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psnet.ahrq.gov/node/50855/psn-pdf
January 29, 2020 - Is one-pen, one-patient achievable in the hospital? A
quality improvement project to reduce risks of inadvertent
insulin pen sharing at a large academic medical center.
January 29, 2020
Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality
Improvement Project to Reduce Risks …
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psnet.ahrq.gov/node/865878/psn-pdf
May 15, 2024 - Testing an intervention to improve health care worker
well-being during the COVID-19 pandemic: a cluster
randomized clinical trial.
May 15, 2024
Meredith LS, Ahluwalia SC, Chen PG, et al. Testing an intervention to improve health care worker well-
being during the COVID-19 pandemic: a cluster randomized clinical t…
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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - why the full spectrum of education, competency assessment, and ongoing quality control needs to be implemented
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - Conclusion If implemented appropriately, telehealth can be an incredibly effective approach to ensuring
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - To better capture the numbers of cases and deaths, CMS implemented direct mandatory reporting of all
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - As a high-level intervention, system changes should be addressed and implemented to improve patient
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psnet.ahrq.gov/node/49561/psn-pdf
May 01, 2008 - patients of confirmatory test results, and
linking infected persons to care should be developed and implemented
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - delirium among hospitalized patients, strategies for surveillance, prevention,
and management should be implemented
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - However, the plan was not effectively implemented.
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psnet.ahrq.gov/node/49566/psn-pdf
July 01, 2008 - Methods that have been implemented to
reduce or detect bacteria in platelets are listed in Table 3.
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - As a high-level intervention, system changes should be addressed and implemented to improve patient safety
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psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - What
solutions could be implemented?
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psnet.ahrq.gov/web-mm/what-was-those-platelets
August 28, 2024 - Methods that have been implemented to reduce or detect bacteria in platelets are listed in Table 3 .
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - Implemented thoughtfully by an interprofessional team with ongoing evaluation, remote telemetry monitoring
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - We implemented the C-SSRS (Columbia Suicide Severity Rating Scale) at ED triage for a subset of patients
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psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
May 28, 2020 - For example, a few years ago we implemented a policy related to the issuance of notifications when we
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Color coding should be implemented to reduce misconnection errors between different infusion systems,
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psnet.ahrq.gov/node/60329/psn-pdf
May 14, 2020 - In Conversation With... Joel Willis, DO, PA, MA, MPhiL
and Neal Sikka, MD
May 14, 2020
In Conversation With.. Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
Editor’s note: Joel Willis, DO, PA, M…
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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/node/848107/psn-pdf
April 26, 2023 - Improving Diagnostic Safety and Quality
April 26, 2023
Al-Khafaji J, Lee M, Mossburg S. Improving Diagnostic Safety and Quality . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
Introduction
During an annual editorial review of featured articles in the Agency for …