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psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - In the first paragraph you talk about a house officer
who committed an error. … On one hand, in the case that I described from my house officer
days, it was really the anonymous mob
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - Analyzing how six hospitals tried to implement evidence-based safety
practices, this report identified in-house … Analyzing how six hospitals tried to implement evidence-based safety
practices, this report identified in-house
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psnet.ahrq.gov/node/836892/psn-pdf
April 07, 2022 - comprised of emergency medicine (EM) physicians (with or without critical care
fellowship training), house … development and continuing education
Dedicated care team members on each shift (i.e., doctors, nurses, house
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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
June 15, 2024 - The requirements also state a minimum of 8 hours between shifts and hours after 24 hours of in-house
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.308_slideshow.ppt
October 01, 2013 - PowerPoint Presentation
Spotlight Case
It's Sarah, not Stephen!
1
This presentation is based on the October 2013 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Urmimala Sarkar, MD, MPH, University of California at San Francisco
Editor, AHRQ WebM&…
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psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - patient had completed the POLST form, but it had not been loaded into the computer system because the house … on a myriad of other important issues—from billing to fire safety—they should be able to educate new house
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - Follow-up of outpatient test results: a survey of house-staff practices and perceptions. … February 24, 2011
Follow-up of outpatient test results: a survey of house-staff practices
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - Now that is defined by our house staff and others as a safety issue. Well, in fact, it is. … As we shrink the house staff hours to try to make sure that they're less tired—so hopefully patients … will be safer and the house staff will be less cranky—we've seen increasing handoffs and the beginning
-
psnet.ahrq.gov/node/33740/psn-pdf
November 01, 2012 - Or from my own house staff saying they have better things to do. … So we find that our house staff are
actually eager and hungry to do this.
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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - I showed him this, and he said, "You need to give a lecture to the
house staff on prudent use of meds … When you instruct your house staff or your students
about how to approach such patients, what do you
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - of National Drug Control Policy speaks about harm reduction as part of the strategy from the White House
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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - of National Drug Control Policy speaks about harm reduction as part of the strategy from the White House
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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - Department of Health & Human Services
The White House
USA.gov
Login to PSNet
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psnet.ahrq.gov/node/49693/psn-pdf
October 01, 2013 - It's Sarah, Not Stephen!
October 1, 2013
Sarkar U. It's Sarah, Not Stephen!. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/its-sarah-not-stephen
Case Objectives
Define and distinguish the terms gender identity, gender expression, and gender variance.
Delineate patient safety issues associated with transge…
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - Now that is defined by our house staff and others as a safety issue. Well, in fact, it is. … As we shrink the house staff hours to try to make sure that they're less tired—so hopefully patients … will be safer and the house staff will be less cranky—we've seen increasing handoffs and the beginning
-
psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - Johns Hopkins
geriatricians who provided ongoing care to homebound seniors by making house calls observed … population,
have some experience with home health care, and have some physicians who are willing to make
house
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - ICUs with board certified intensivists, increased
hospital technology capabilities, and presence of house … evidence points to environmental factors
associated with effective rescue, such as nurse staffing, house
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - The impact of a regulation restricting medical house staff working hours on the quality of patient care … February 24, 2011
House staff team workload and organization effects on patient outcomes
-
psnet.ahrq.gov/node/842919/psn-pdf
February 01, 2023 - Hospital-Acquired Diabetic Ketoacidosis.
February 1, 2023
Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
The Cases
Case #1: A 46-year-old Hindi-speaking resident of a skilled nursing facility (SNF) …
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psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
November 15, 2023 - Johns Hopkins geriatricians who provided ongoing care to homebound seniors by making house calls observed … population, have some experience with home health care, and have some physicians who are willing to make house