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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit
Jochen Profit, MD, MPH; Annette Scheid, MD; and Erick Ridout, MD | October 30, 2019
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Profit J, …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
January 01, 2004 - Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology
323
Evaluating and Predicting Patient
Safety for Medical Devices with
Integral Information Technology
Jiajie Zhang, Vimla L. Patel, Todd R. Johnson,
Philip Chung, James P. Turley
Abstract
Human errors in med…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
March 03, 2008 - The Use of Modest Incentives to Boost Adoption of Safety Practices and Systems
The Use of Modest Incentives to Boost Adoption of
Safety Practices and Systems
Gregg S. Meyer, MD, MSc; David F. Torchiana, MD; Deborah Colton;
James Mountford, MB, BCh; Elizabeth Mort, MD; Sarah Lenz;
Nancy Gagliano, MD; Elizabet…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/breast-biopsy-executive.pdf
December 01, 2009 - Layout 1
Background
Breast cancer is the second most common
malignancy of women, with over 180,000
new cases diagnosed each year in the
United States. Survival rates depend on the
stage of disease at diagnosis. Women
diagnosed with early stages of breast
cancer have a 5-year survival rate near 100
percent. However, …
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www.ahrq.gov/sites/default/files/2025-02/unruh-report.pdf
January 01, 2025 - Hospitals with lower profit margins may have to
cut back on essential inputs in order to maintain operations
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hcup-us.ahrq.gov/datainnovations/clinicaldata/WAFinalReport042309.jsp
July 01, 2016 - quickly became clear that quality
measurement was not a priority for most rural facilities as daily operations … hospitals in a collaborative mode, get a sense of where they are in automating their
own business operations
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hcup-us.ahrq.gov/datainnovations/clinicaldata/WAFinalReport042309.pdf
April 23, 2009 - quickly became clear that quality
measurement was not a priority for most rural facilities as daily operations … hospitals in a collaborative mode, get a sense of where they are in automating their
own business operations
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hcup-us.ahrq.gov/datainnovations/clinicaldata/MNPOAvideotranscript.pdf
September 24, 2010 - Michael on screen:
Michael speaking:
My name is Michael Pine. I’m an academic cardiologist who, for the past
two decades, has been developing and applying new methods of measuring and
improving clinical quality. Today I’ll be sharing some information with you
about what we, as physicians, need to know abou…
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?
Citation Text:
Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
C…
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Patient Safety Events Involving Opioid
Dose Stacking
Source and Credits
• This presentation is based on the January 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…
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psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - Delayed Diagnosis in the Setting of Virtual Care:
Remembering the Physical Examination
March 31, 2021
Valdes W, Utter GH. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical
Examination. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-…
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - SPOTLIGHT CASE
When the Lytes Go Out: A Case of Inpatient Cardiac Arrest
Citation Text:
Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.…
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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - Death by PCA
Citation Text:
Hicks RW. Death by PCA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
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psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - Sudden Collapse During Upper Gastrointestinal
Endoscopy: Expect the Unexpected
August 25, 2021
Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-
unexpected
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
January 01, 2010 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process
The Emergency Department & Catheter Insertions
*
Mohamad Fakih, MD, MPH
St. John Hospital and Medical Center
Lisa Wolf, PhD, RN, CEN, FAEN
Emergency Nurses Association (ENA)
Jeremiah Schuur, MD, MHS, FACEP
Brig…
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psnet.ahrq.gov/node/49855/psn-pdf
March 01, 2019 - Which Line: Ordering Provider or Proceduralist?
March 1, 2019
Blackmore CC. Which Line: Ordering Provider or Proceduralist? PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
Case Objectives
Review the role of mistake-proofing to block errors from leading to adverse…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
July 01, 2023 - Establishing a Program of In Situ Simulations: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Establishing a Program of In Situ Simulations
Say:
Establishing a Program of In Situ Simulations is a pillar of the AHRQ Safety Program for Perinatal Care. This module introduces in situ simu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Establishing a Program of In Situ Simulations
Establishing a Program of In Situ Simulations
SAY:
Establishing a Program of In Situ Simulations is a pillar of the AHRQ Safety Program for Perinatal Care. This module introduces in situ simulation and discusses the use of in situ sim…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docx
April 01, 2022 - Using Data To Drive Change and Improve Patient Safety Facilitator Notes
CUSP Module: Using Data To Drive Change and Improve Patient Safety
Facilitator Guide
Slide Number and Image
This module, “Using Data To Drive Change and Improve Patient Safety” is part of the Agency for Healthcare Research and Quality, or A…
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - Annual Perspective
Annual Perspective: Psychological Safety of Healthcare Staff
March 31, 2022
View more articles from the same authors.
Citation Text:
Kingston MB, Dowell P, Mossburg SE, et al. Annual Perspective: Psychological Safety of Healthcare Staff. P…