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psnet.ahrq.gov/node/853081/psn-pdf
August 30, 2023 - Sue Schuelke: One of the key facilitators was Pat Patton, who was vice president of nursing operations
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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - Sustaining This Innovation
Make system a background process: If the system becomes part of normal operations
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psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - Predictors of In-hospital
Postoperative Opioid Overdose After Major Elective Operations: A Nationally
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psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - Should operations be regionalized? The empirical relation between surgical volume and mortality.
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - Health Administration Stratification Tool for Opioid Risk Mitigation (STORM): a research and clinical operations
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - Helwig: It is data-focused but may be different data than what providers see in their routine business operations
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psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - Helwig: It is data-focused but may be different data than what providers see in their routine business operations
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psnet.ahrq.gov/node/867651/psn-pdf
February 26, 2025 - important first step for anyone attempting to incorporate Safety II perspectives into patient safety
operations
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - At another hospital, Bolton, the crude mortality for hip fracture operations went up to 25% and we sent
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psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - Health
Administration Stratification Tool for Opioid Risk Mitigation (STORM): a research and clinical operations
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - combined with a systems-based approach to promoting culture and processes that support safe and reliable operations
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psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - important first step for anyone attempting to incorporate Safety II perspectives into patient safety operations
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psnet.ahrq.gov/perspective/conversation-david-gruen-md
January 31, 2020 - Cases
Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - In Conversation with...James P. Bagian, MD
September 1, 2006
Also Read an Essay
Also Read an Essay
Citation Text:
In Conversation with..James P. Bagian, MD. PSNet [internet]. 2006.In Conversation with...James P. Bagian, MD. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - Safety Considerations in Building a Point-of-Care Ultrasound Program
Chris Moore, MD | June 1, 2018
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Moore C. Safety Considerations in Building a Point-of-Care Ultrasound Program. …
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psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
September 09, 2020 - EMERGING INNOVATIONS
Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic
Citation Text:
Albott CS, Wozniak JR, McGlinch BP, et al. Battle Buddies: rapid deployment of a psychological resilience intervention for health car…
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - Surge planning has become even more important for hospital operations in an effort to take into consideration
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psnet.ahrq.gov/node/836876/psn-pdf
May 16, 2022 - Identifying Safety Events in the Prehospital Setting
May 16, 2022
Crowe RP, Mossburg SE, Dowell P. Identifying Safety Events in the Prehospital Setting. PSNet [internet].
2022.
https://psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
Introduction
Measuring and monitoring patient safety in …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
November 01, 2011 - Spotlight Case July 2008
Spotlight Case
Near Miss with Bedside Medications
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Source and Credits
This presentation is based on the November 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Albert W. Wu, MD, MPH, Johns Hopkins Bloomberg S…
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root
Cause Analysis
July 1, 2008
Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet
[internet]. 2008.
https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
Perspective
Throughout most of his life, …