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psnet.ahrq.gov/web-mm/shake-well
September 01, 2006 - Because the healthcare organization had switched carbamazepine formulations at all its member hospitals
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psnet.ahrq.gov/node/49803/psn-pdf
January 01, 2018 - The
World Health Organization Vaccine Safety Basics e-learning course is a fine example with international
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - data sources can be valuable tools for case identification and the monitoring of rates at a single organization
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - And in 2017, the World Health Organization launched its Medication Without Harm program as part of
-
psnet.ahrq.gov/node/49764/psn-pdf
June 01, 2016 - Communication With Consultants
June 1, 2016
Cohn SL. Communication With Consultants. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/communication-consultants
The Case
A 30-year-old pregnant woman presented to the emergency department (ED) with nausea, headaches, and
fevers. Her laboratory studies were nota…
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - Rediscovering the Power of the Surgical M&M
Conference: The M+M Matrix
September 1, 2007
Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix. PSNet [internet].
2007.
https://psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
Perspective
There is a slumbe…
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psnet.ahrq.gov/cme
February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations A man with a history of prior umbilical hernia repair presented to the emergency department (ED) with abdominal pain and was initially diagnosed with cholelithiasis before being discharged home. However, the next day he returned to …
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psnet.ahrq.gov/perspective/conversation-lorri-zipperer-ma
February 26, 2025 - Interview
In Conversation with Timothy Vogus about High Reliability Organization
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - 15)
Culture of Safety
(39)
Just Culture
(1)
Learning Organization
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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - But the hospital is also a very complex functional organization. … RW: How would you try to apply this thinking in a health care organization?
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psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - tool may facilitate
implementation of systematic processes for identifying risk across healthcare organizations
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - assessment tool may facilitate implementation of systematic processes for identifying risk across healthcare organizations
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - Pregnancy-Related Deaths: A Guide for Moving Maternal Mortality Review Committee Data to Action to help organizations
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - August 25, 2021
Pain management best practices from multispecialty organizations during
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - I believe the professional organizations, from medical practices to hospital to medical societies and
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psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - part of National Patient Safety Goal (NPSG) 15.01.01
for medical hospitals and behavioral health care organizations
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psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - Feasibility and
Added Value of Executive WalkRounds in Long Term Care Organizations in the Netherlands
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - accessible to patients, and my hope is that over the next several years that
the other professional organizations
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psnet.ahrq.gov/node/73145/psn-pdf
April 28, 2021 - KH: When you're working with these organizations, what is your role within the in-center program?
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - Systems level Interventions
Pharmacy-led medication reconciliation
There are several changes that organizations