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psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
January 01, 2006 - how he actually puts the names of everybody involved in the operation on a white board, which even includes
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psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - interacts to mimic an aspect of clinical care for the purpose of teaching or assessment" ( 6 ) and includes
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psnet.ahrq.gov/print/pdf/node/865864
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Diagnostic Error
Curated Library
Incidence of Diagnostic Errors
25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the
National Practitioner Data Bank.
Tehrani ASS, Lee HW, Mathews SC, et al. BMJ Qua…
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - Preventing PICC Complications: Whose Line Is It?
Citation Text:
Moureau N. Preventing PICC Complications: Whose Line Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - Don't Push
Citation Text:
Meltzer HY. Don't Push. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
May 01, 2017 - Wrong Turn through Colon: Misplaced PEG
Citation Text:
Sorokin R, Conn M. Wrong Turn through Colon: Misplaced PEG. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - Late Anemia Following Rh Disease in a Newborn
Citation Text:
Newman TB, Maisels JM. Late Anemia Following Rh Disease in a Newborn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/primer/disclosure-errors
September 15, 2024 - This model includes full disclosure of adverse events, appropriate investigations, implementation of … Safe Practice 7: Disclosure includes standards for practitioners regarding the key components of disclosure
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - and skills needed for the intervention, according to EC3 leaders, include: A steering committee that includes … Staffing of the EC3 includes one EM attending physician and one or two residents, fellows, or physician … The attending physician supervises a team that includes critical care fellows, a special cohort of ED … problem that they are trying to solve and collecting baseline data Establishing a steering committee that includes … and skills needed for the intervention, according to EC3 leaders, include: A steering committee that includes
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - This perspective includes the contribution of Dr. … Graber’s pioneering work on diagnostic error in 2005, which includes an identification of systemic problems … Clinical decision making is a complex process that includes a variety of factors. … Clinician-centered misdiagnosis is only a part of overall diagnostic safety; the NASEM definition also includes … guidance that scales to particular needs at the level of individual practitioner whose scope of work includes
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psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - ’ve expanded the scope of what we view as “critical” for assuring the safety of products, and that
includes … This includes our Breakthrough Devices Program, which covers
devices intended to treat or diagnose life … This includes our work establishing
medical device registries, our increasing work with industry, and
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psnet.ahrq.gov/node/47328/psn-pdf
January 01, 2020 - The program measures HAC rates by a composite Patient Safety
Indicator (PSI90), which includes 10 specific
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psnet.ahrq.gov/node/60174/psn-pdf
March 30, 2020 - Most notably, this third edition includes
a chapter on cross-cutting topics that are not related to … , diagnostic errors, delirium, adverse drug events, and others.[5] This edition of the report
also includes
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - This perspective includes the contribution of Dr. … Graber’s pioneering work on diagnostic error in 2005, which includes an identification of
systemic problems … Clinical decision making is a complex process that includes a variety of factors. … Clinician-centered misdiagnosis is only a part of overall diagnostic safety; the NASEM definition also
includes … guidance that scales to particular needs at the
level of individual practitioner whose scope of work includes
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psnet.ahrq.gov/node/863641/psn-pdf
February 28, 2024 - It includes a welcome
guide specific to the patients and family caregiver audience. … The website also includes new simulation-based training modules, which
can be used as tools to help … The core TeamSTEPPS materials on the website begin with an
Introduction, which includes an overview
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psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
May 16, 2022 - Relevant documentation includes the case history, physical examination, signed consent form, and pre-anesthesia … unlike verification for medication or imaging orders, the standard protocol for verifying procedures includes … established in the 1980s, IR has been transitioning to a more clinically focused care delivery model that includes … Global Consensus Statement Defining Interventional Radiology, the clinical scope and practice of IR includes
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psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
September 01, 2017 - adequate data for further improvement—for instance, a daily monitoring report to the charge nurse that includes … Joint Commission recommends that each organization's: "process for effective hand off communication includes … Clinical content Includes everything on the data-information-knowledge continuum stored in the … Human–computer interface Enables unrelated entities to interact with the system and includes aspects
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - Research and QI projects
Course content includes
(but not limited to): systems
failure and medical … interventions in CQI
framework and designing
additional or new
interventions
Duration: 6 days
Course includes … Duration: 20 days
Course includes lectures
from national experts and
completion and reporting of … science, support
to attend meetings, and
bonuses for good
performance
Duration: 8 hours
Program includes
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psnet.ahrq.gov/node/49732/psn-pdf
May 01, 2015 - , sepsis always involves activation of the host inflammatory response and, in more serious
states, includes … updated in 2013 by the Surviving Sepsis Campaign (SSC) and endorsed by multiple
medical societies, includes … timely manner.(4) Based on an
initial protocol performed by Rivers and colleagues (5), the bundle includes … UCSF Bundle Compliance and Mortality (Includes All Adult Inpatients and the Emergency
Department).
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
May 01, 2015 - initiated by an infection
Sepsis always involves activation of the host inflammatory response and often includes … treatment with the "resuscitation bundle"
The bundle, updated in the Surviving Sepsis Campaign in 2013, includes … www.ncbi.nlm.nih.gov/pubmed/23353941
12
Resuscitation Bundle
Based on a NEJM study published in 2001, the bundle includes