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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - recently had some referrals for hepatitis C treatment because we partner with a lot of local community organizations … Sarah Mossburg: What advice do you have for organizations that want to implement strategies like naloxone … factors, such as how your state is using grant funds, pharmacy laws, and regulations, and whether your organization
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - or not—is
complex and requires careful coordination among physicians, nurses, and others within the organization … Geneva, Switzerland: World Health Organization; September 2014. [Available at]
14.
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psnet.ahrq.gov/node/837959/psn-pdf
August 31, 2022 - Loop Closure
What should health care organizations and facilities do?2,15-17
1.
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psnet.ahrq.gov/node/33756/psn-pdf
October 01, 2013 - pushback from the manufacturers who were concerned about the focus on these issues,
but in the end the organization
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psnet.ahrq.gov/node/60329/psn-pdf
May 14, 2020 - We were able to learn from their experiences and then expanded across the entire
organization from the … You need to get buy-in from the larger
organization, the executive leadership.
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psnet.ahrq.gov/web-mm/dont-push
March 02, 2011 - Don't Push
Citation Text:
Meltzer HY. Don't Push. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downl…
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psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
January 01, 2022 - Spotlight
Spotlight
False Assumptions Result in a Missed
Pneumothorax after Bronchoscopy with
Transbronchial Biopsy
Source and Credits
• This presentation is based on the September 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:…
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing
and Treating Delirium in the Intensive Care Unit
December 1, 2012
Vasilevskis EE, Ely WE, Dittus RS. Quality and Safety Challenges in Critical Care: Preventing and Treating
Delirium in the Intensive Care Unit. PSNet [internet]. 2012.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/49582/psn-pdf
April 01, 2009 - Breakage of a PICC Line
April 1, 2009
Dimov V. Breakage of a PICC Line. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/breakage-picc-line
Case Objectives
Appreciate the incidence and consequences of PICC line breakage.
Understand the risk factors for PICC line breakage.
Understand the treatment options in…
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psnet.ahrq.gov/node/73953/psn-pdf
October 27, 2021 - Deprescribing as a Patient Safety Strategy
October 27, 2021
Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
Background
Polypharmacy is defined as the act of taking five or more medications on a regular basis…
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - Organizations that aspire to create cultures of safety must address the pervasive behavioral patterns … collegial relationship and culture that set the tone for the other health care professionals within the organization
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - My doctorate is in
higher education policy and organization from the University of Maryland at College … partners could engage academics and incorporate students into proactive
approaches to safety in their organizations
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - in Medicine , which has formed a Coalition that includes most of the major medical specialties and organizations … Interview
In Conversation with Timothy Vogus about High Reliability Organization
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psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
June 30, 2021 - WHO [World Health Organization] and CDC [Centers for Disease Control and Prevention] documents had mentioned … AJ: Overall, I think healthcare organizations need motivation to start thinking about that because if
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psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - patterns. 4,5 , 19 , 22 Applications The Safety I approach is largely employed across most healthcare organizations … for anyone attempting to incorporate Safety II perspectives into patient safety operations at their organization
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - average amount paid per claim.( 14,15 ) Using in situ simulation to detect errors in facility design, organization … MW : In an optimal world of value-based care, you would see at least some organizations decide that simulation … It's a cost center, and one that health care can ill afford in the current organization structure.
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - The leadership in healthcare organizations needs to adopt existing evidence and do research, develop … The World Health Organization reports falls as the second leading cause of unintentional injury deaths … https://www.cdc.gov/falls/data-research/index.html#:~:text=Falls%20are%… World Health Organization.
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - The World Health Organization reports falls as the second leading cause of unintentional injury deaths … https://www.cdc.gov/falls/data-research/index.html#:~:text=Falls%20are%… World Health Organization. … The leadership in healthcare organizations needs to adopt existing evidence and do research, develop
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psnet.ahrq.gov/node/33854/psn-pdf
March 01, 2018 - Organization of hospital nursing, provision of nursing care, and
patient experiences with care in Europe
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psnet.ahrq.gov/node/49412/psn-pdf
September 01, 2003 - Because the healthcare organization had switched carbamazepine formulations at all its member hospitals