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psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
September 28, 2010 - Government Resource
Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened.
Citation Text:
Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Washington DC; Government Accountability Office; June 2006. Report no GAO-06-416.…
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psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
September 07, 2016 - Book/Report
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices.
Citation Text:
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-3…
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psnet.ahrq.gov/personalization
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Audio-Described Version (1 minute, 27 seconds)
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psnet.ahrq.gov/node/863308/psn-pdf
February 28, 2024 - fasting time, then rapid sequence intubation (RSI) with
endotracheal intubation is likely the safest option … Preemptive nasogastric tube placement has been proposed as an option to reduce aspiration risk, but
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psnet.ahrq.gov/node/60653/psn-pdf
April 25, 2020 - Health Care Delivery and Pharmacists During the COVID-
19 Pandemic
June 29, 2020
Dopp AL, Fitall E, Hall KK, et al. Health Care Delivery and Pharmacists During the COVID-19 Pandemic.
PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
Medication…
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psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcements-understand-and-improve-diagnostic
August 15, 2018 - Press Release/Announcement
Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care.
Citation Text:
Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory …
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psnet.ahrq.gov/node/854642/psn-pdf
October 18, 2023 - Cybersecurity for the Clinician.
October 18, 2023
Chicago, IL: American Medical Association; 2023.
https://psnet.ahrq.gov/issue/cybersecurity-clinician
The vulnerability of healthcare information technologies and devices to malicious interruptions is
increasingly recognized as a patient safety hazard. This eight-e…
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - introduction over 50 years ago, flexible bronchoscopy has proven to be an effective and less invasive option … pneumothorax is treated with tube thoracostomy, but observation and conservative therapy is also an option
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psnet.ahrq.gov/node/43340/psn-pdf
July 23, 2014 - Do doctors understand test results?
July 23, 2014
Kremer W.
https://psnet.ahrq.gov/issue/do-doctors-understand-test-results
This magazine article reports how weaknesses in physician understanding of statistics can lead to poorly
informed discussions with patients about risks and treatment options. Using actual num…
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psnet.ahrq.gov/node/849139/psn-pdf
May 17, 2023 - How the opioid backlash went wrong.
May 17, 2023
Freedman DH. Newsweek Magazine. May 12, 2023.
https://psnet.ahrq.gov/issue/how-opioid-backlash-went-wrong
The unintended consequences of reductions in access to prescription opioids can result in poor addiction
care and ineffective pain management. This articl…
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psnet.ahrq.gov/issue/implementation-strategy-multicenter-pediatric-rapid-response-system-ontario
September 09, 2015 - Commentary
An implementation strategy for a multicenter pediatric rapid response system in Ontario.
Citation Text:
Buist MD, Shearer W. Rapid Response Systems: A Mandatory System of Care or an Optional Extra for Bedside Clinical Staff? The Joint Commission Journal on Quality and Patient …
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psnet.ahrq.gov/node/49437/psn-pdf
March 01, 2004 - Another option is to construct a manometer with a 20-
cm to 30-cm piece of sterile IV tubing flushed … Sending a venous blood sample for gas analysis is another option.
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psnet.ahrq.gov/node/60215/psn-pdf
April 08, 2020 - Pain Alleviation Toolkit.
April 8, 2020
American Society of Anesthesiologists, American Academy of Orthopaedic Surgeons. March 12, 2020.
https://psnet.ahrq.gov/issue/pain-alleviation-toolkit
Communication and shared decision-making are fundamental tactics to guide clinical team and patient
efforts to minimize the …
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psnet.ahrq.gov/node/836871/psn-pdf
April 06, 2022 - The spectrum of harm associated with modern medicine.
April 6, 2022
Schattner A. The spectrum of harm associated with modern medicine. J Gen Intern Med. 2022;37(3):664-
667. doi:10.1007/s11606-021-06997-x.
https://psnet.ahrq.gov/issue/spectrum-harm-associated-modern-medicine
Interest in harm resulting from medical…
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psnet.ahrq.gov/node/60956/psn-pdf
September 30, 2020 - Assessing and supporting late career practitioners: four
key questions.
September 30, 2020
White AA, Sage WM, Mazor KM, et al. Assessing and supporting late career practitioners: four key
questions. Jt Comm J Qual Patient Saf. 2020;46(10):591-595. doi:10.1016/j.jcjq.2020.07.001.
https://psnet.ahrq.gov/issue/assess…
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psnet.ahrq.gov/node/850936/psn-pdf
June 29, 2023 - After Roe: Challenges in the Provision of Lifesaving Care.
June 21, 2023
Washington DC; National Academies of Science, Engineering and Medicine: June 29, 2023.
https://psnet.ahrq.gov/issue/after-roe-challenges-provision-lifesaving-care
Delay in access to obstetric care hinders safe treatment for patients experienci…
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psnet.ahrq.gov/node/74209/psn-pdf
December 22, 2021 - Aligning patient safety and stewardship: a harm reduction
strategy for children.
December 22, 2021
Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for
children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-00227-6.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/854386/psn-pdf
January 01, 2024 - Caregivers' perspectives on ethical challenges and
patient safety in tele-palliative care: an integrative review.
October 11, 2023
Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-
palliative care: an integrative review. J Hosp Palliat Nurs. 2024;26(1):e1-e12.
doi…
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - fasting time, then rapid sequence intubation (RSI) with endotracheal intubation is likely the safest option … Preemptive nasogastric tube placement has been proposed as an option to reduce aspiration risk, but evidence