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psnet.ahrq.gov/issue/model-developing-high-reliability-teams
September 01, 2018 - RIS
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Related Resources From the Same Author(s)
Integrated
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psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-errors
June 24, 2009 - April 24, 2018
Patient and health care professional perspectives on stigma in integrated
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psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-opioid-use-pain-control-and
February 11, 2015 - Study
Implementation of a medication reconciliation risk stratification tool integrated
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psnet.ahrq.gov/issue/assessment-transparency-cost-estimates-economic-evaluations-patient-safety-programmes
January 15, 2009 - October 19, 2022
Improving patient safety in developing countries—moving towards an integrated
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psnet.ahrq.gov/issue/surgical-fires-clear-and-present-danger
May 16, 2018 - application and associated services to support interdisciplinary medication reconciliation efforts at an integrated
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psnet.ahrq.gov/issue/path-safety-benefits-2005-patient-safety-and-quality-improvement-act
June 03, 2015 - Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated
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psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
April 24, 2018 - of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated
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psnet.ahrq.gov/issue/adoption-technology-improve-medication-safety-perspectives-pharmacy-directors
February 15, 2011 - May 9, 2012
Effects of an integrated clinical information system on medication safety
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psnet.ahrq.gov/issue/quantifying-distraction-and-interruption-urological-surgery
March 11, 2009 - application and associated services to support interdisciplinary medication reconciliation efforts at an integrated
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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - DN: What we need is systems thinking, first of all, and second, integrated displays that capture a large … But each display now has this wonderfully integrated picture—it is not only easy to understand, but it … Second, the equipment that is well done is still not well
integrated through a system analysis.
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psnet.ahrq.gov/node/50615/psn-pdf
October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR
October 30, 2019
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
The Case
Two male patients of similar age arrived at the same …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
January 01, 2015 - Spotlight Case [MONTH] 2003
Spotlight Case February 2007
The ‘Customer’ Is Always Right
Source and Credits
This presentation is based on the February 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Niraj L. Sehgal,…
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psnet.ahrq.gov/node/49647/psn-pdf
February 01, 2012 - Amended Lab Results: Communication Slip
February 1, 2012
Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
The Case
A 25-year-old woman in her first pregnancy was seen at 33 weeks' gestation with new onset hypertension
an…
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psnet.ahrq.gov/node/33790/psn-pdf
August 01, 2015 - New Insights on Safety and Health IT
August 1, 2015
Hettinger ZA, Ratwani RM, Fairbanks RJ. New Insights on Safety and Health IT. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
Perspective
Despite the widespread adoption of electronic health records (EHRs) over the las…
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psnet.ahrq.gov/node/49559/psn-pdf
April 01, 2008 - The Forgotten Drip
April 1, 2008
Josephson AS. The Forgotten Drip. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/forgotten-drip
The Case
A 45-year-old man was brought to the emergency department by his friends because of a 1-day history of a
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psnet.ahrq.gov/node/33780/psn-pdf
July 01, 2015 - Safety and Medical Education
January 1, 2014
Ranji SR. Safety and Medical Education. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/safety-and-medical-education
Annual Perspective 2014
As the patient safety field has grown, so too has the appreciation for the need to improve safety in medical
educatio…
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psnet.ahrq.gov/node/33753/psn-pdf
August 22, 2013 - improvements in safety culture and decreased infection rates.(8) We have
unpublished data from large integrated … All the above components have been integrated into the TEM
(Team-based Engagement Model) that we developed
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psnet.ahrq.gov/issue/attitudes-and-practices-related-clinical-alarms
April 18, 2018 - Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated
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psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-observational-study
April 24, 2018 - application and associated services to support interdisciplinary medication reconciliation efforts at an integrated
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psnet.ahrq.gov/issue/improving-measurement-clinical-handover
August 12, 2009 - application and associated services to support interdisciplinary medication reconciliation efforts at an integrated