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psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - , 2017
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
October 31, 2023 - View More
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - December 11, 2024
Patient Safety Innovations
Rescue Improvement
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - Evolution of Root Cause Analysis
February 26, 2025
Patient Safety Innovations
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
November 01, 2006 - In Conversation With...Donald A. Norman, PhD
November 1, 2006
Also Read an Essay
Citation Text:
In Conversation With..Donald A. Norman, PhD. PSNet [internet]. 2006.In Conversation With...Donald A. Norman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthca…
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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - Most innovations fail, not because they're bad innovations but because they're implemented poorly.
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - Most innovations fail, not because they're bad innovations but because they're implemented poorly.
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Approach to Improving Patient Safety: Communication
March 10, 2021
Schnipper JL, Fitall E, Hall KK, et al. Approach to Improving Patient Safety: Communication . PSNet
[internet]. 2021.
https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
Introduction
Each one of the countless necessa…
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - Are You Mrs. A? An Issue of Identification Over Telephone
Citation Text:
Adelman JS. Are You Mrs. A? An Issue of Identification Over Telephone. 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/node/49513/psn-pdf
July 01, 2006 - Moving Pains
July 1, 2006
Schell H, Wachter R. Moving Pains. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/moving-pains
Case Objectives
Appreciate the risk posed by intrahospital transport
Identify key features of current transport practice and policies
Propose interventions that might improve safety of …
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psnet.ahrq.gov/primer/patient-safety-indicators
June 15, 2024 - Patient Safety Indicators
Citation Text:
Tokareva I, Romano P. Patient Safety Indicators.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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February 23, 2019 - The Case for Patient Flow Management
Citation Text:
Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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October 27, 2021 - Deprescribing as a Patient Safety Strategy
October 27, 2021
Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
Background
Polypharmacy is defined as the act of taking five or more medications on a regular basis…
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psnet.ahrq.gov/perspective/conversation-libby-hoy-and-stephen-hoy
March 10, 2021 - Download Citation
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psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
May 01, 2019 - John Riggi about Cybersecurity
March 27, 2024
Patient Safety Innovations … Missed and Delayed Diagnoses of Cancer
July 31, 2023
Patient Safety Innovations
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - I'd like to get people working on them in ways that reward them to come up with innovations that can … Principles and Patient Safety
February 26, 2025
Patient Safety Innovations
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psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 2019 - How to Maintain Patient Safety
March 27, 2024
Patient Safety Innovations
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - View More
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psnet.ahrq.gov/node/50389/psn-pdf
September 25, 2019 - Certainly, no clear road map exists, and multiple innovations are being implemented and evaluated.
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - , 2008
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