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psnet.ahrq.gov/node/49431/psn-pdf
January 01, 2004 - Teleradiology may be a solution for some institutions, but credentialing radiologists in another city
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - Healthcare
facilities may share information and lessons learned within their own institutions and system
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psnet.ahrq.gov/web-mm/forgotten-turn
August 01, 2018 - To aid in risk assessment, many institutions employ standardized protocols in combination with validated
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psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
February 22, 2017 - can provide further focus on supervision where this is most needed, and autonomy where possible.( 5 ) Institutions
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - The seriousness of the problem and complexity of the response make it imperative for institutions to
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psnet.ahrq.gov/node/74121/psn-pdf
November 30, 2021 - Early Warning Systems
Multiple institutions and organizations have developed protocols and mechanisms
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - Some
institutions have in fact replaced total serum concentration monitoring with assays to measure
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Medically Stable for Psychiatric Admission
The case raises questions about how providers and institutions
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psnet.ahrq.gov/node/49717/psn-pdf
September 01, 2014 - Institutions are encouraged to create policies and procedures that allow
for second-level review and
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - are staff surveys designed to help
health care organizations assess the culture of safety in their institutions
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psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
February 01, 2007 - Teleradiology may be a solution for some institutions, but credentialing radiologists in another city
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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - Most institutions participate in national outcomes registries to benchmark performance and target improvement
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psnet.ahrq.gov/web-mm/incomplete-anesthesia-history-leads-adverse-outcomes
January 29, 2021 - A sedation certificate is regarded as sufficient to gain credentialing in many institutions.
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psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - depression in acute care hospitals, The Joint
Commission released an alert in 201214 recommending that institutions
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
December 01, 2017 - associated with improved outcomes.( 5 ) An increased awareness of the importance of teamwork has, in some institutions
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - associated with improved outcomes.( 5 ) An increased awareness of the importance of teamwork has, in some institutions
-
psnet.ahrq.gov/node/853080/psn-pdf
August 30, 2023 - Virtual Nursing: Improving Patient Care and Meeting
Workforce Challenges
August 30, 2023
Sanford K, Schuelke S, Lee M, et al. Virtual Nursing: Improving Patient Care and Meeting Workforce
Challenges. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workf…
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psnet.ahrq.gov/node/863641/psn-pdf
February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety
Teamwork Training
February 28, 2024
Haugstetter M, Hines S, Sousane Z, et al. Revising TeamSTEPPS: The Evolution of Patient Safety
Teamwork Training. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork…
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psnet.ahrq.gov/node/49580/psn-pdf
March 21, 2009 - Medication Reconciliation Victory After an Avoidable
Error
March 21, 2009
Cutler TW. Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
The Case
A 91-year-old woman, previously active and indepen…
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was sent to the emergency department (ED) from a nursing facility…