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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - The effect of the Virginia Mason Production System (VMPS) can be seen in indicators of clinical outcomes … , safety, patient satisfaction, process indicators, staff engagement, and economics.
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - imagine it is challenging, for example, to determine preventability for some of the nursing-sensitive indicators … Sarah Mossburg: So, bundles and checklists are effective tools to improve safety, based on the indicators
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - The effect of the Virginia Mason Production System (VMPS) can be seen in indicators of clinical outcomes … , safety, patient satisfaction, process indicators, staff engagement, and economics.
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - imagine it is challenging, for example, to determine preventability for some of the nursing-sensitive indicators … Sarah Mossburg: So, bundles and checklists are effective tools to improve safety, based on the indicators
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psnet.ahrq.gov/node/33853/psn-pdf
March 01, 2018 - The state has
seen steeper declines in mortality and improvements in other indicators than other states
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - Newborn wet and soiled diaper counts and
timing of onset of lactation as indicators of breastfeeding
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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - September 29, 2010
Application of patient safety indicators internationally: a pilot
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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - Key Substance Use and Mental Health Indicators in the United States: Results from the 2022
National
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - Use of specific indicators to detect warfarin-related adverse events.
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psnet.ahrq.gov/web-mm/environmental-safety-or
May 19, 2015 - March 6, 2024
Development of prescribing indicators related to opioid-related harm in
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - radiologic findings
Failure of the primary team to review imaging studies
Failure to recognize multiple indicators
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psnet.ahrq.gov/node/72739/psn-pdf
February 10, 2021 - radiologic findings
Failure of the primary team to review imaging studies
Failure to recognize multiple indicators
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psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
March 01, 2008 - January 20, 2021
Changes in medication safety indicators in England throughout the covid
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psnet.ahrq.gov/node/49411/psn-pdf
July 01, 2003 - Code Status Confusion
July 1, 2003
Lo B, Tulsky JA. Code Status Confusion. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/code-status-confusion
Case Objectives
Appreciate challenges of determining goals of care in hospitalized patients
Understand patients’ common misconceptions about CPR
List typical mist…
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psnet.ahrq.gov/web-mm/discharge-against-medical-advice
July 01, 2017 - Discharge Against Medical Advice
Citation Text:
Hwang SW. Discharge Against Medical Advice. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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psnet.ahrq.gov/node/49804/psn-pdf
September 01, 2017 - Transfusion Thresholds in Gastrointestinal Bleeding
September 1, 2017
Strate L, Swanson S. Transfusion Thresholds in Gastrointestinal Bleeding. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
Case Objectives
Describe risk factors for poor outcome in patients w…
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psnet.ahrq.gov/web-mm/ectopic-or-not
March 27, 2024 - Ectopic or Not?
Citation Text:
Givens VM, Lipscomb GH. Ectopic or Not?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - A Mistaken Dose of Naloxone
Citation Text:
Cutler E, Gunawardena D. A Mistaken Dose of Naloxone . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XML EndNote …
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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - January 22, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - Don't Pick the PICC
Citation Text:
McGill RL. Don't Pick the PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…