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psnet.ahrq.gov/node/61078/psn-pdf
October 28, 2020 - of the policy was apparently limited, highlighting the importance of
effective communication around institutional
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psnet.ahrq.gov/node/49645/psn-pdf
February 01, 2012 - www.ncbi.nlm.nih.gov/pubmed/19640778
http://www.ncbi.nlm.nih.gov/pubmed/19640778
http://www.scriptpro.com/Profiles/Institutional
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psnet.ahrq.gov/node/49450/psn-pdf
June 01, 2004 - Physicians should seek help from institutional risk managers or others skilled in disclosure before
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - potential complications such as oversedation. 13,15 Risk reduction strategies include implementing institutional
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psnet.ahrq.gov/innovations
February 26, 2025 - Conferences
(2)
Root Cause Analysis
(2)
Error Reporting
(7)
Institutional
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psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - Providers should be aware of the signs of a transfusion reaction and have an institutional protocol for
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psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - human failures during intra-hospital transportation of patients: retrospective exploration from the institutional
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psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - /#15
https://psnet.ahrq.gov/issue/covid-19-peer-support-and-crisis-communication-strategies-promote-institutional-resilience
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - hospitalization, the likelihood of an injury resulting in death, disability,
dependence, or admission to institutional
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - Diagnosising diagnosis errors: lessons from a multi-institutional collaborative project.
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - Medical crisis checklists in the emergency department: a simulation-based multi-institutional
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psnet.ahrq.gov/primer/medication-administration-errors
December 15, 2024 - Similar techniques are employed with institutional labeling.
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psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - Health care providers, including physicians, nurses, and pharmacists, should be familiar with institutional
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psnet.ahrq.gov/web-mm/techno-trip
May 01, 2005 - Improving the ability of practitioners to communicate across institutional and organizational boundaries
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective
Zahra Khudeira, PharmD | June 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Khudeira Z. Becoming a Certified Professional in Patient Safet…
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE
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psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
November 01, 2012 - Coming Up Short: Maintaining Safety in the Face of Drug Shortages
Citation Text:
Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. 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/web-mm/surprise-wire
July 15, 2020 - Surprise Wire
Citation Text:
Pearl JM, Donaldson NE. Surprise Wire. 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/node/49518/psn-pdf
August 01, 2006 - It's All in the Syringe
August 1, 2006
Weingart SN. It's All in the Syringe. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/its-all-syringe
The Case
A 33-year-old man with type 2 diabetes presented to his physician's office to discuss his diabetes
management. The patient admitted not taking his medications…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - PowerPoint Presentation
Spotlight
Robotic Surgery: Risks vs. Rewards
1
Source and Credits
This presentation is based on the February 2016
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Tara Kirkpatrick, MD, and Chad LaGrange, MD, Univer…