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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - of an ideal laboratory results management systems are shown in the Table .( 16,17 ) Additionally, implementing
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs
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June 12, 2020
Innovation
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission
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psnet.ahrq.gov/node/846170/psn-pdf
March 15, 2023 - transitions that is updated and as close to real-time as possible, and laboratory values.10 However,
implementing
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - The
survey was also able to help identify barriers to implementing best practices; the three most common
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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - Given that many surgical deaths may be avoidable ( 4-9 ), hospitals are implementing care protocols to
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psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
June 01, 2014 - Mixup Beyond the Medication Label
Citation Text:
Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - Telehealth and Patient Safety.
December 14, 2022
O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/telehealth-and-patient-safety
Background
In recent years, telehealth, or the delivery of healthcare over a distance using telecommunications
techno…
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - And applying data analysis with AI to improve maternal health, MedStar Health is developing and implementing
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - mistakes. 4 Preventing medication errors in anesthesia demands a concerted effort that may include implementing
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psnet.ahrq.gov/node/50844/psn-pdf
January 29, 2020 - Improving Patient Safety and Team Communication
through Daily Huddles
January 29, 2020
Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet].
2020.
https://psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
Background
Communicat…
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psnet.ahrq.gov/issue/guide-developing-community-based-patient-safety-advisory-council
November 30, 2016 - Toolkit
Guide for Developing a Community-Based Patient Safety Advisory Council.
Citation Text:
Guide for Developing a Community-Based Patient Safety Advisory Council. Leonhardt, K, Bonin D, Pagel P. Rockville, MD: Agency for Healthcare Research and Quality; April 2008. AHRQ Publication N…
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psnet.ahrq.gov/issue/health-services-research-priorities-improving-diagnostic-safety-and-quality-special-emphasis
November 10, 2021 - Press Release/Announcement
Health Services Research Priorities for Improving Diagnostic Safety and Quality. Special Emphasis Notice (SEN).
Citation Text:
Health Services Research Priorities for Improving Diagnostic Safety and Quality. Special Emphasis Notice (SEN). Rockville, MD: Agency …
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psnet.ahrq.gov/issue/factfinders
February 17, 2021 - Commentary
FactFinders.
Citation Text:
FactFinders. SIS Patient Safety Committee. Spine Intervention Society.
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psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-entry-system
April 01, 2024 - Commentary
Ordering of continuous renal replacement therapy in a computerized provider order entry system.
Citation Text:
Ordering of continuous renal replacement therapy in a computerized provider order entry system. Oh SS; Sinclair-Pingel J; Feldott CC; Hargrove FR.
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psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
November 30, 2016 - Book/Report
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety.
Citation Text:
Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. Wiley K, Davies JM. Edmonton, AB: Canadia…
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psnet.ahrq.gov/issue/paradoxes-defensive-medicine
June 08, 2022 - Commentary
The paradoxes of defensive medicine.
Citation Text:
The paradoxes of defensive medicine. Saks MJ, Landsman S. Health Matrix: J Law-Med. 2020;30(1):25-84.
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psnet.ahrq.gov/issue/apsf-endorsed-statement-revising-recommendations-patient-monitoring-during-anesthesia
July 25, 2018 - Organizational Policy/Guidelines
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia.
Citation Text:
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia. The APSF Committee on Technology. APSF Newsletter.&n…
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psnet.ahrq.gov/issue/access-clinical-information-bedside
March 16, 2022 - Book/Report
Access to Clinical Information at the Bedside.
Citation Text:
Access to Clinical Information at the Bedside. Farnborough, UK: Healthcare Safety Investigation Branch; February 2023.
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psnet.ahrq.gov/issue/when-mistakes-happen
May 13, 2020 - Newspaper/Magazine Article
When mistakes happen.
Citation Text:
When mistakes happen. Beck DL. ASH Clinical News. December 1, 2018.
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