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psnet.ahrq.gov/node/60856/psn-pdf
August 26, 2020 - Warning System based on networked bedside monitors could
have triggered an early, automated call to the institutional
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - barriers to implementation were insufficient of coordination among hospital team members, lack of
institutional
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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - thinking skills, the ability to
identify high-risk presentations, clinical experience and expertise, and institutional
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - system—is considered research, and the patient's prior consent is needed unless a Privacy Board or
Institutional
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psnet.ahrq.gov/web-mm/dissecting-presentation
May 05, 2021 - Consultant and Associate Professor Emergency Medicine Department, National University Hospital Designated Institutional
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psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
March 27, 2024 - things that you need to correct for, but also, you're not leveraging any of the domain, clinical, or institutional
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psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - Medical crisis checklists in the emergency department: a simulation-based multi-institutional
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - In 2018, institutional priorities at the University of Kansas Hospital shifted and the team transitioned
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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - sequenced instructional events surrounding the simulated task, appropriate faculty development, and institutional
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - The Role of Community Pharmacists in Patient Safety
October 24, 2021
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Luchen GG, Hall KK, Hough KR. The Role of Community Pharmacists in Patient Safety . PSNet [internet]. Rockv…
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psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - Leadership Role in Improving Safety
Citation Text:
Leadership Role in Improving Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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psnet.ahrq.gov/node/33570/psn-pdf
June 15, 2024 - Diagnostic Errors
June 15, 2024
Diagnostic Errors. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/diagnostic-errors
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 20…
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psnet.ahrq.gov/node/854973/psn-pdf
October 31, 2023 - Digital Health Literacy
October 31, 2023
Seidel E, Cortes T, Chong C. Digital Health Literacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/digital-health-literacy
Background
As more people search for health information online, it is critical that they can obtain accurate health
information and access he…
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psnet.ahrq.gov/node/49800/psn-pdf
July 01, 2017 - The Hidden Harms of Hand Sanitizer
July 1, 2017
Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
The Case
A 57-year-old woman with a history of alcohol abuse and severe depression was admitted to the hospital
for community-acquired pn…
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psnet.ahrq.gov/node/72616/psn-pdf
December 22, 2020 - Adverse Events in Dentistry
December 22, 2020
Kalenderian E, Walji MF, Fitall E, et al. Adverse Events in Dentistry. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/adverse-events-dentistry
Introduction
Similar to many other healthcare settings, dentistry carries with it inherent patient safety risks. D…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.365_slideshow.ppt
January 01, 2016 - PowerPoint Presentation
Spotlight
A Room Without Orders
1
This presentation is based on the January 2016
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Amy Vogelsmeier, PhD, RN, Sinclair School of Nursing; and Laurel Despins, PhD, RN, Sinclair Sc…
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psnet.ahrq.gov/node/49652/psn-pdf
May 01, 2012 - Double Dose at Transfer
May 1, 2012
Hackman JL. Double Dose at Transfer. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/double-dose-transfer
The Case
A 74-year-old man with history of diabetes and hypertension was admitted to the emergency department
(ED) for left lower extremity pain, swelling, and erythe…
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psnet.ahrq.gov/primer/diagnostic-errors
June 15, 2024 - Diagnostic Errors
Citation Text:
Diagnostic Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - Accountability in Patient Safety
January 1, 2015
Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/accountability-patient-safety
Annual Perspective 2015
The tension between the no-blame culture espoused in the early years of the safety movement and …
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psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety
January 29, 2018 - Multi-use Website
Betsy Lehman Center for Patient Safety.
Citation Text:
Betsy Lehman Center for Patient Safety. 501 Boylston Street, 5th Floor, Boston, MA, 02116 info@BetsyLehmanCenterMA.gov
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