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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
September 01, 2016 - PowerPoint Presentation
Spotlight
A Pill Organizing Plight
*
Source and Credits
This presentation is based on the September 2016
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Brittany McGalliard, PharmD; Rita Shane, PharmD; and Sonja Ro…
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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - Sepsis Resulting from Delays in Treatment and
Miscommunication among Specialists
March 15, 2023
Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-
spec…
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - demonstrated a relationship between copy and paste and clinical outcomes.( 5 ) The first was focused on identifying … around this issue.( 10-12 ) In the technology realm, a few vendors have developed tools for easily identifying
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psnet.ahrq.gov/node/37800/psn-pdf
December 23, 2012 - Correlates of Medication Error in Hospitals.
December 23, 2012
Correlates Of Medication Error In Hospitals.
https://psnet.ahrq.gov/issue/correlates-medication-error-hospitals
This report describes results of a large survey of Canadian nurses and identifies work-related factors that
contribute to medication errors.…
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - You mention the trigger tool as a methodological change for identifying
those adverse events.
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psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - improved
through multidisciplinary efforts, and that determining who was involved is less important than identifying
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psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe
July 23, 2024 - Suicide Prevention in an Emergency Department Population: ED-SAFE
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April 24, 2024
View more articles from the same authors.
Innovation
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psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
February 09, 2011 - Commentary
The vanishing nonforensic autopsy.
Citation Text:
Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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psnet.ahrq.gov/issue/quality-and-economic-impact-disruptive-behaviors-clinical-outcomes-patient-care
February 03, 2010 - Commentary
The quality and economic impact of disruptive behaviors on clinical outcomes of patient care.
Citation Text:
Rosenstein AH. The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. Am J Med Qual. 2011;26(5):372-9. doi:10.1177/106286061140…
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psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-study
September 12, 2012 - Book/Report
HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Denver, CO: HealthGrades; 2006.
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psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors
March 02, 2010 - Study
Testing a classification model for emergency department errors.
Citation Text:
Henneman EA, Blank FSJ, Gattasso S, et al. Testing a classification model for emergency department errors. J Adv Nurs. 2006;55(1):90-9.
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psnet.ahrq.gov/issue/failure-rescue-neonatal-care
July 06, 2011 - Commentary
Failure to rescue in neonatal care.
Citation Text:
Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03.
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psnet.ahrq.gov/issue/reevaluating-recovery-perceived-violations-and-preemptive-interventions-emergency-psychiatry
September 17, 2008 - Study
Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.
Citation Text:
Cohen T, Blatter B, Almeida C, et al. Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds. J Am Med Inform A…
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psnet.ahrq.gov/issue/learning-accountability-patient-outcomes
July 01, 2017 - Commentary
Learning accountability for patient outcomes.
Citation Text:
Pronovost P. Learning accountability for patient outcomes. JAMA. 2010;304(2):204-5. doi:10.1001/jama.2010.979.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…
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psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors-specification-and
February 21, 2018 - Book/Report
Selecting Safe and Easier to Use Products for Healthcare Using Human Factors Specification and Checklists.
Citation Text:
Selecting Safe and Easier to Use Products for Healthcare Using Human Factors Specification and Checklists. Buckinghamshire, UK. Clinical Human Facto…
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psnet.ahrq.gov/issue/using-ahrq-quality-indicators-improve-health-care-quality
December 23, 2008 - Commentary
Using the AHRQ Quality Indicators to improve health care quality.
Citation Text:
Elixhauser A, Pancholi M, Clancy CM. Using the AHRQ Quality Indicators to Improve Health Care Quality. Jt Comm J Qual Patient Saf. 2016;31(9):533-538. doi:10.1016/s1553-7250(05)31069-5.
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psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
May 16, 2018 - Book/Report
DOD Should Improve Its Process for Clinical Adverse Actions against Providers.
Citation Text:
DOD Should Improve Its Process for Clinical Adverse Actions against Providers. Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24-106107.
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psnet.ahrq.gov/issue/managing-disruptive-behaviors-health-care-setting-focus-obstetrics-services
February 03, 2010 - Study
Managing disruptive behaviors in the health care setting: focus on obstetrics services.
Citation Text:
Rosenstein AH. Managing disruptive behaviors in the health care setting: focus on obstetrics services. Am J Obstet Gynecol. 2011;204(3):187-92. doi:10.1016/j.ajog.2010.10.899.
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psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-reduce-errors
October 27, 2010 - Newspaper/Magazine Article
Following the patient journey to improve medicines management and reduce errors.
Citation Text:
Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing times. 2009;105(46):12-5.
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psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review
February 29, 2012 - Review
Doctors' handovers in hospitals: a literature review.
Citation Text:
Raduma-Tomàs MA, Flin R, Yule S, et al. Doctors' handovers in hospitals: a literature review. BMJ Qual Saf. 2011;20(2):128-33. doi:10.1136/bmjqs.2009.034389.
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