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psnet.ahrq.gov/node/49585/psn-pdf
May 01, 2009 - Delirium or Dementia?
May 1, 2009
Rudolph JL. Delirium or Dementia? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/delirium-or-dementia
Case Objectives
State the key diagnostic differences between delirium and dementia.
Describe the Confusion Assessment Method for workup of suspected delirium.
Explain the…
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - Privacy or Safety?
August 21, 2015
Halamka JD, McGraw D. Privacy or Safety? PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/privacy-or-safety
Case Objectives
Understand that the HIPAA Omnibus Rule is an enabler of data sharing, not a barrier.
Review common misconceptions about privacy rules.
Understand the…
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psnet.ahrq.gov/issue/patient-safety-curriculum
March 27, 2005 - Multi-use Website
Patient Safety Curriculum.
Citation Text:
Patient Safety Curriculum. Ann Arbor, MI: National Center for Patient Safety.
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psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
January 08, 2025 - Review
Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review.
Citation Text:
Gqaleni TM, Mkhize SW, Chironda G. Patient safety incident reporting and learning guidelines implemented by health care prof…
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psnet.ahrq.gov/issue/teamstepps-core-curriculum
August 01, 2012 - Course Material/Curriculum
TeamSTEPPS Core Curriculum.
Citation Text:
TeamSTEPPS Core Curriculum. Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
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psnet.ahrq.gov/issue/diagnostic-error-medicine-0
November 28, 2018 - Special or Theme Issue
Diagnostic Error in Medicine.
Citation Text:
Diagnostic Error in Medicine. Singh H, ed. BMJ Qual Saf. 2013;22(suppl 2):ii1-ii72.
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psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-patients-are-probably
May 27, 2020 - Commentary
Why accountability sharing in health care organizational cultures means patients are probably safer.
Citation Text:
Why accountability sharing in health care organizational cultures means patients are probably safer. Eng DM, Schweikart SJ. AMA J Ethics. 2020;22(9):e779-e783.
…
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psnet.ahrq.gov/issue/health-professions-education
August 30, 2023 - Special or Theme Issue
Health Professions Education.
Citation Text:
Health Professions Education. Dhaliwal G, Olson APJ, Singhal G, eds. Diagnosis (Berl). 2019;6(2):75-185.
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psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report
September 26, 2016 - Book/Report
MHA and MHA Keystone Center Annual Reports.
Citation Text:
MHA and MHA Keystone Center Annual Reports. Okemos, MI: Michigan Health & Hospital Association.
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psnet.ahrq.gov/issue/capturing-more-emergency-department-errors-anonymous-web-based-reporting-system
July 22, 2019 - Commentary
Capturing more emergency department errors via an anonymous web-based reporting system.
Citation Text:
Capturing more emergency department errors via an anonymous web-based reporting system. Khare RK; Uren B; Wears RL.
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psnet.ahrq.gov/issue/case-shook-medicine
October 24, 2012 - Newspaper/Magazine Article
A case that shook medicine.
Citation Text:
A case that shook medicine. Lerner BH.
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psnet.ahrq.gov/issue/national-patient-safety-board-act-2022
July 20, 2022 - Legislation/Regulation
National Patient Safety Board Act of 2022.
Citation Text:
National Patient Safety Board Act of 2022. HR 9377, 117th Cong, 2d Sess (2022).
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psnet.ahrq.gov/issue/use-tall-man-letters-gaining-wide-acceptance
May 02, 2018 - Newspaper/Magazine Article
Use of tall man letters is gaining wide acceptance.
Citation Text:
Use of tall man letters is gaining wide acceptance. ISMP Medication Safety Alert! Acute Care Edition. July 31, 2008;13:1-3.
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psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system
May 11, 2014 - Commentary
Implementing a bar-code medication administration system.
Citation Text:
Weber RJ. Implementing a Bar-Code Medication Administration System. Hosp Pharm. 2010;43(12):1016-1022. doi:10.1310/hpj4312-1016.
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DOI Google Scholar BibTeX EndNote X3 XM…
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psnet.ahrq.gov/issue/some-red-rules-shouldnt-rule-hospitals
May 07, 2014 - Newspaper/Magazine Article
Some red rules shouldn't rule in hospitals.
Citation Text:
Some red rules shouldn't rule in hospitals. ISMP Medication Safety Alert! Acute Care Edition. April 24, 2008;13:1-3.
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psnet.ahrq.gov/issue/hospital-tones-down-alarms-reduce-fatigue-enhance-safety
June 08, 2011 - Newspaper/Magazine Article
Hospital tones down alarms to reduce fatigue, enhance safety.
Citation Text:
Hospital tones down alarms to reduce fatigue, enhance safety. Olson J.
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psnet.ahrq.gov/web-mm/insert-omission
May 09, 2014 - The presence of an IUC increases the risk of spontaneous abortion nearly three-fold, so, whether a pregnancy … should be removed as soon as possible because the risk of spontaneous abortion in the presence of an IUC increases
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psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - Nurses feel that they must respond to these interruptions and
hassles (5), but doing so increases the … In addition to interruptions and hassles, another factor that increases the risks to patients is low
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - The use of checklists in clinical environments increases adherence to protocols, reduces complications … The use of checklists in clinical environments increases adherence to protocols, reduces
complications
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - The tendency to take
shortcuts and save time is a very human one, but it also increases the risk of … Lack of predictability greatly
increases the risk of mistakes.