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psnet.ahrq.gov/node/49851/psn-pdf
January 01, 2019 - British Thoracic Society's recommended bronchoscopy safety checklist is adapted from the World
Health Organization
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psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - And in 2017, the World Health Organization launched its Medication
Without Harm program as part of its
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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - By contrast, latent errors are literally accidents waiting to happen—failures of organization or design
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - February 24, 2011
House staff team workload and organization effects on patient outcomes
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psnet.ahrq.gov/web-mm/coming-short
May 20, 2020 - Coming Up Short
Citation Text:
Hochberg Z'ev. Coming Up Short. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/49509/psn-pdf
April 01, 2006 - Insert Omission
April 1, 2006
Darney P. Insert Omission. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/insert-omission
The Case
A multiparous woman presented to the gynecology clinic requesting intrauterine contraceptive (IUC)
placement (Figure). She was appropriately counseled on the risks and benefits o…
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psnet.ahrq.gov/node/33781/psn-pdf
March 01, 2015 - In Conversation With… Brian Jarman, PhD
March 1, 2015
In Conversation With… Brian Jarman, PhD. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
Editor's note: Sir Brian Jarman is an emeritus professor at Imperial College School of Medicine and a
past president of the Britis…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
February 01, 2017 - PowerPoint Presentation
Spotlight
The Hazards of Distraction: Ticking All the EHR Boxes
*
Source and Credits
This presentation is based on the February 2017
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Anthony C. Easty, PhD, Adjunct Pr…
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - Checklists
Checklists are cognitive aids that have been shown to prevent errors in several high stakes organizations
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psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
November 01, 2017 - patient and provider uptake of patient-facing technologies, such as personal health records.( 14 ) Organizations
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - Lack of Sepsis Recognition Leads to Delay in Care
Following Cesarean Delivery.
November 25, 2020
Leiserowitz GS, Hedriana H. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean
Delivery. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesare…
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.
Citation Text:
Leiserowitz GS, Hedriana H. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …
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psnet.ahrq.gov/node/33752/psn-pdf
August 01, 2013 - And what a lot of organizations characterize as a disruptive
behavior environment or an environment
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psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
January 07, 2022 - As one goal of patient safety , organizations such as the Joint Commission list steps that may be taken
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psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - 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/33833/psn-pdf
May 01, 2017 - measurement schema where a pain is characterized as the fifth vital sign, and accrediting and
transparency organizations
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 -
– In the coming years, vendors should provide tools, and healthcare organizations
should use them
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - training tools Staff time Audit and feedback processes A central vascular access committee
Use By Other Organizations
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - and to evaluate progress, impact, and demonstrate value to sustain the innovation
Use By Other Organizations
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - For allergies, medications, and medical problems, most organizations require that a health care provider