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psnet.ahrq.gov/perspective/conversation-david-meltzer-md-phd
November 01, 2018 - In my mind, it's probably a bare minimum of three, but more likely four to five CCPs.
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - Implementing a Patient Safety Program at a Large National Health System
Loran Hauck, MD, and Jan Jacob, MBA, RN | January 1, 2008
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Citation Text:
Hauck LD, Jacob J. Implementing a Patient Safety …
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - In Conversation With… Eduardo Salas, PhD
November 1, 2011
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Citation Text:
In Conversation With… Eduardo Salas, PhD . 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/perspective/creation-medical-procedure-service-improve-patient-safety
March 01, 2008 - It's important for anyone considering starting up a procedure service to keep in mind that a procedure
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psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
November 01, 2018 - In my mind, it's probably a bare minimum of three, but more likely four to five CCPs.
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - In my mind, the response should be forthright and honest.
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - Health Equity and Maternal Health
October 6, 2021
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Citation Text:
Tully K, Stuebe AM, Gibson A, et al. Health Equity and Maternal Health. PSNet [internet]. Rockville (MD): Agency for Healthcare…
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - Spotlight
Spotlight
Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis
1
Source and Credits
This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Comment…
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - A couple of specific organizations come to mind related to innovations – MedStar Health has a strong
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - A couple of specific organizations come to mind related to innovations – MedStar Health has a strong
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - That is a huge mind shift for both the student and faculty.
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - nice if you could do some kind of attention task to make sure that someone can keep something in their mind
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psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
February 01, 2023 - It's the ability to open your mind and see the human in front of you as the components that make up that
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - Again, I think a lot of physicians wouldn't mind being contacted by someone a day or two later to say
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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - That is a huge mind shift for both the student and faculty.
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - Again, I think a lot of physicians wouldn't mind being contacted by someone a day or two later to say
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - This work is important, but keep in mind that these are lagging indicators, and more importantly that
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psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
February 01, 2023 - It's the ability to open your mind and see the human in front of you as the components that make up that
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - This work is important, but keep in mind that these are lagging indicators, and more importantly that
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - The Role of Graduate Medical Education (GME) in Improving Patient Safety
Arpana R. Vidyarthi, MD; Robert B. Baron, MD, MS | February 1, 2010
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Citation Text:
Baron RB, Vidyarthi A. The Role of Gra…