 to 7 years will hold in terms of the
megatrends?
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - when the patient is not contacted and serious harm results, the malpractice system will almost always hold
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - A Room Without Orders
January 1, 2016
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/room-without-orders
Case Objectives
Review a common process for planned direct hospital admissions.
Describe challenges of prioritizing day-to-day patient care activities wi…
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - SPOTLIGHT CASE
Unintended Consequences of CPOE
Citation Text:
Wears RL. Unintended Consequences of CPOE. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX EndNot…
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psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
September 27, 2023 - from Psychiatric Emergency Services, but it is likely that he could not be detained on a psychiatric hold … Afterwards
September 1, 2006
WebM&M Cases
Hold
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians … But I think we shouldn't allow that at this point to hold off on trying to create intelligent supports
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
July 01, 2012 - But I think we shouldn't allow that at this point to hold off on trying to create intelligent supports … Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians
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psnet.ahrq.gov/web-mm/dangerous-detour
November 28, 2018 - 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/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - Afterwards
September 1, 2006
WebM&M Cases
Hold
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psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - Initiatives, aim to use measures like the PSIs to both determine the quality of care given to
patients and hold
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psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - : I think it really depends on the organization and how much this idea of a Just Culture has taken hold … expectation that if anything happens with a patient on the call, that's your responsibility, I'm going to hold
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psnet.ahrq.gov/perspective/conversation-lucian-leape-md
June 12, 2019 - What do you think the next 5 to 7 years will hold in terms of the megatrends?
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - A lot of that comes down to having the right leadership to hold people accountable for activities.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
July 01, 2011 - Spotlight Case July 2008
Spotlight Case
Watch the Warfarin!
1
2
Source and Credits
This presentation is based on the July 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Raman Khanna, MD, and Margaret Fang, MD, MPH; University of California, Sa…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - PowerPoint Presentation
Spotlight
Wandering Off the Floors: Safety and Security Risks of Patient Wandering
1
This presentation is based on the June 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…
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psnet.ahrq.gov/node/866847/psn-pdf
September 25, 2024 - In Conversation with Carole Stockmeier about Zero Harm:
Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 25, 2024
Stockmeier CA, Mossburg S, Lee M. In Conversation with Carole Stockmeier about Zero Harm: Striving to
Reduce Preventable Harms – Point, Counterpoint, and Are…
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psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - The "ABCs" of trauma assessment and resuscitation hold as true in the field as they do in the ED.
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psnet.ahrq.gov/node/33876/psn-pdf
August 01, 2018 - In addition, a number of
individual hospitals across our health system hold their own safety conferences
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psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
July 01, 2011 - (This contrasts with the traditional method, in which individuals hold their pagers permanently, and
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psnet.ahrq.gov/node/33745/psn-pdf
February 01, 2013 - However, we have much to learn about which patient activities hold the most promise for
improving patient