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psnet.ahrq.gov/node/84413/psn-pdf
February 23, 2022 - and Prevention (CDC) released “CDC Guideline for
Prescribing Opioids for Chronic Pain,” which was intended
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - The collaborative model is intended to support robust data collection and the sharing of best practices
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - The transport clinician intended to administer rocuronium (a neuromuscular blocking agent) to treat ventilator
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psnet.ahrq.gov/web-mm/two-pills-same-drug
May 27, 2011 - Pre-printed order forms and templates are in part intended to improve the completeness, accuracy, and … The intern may have intended to substitute abacavir for stavudine in the original drug combination by
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - The University of Texas System Clinical Safety and Effectiveness Course
Eric J. Thomas, MD, MPH; Jan Patterson, MD, MS; Sherry Martin, MEd; Doris Quinn, PhD; Gary Reed, MD; Ken Shine, MD | February 1, 2011
View more articles from the same authors.
Citation Text:
T…
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psnet.ahrq.gov/node/43516/psn-pdf
June 15, 2017 - Application of failure mode effect analysis to improve the
care of septic patients admitted through the emergency
department.
June 15, 2017
Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of
Septic Patients Admitted Through the Emergency Department. J Patient …
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psnet.ahrq.gov/node/72821/psn-pdf
March 10, 2019 - I-PASS Mentored Implementation Handoff Curriculum:
implementation guide and resources.
March 10, 2019
O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum:
implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/mep_2374-
8265.10736.
https://psnet.ahr…
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psnet.ahrq.gov/node/45436/psn-pdf
August 31, 2016 - Improving the communication between teams managing
boarded patients on a surgical specialty ward.
August 31, 2016
Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients
on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:10.1136/bmjquality.u209186.w3750.
http…
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psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - .— How you say something will affect whether the intended recipient understands and acts appropriately
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psnet.ahrq.gov/node/866370/psn-pdf
July 31, 2024 - post-traumatic stress syndrome.24
Finally, it is important to recognize that some cases of awareness are intended
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - message. 18 CLC is a three-step process in which 1) the transmitter communicates a message to the intended
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - and Prevention (CDC) released “ CDC Guideline for Prescribing Opioids for Chronic Pain ,” which was intended
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - The patient received a daily dose of warfarin five times that of the intended dose.
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - concentration for sodium chloride was mistakenly entered as 77 mEq/100 mL, a ten-fold higher concentration than intended
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psnet.ahrq.gov/perspective/conversation-david-gruen-md
January 31, 2020 - Finally, while AI is intended to reduce diagnostic errors, there is the risk that the use of AI can introduce
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psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - Early in their development, triage assessments were limited in scope and intended to be completed within
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - The intended anesthesia
included 5 micrograms of intrathecal sufentanil and an epidural test dose of
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - The collaborative model is
intended to support robust data collection and the sharing of best practices
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psnet.ahrq.gov/node/843234/psn-pdf
January 01, 2013 - Medication-related CDS in electronic
health records (EHRs) is specifically intended to reduce prescribing
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psnet.ahrq.gov/node/36797/psn-pdf
August 26, 2011 - The American College of Surgeons' closed claims study:
new insights for improving care.
August 26, 2011
Griffen FD, Stephens LS, Alexander JB, et al. The American College of Surgeons’ Closed Claims Study:
New Insights for Improving Care. J Am Coll Surg. 2007;204(4). doi:10.1016/j.jamcollsurg.2007.01.013.
https://p…