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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/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/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/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/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/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/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/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/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/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/issue/risk-management-radiology-departments
January 03, 2007 - Review
Risk management in radiology departments.
Citation Text:
Craciun H, Mankad K, Lynch J. Risk management in radiology departments. World J Radiol. 2015;7(6):134-8. doi:10.4329/wjr.v7.i6.134.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote …
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psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - Central, not Epidural
Citation Text:
Simmons D. Central, not Epidural. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/did-we-forget-something
April 28, 2021 - Did We Forget Something?
Citation Text:
Gibbs VC. Did We Forget Something?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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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/web-mm/back-basics
July 13, 2010 - Back to Basics
Citation Text:
Hellman R. Back to Basics. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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…
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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…
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - Strategies to Improve Organizational Health Literacy.
Citation Text:
Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
March 12, 2021 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport
Citation Text:
MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…
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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/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…