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psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - TeamSTEPPS highlights the importance of keeping all team members aware
of plans and maintaining space
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psnet.ahrq.gov/node/49627/psn-pdf
June 01, 2011 - The list of other potential risks from keeping medical care in the family is a long one.(8) Some are
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psnet.ahrq.gov/node/49549/psn-pdf
December 06, 2007 - Keeping the patient safe
is the primary goal and should guide all decision making.
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psnet.ahrq.gov/node/49608/psn-pdf
August 01, 2010 - "(1,2) The triage function is a key component in
keeping EDs safe, especially in the presence of ED
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - //#figure
https://psnet.ahrq.gov//#figure
challenge, and continuous ongoing medical education and keeping
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - signs and wristbands does not in itself prevent falls.(22) Even the basics of fall
prevention, such as keeping
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psnet.ahrq.gov/node/33828/psn-pdf
March 01, 2017 - I love
Abraham Verghese's notion of the real patient keeping the bed warm while the doctors look after
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psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - Not just sick care, but health
care—focused on keeping people healthy to lower the care burden and improve
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - Keeping that constant message is really important, so there's not the kneejerk reaction to cut resources
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psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
January 01, 2020 - Spotlight
Spotlight
“This is the wrong patient’s blood!”:
Evaluating a Near-Miss Wrong
Transfusion Event
Source and Credits
• This presentation is based on the January 2020 AHRQ WebM&M
Spotlight Case
• Commentary by: Sarah Barnhard MD
o Medical Director of Transfusion Services at UC-Davis Health
o Editors in …
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psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
January 01, 2009 - In Conversation with…Thomas H. Gallagher, MD
January 1, 2009
Also Read an Essay
Citation Text:
In Conversation with…Thomas H. Gallagher, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/perspective/disclosure-medical-error
January 01, 2009 - Disclosure of Medical Error
Allen Kachalia, MD, JD | January 1, 2009
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Kachalia A. Disclosure of Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - Keeping more ideas in play might seem at loggerheads with that.
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - Keeping more ideas in play might seem at loggerheads with that.
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - Spotlight
Spotlight
Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery
1
Source and Credits
This presentation is based on the May 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Andrew P.J. …
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
April 19, 2023 - In Conversation With… Karl Bilimoria, MD, MS
August 1, 2017
Citation Text:
In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
…
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - Missed CANDOR Implementation Opportunities.
November 16, 2022
Schweitzer L. Missed CANDOR Implementation Opportunities. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
The Case
A 58-year-old man with a history of type 2 diabetes mellitus, hypertension, morbid obesit…
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psnet.ahrq.gov/node/74252/psn-pdf
January 12, 2022 - In Conversation With... Poonam Sharma, MD, MPH, the
Senior Clinical Data Analyst at Atrium Health, and Rhonda
Dickman, MSN, RN, CPHQ, the Director of the Tennessee
Hospital Association PSO
January 12, 2022
In Conversation With.. Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and
Rhonda…
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - Missed CANDOR Implementation Opportunities.
Citation Text:
Schweitzer L. Missed CANDOR Implementation Opportunities.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Format:
Google Scholar BibTeX EndN…
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psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - Keeping Patients Safe from Iatrogenic Methadone Overdoses. … February 14, 2008. https://www.ismp.org/resources/keeping-patients-safe-iatrogenic-methadone-overdoses