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psnet.ahrq.gov/node/866839/psn-pdf
September 25, 2024 - repeat vaccination with tetanus toxoid and even
administration of tetanus immune globulin for at-risk individuals
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - May I Have Another?—Medication Error
Citation Text:
Wolf MS. May I Have Another?—Medication Error. 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/node/866055/psn-pdf
May 29, 2024 - Reducing Preventable Patient Harm Due to Retained
Surgical Items: The RSI Bundle
May 29, 2024
https://psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
Summary
Retained surgical items (RSIs) cause severe yet preventable patient harm. RSIs are the most common
catego…
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - SPOTLIGHT CASE
Impatient Inpatient Dosing
Citation Text:
White RH. Impatient Inpatient Dosing. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - The Role of the Patient in Improving Patient Safety
Rosemary Gibson, MSc | March 1, 2007
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. Rockville…
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psnet.ahrq.gov/node/49870/psn-pdf
August 10, 2019 - Anemia and Delayed Colon Cancer Diagnosis
August 10, 2019
Pathipati MP, Richter JM. Anemia and Delayed Colon Cancer Diagnosis. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
Case Objectives
Describe the initial evaluation for iron deficiency anemia in elderly adults…
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - SNFs: Opening the Black Box
Citation Text:
Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - SPOTLIGHT CASE
Signout Fallout
Citation Text:
Starmer AJ, Landrigan CP. Signout Fallout. 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/49822/psn-pdf
March 01, 2018 - Isolated Clot, Real Error
March 1, 2018
Parks A, Fang MC. Isolated Clot, Real Error. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/isolated-clot-real-error
Case Objectives
Appreciate that errors are common in the management of venous thromboembolism disease.
Describe patients with venous thromboembolism i…
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psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
May 25, 2022 - November 3, 2015
Findings and Lessons From the Improving Management of Individuals With
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psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture
January 11, 2023 - Cohort study of individuals with lung cancer presenting in ambulatory care in the United States.
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - They meet several times to interview individuals who have direct knowledge of the physician's behavior … The fair hearing panel is appointed by the President of the Medical Staff and can only include individuals … Often, individuals feel that their complaints fall into a black hole, are not taken seriously, or will … I appreciate that the leadership of individuals like Dr. … professionals, but the potential impact on patient safety and staff satisfaction caused by problematic individuals
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psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
November 18, 2011 - May 28, 2014
Findings and Lessons From the Improving Management of Individuals With Complex
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - Individuals who work within such a
culture expect professional conduct and feel physically and psychologically … addition, organizations should strive to
build processes for assessing the extent to which systems and/or individuals … risks overlooking important safety threats posed
by underprepared, willfully negligent, or impaired individuals
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psnet.ahrq.gov/web-mm/nosy-business
March 01, 2007 - Most severe nose bleeds of this nature occur in individuals older than 50 years.( 1 ) Anatomy & Epidemiology … Neoplasm is a rare cause but should be considered in individuals with recurring bleeds from the same … Posterior bleeds are more commonly seen in older individuals, and their management is more complex, typically
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - Organizations and individuals are increasingly embracing the use of video for learning. … Structured, routine post-action reviews, either by individuals or by teams, are also becoming more prevalent … validated assessment tools ( 3,4 ), clinical protocols, and benchmark performance data become available, individuals
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psnet.ahrq.gov/web-mm/or-peeping
May 01, 2015 - the HIPAA Privacy Rule [45 UFR Prts 160 and 164] covers protected health information (PHI), "about individuals … disclosure of PHI is only likely to be granted if it involves no more than minimal risk to the privacy of individuals … are necessary, we use camera angles and image border controls that allow us to avoid recognition of individuals
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psnet.ahrq.gov/issue/patient-education-materials-assessment-tool-pemat-and-users-guide-instrument-assess
December 24, 2008 - February 4, 2015
Findings and Lessons From the Improving Management of Individuals With
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psnet.ahrq.gov/issue/improving-patient-safety-systems-patients-limited-english-proficiency-guide-hospitals
August 01, 2012 - January 21, 2015
Findings and Lessons From the Improving Management of Individuals With
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psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
April 24, 2018 - August 14, 2019
The rise of human factors: optimising performance of individuals and