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psnet.ahrq.gov/node/33813/psn-pdf
August 01, 2016 - Safety In Dentistry
August 1, 2016
Ramoni R, Walji MF, Kalenderian E. Safety In Dentistry. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/safety-dentistry
Perspective
In a famous scene from the 1976 film, Marathon Man, Laurence Olivier, playing dentist Dr. Christian Szell
tortures Babe Levy (played by…
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psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - Pathologic Mistake
March 1, 2013
Alaghehbandan R, Raab SS. Pathologic Mistake. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/pathologic-mistake
The Case
A 32-year-old previously healthy woman experienced abdominal pain and bloating for 6 months. The
discomfort worsened with eating. After losing 15 pounds …
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psnet.ahrq.gov/node/33677/psn-pdf
November 01, 2008 - Health Care–Acquired Urinary Tract Infection: The
Problem and Solutions
November 1, 2008
Nicolle LE. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet].
2008.
https://psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
Perspective
U…
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psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - Staggered Sensitivity Results
March 1, 2007
Guglielmo JB. Staggered Sensitivity Results. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/staggered-sensitivity-results
The Case
A 60-year-old woman with squamous cell carcinoma of the glottis underwent laryngectomy, anterior neck
dissection, and pectoralis fla…
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psnet.ahrq.gov/web-mm/comanagement-whos-charge
July 01, 2011 - Comanagement: Who's in Charge?
Citation Text:
Cheng HQ. Comanagement: Who's in Charge?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - Unfortunately, when you do nursing home research, turnover is just part of the organization. … Perspective
Patient Safety Events and the Role of Patient Safety Organizations
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - Interview
In Conversation with Timothy Vogus about High Reliability Organization
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 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/perspective/conversation-richard-hoppmann-md
June 01, 2018 - I see this beginning to happen in medical schools, residencies, medical and professional organizations
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
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/web-mm/double-trouble
August 01, 2012 - should be formally assessed.( 9 )
The Institute for Safe Medication Practices (ISMP) is a nonprofit organization
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psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - The National Quality Forum also recommends that hospitals establish organization-wide approaches to team
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psnet.ahrq.gov/node/867428/psn-pdf
December 18, 2024 - The leadership in
healthcare organizations needs to adopt existing evidence and do research, develop
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psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
October 31, 2023 - effectiveness of the remaining alerts.In the coming years, vendors should provide tools, and healthcare organizations
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - Conclusion There are four straightforward prevention strategies for healthcare organizations to consider
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - The year 2014 saw one notable report of how two separate health care organizations addressed such system
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psnet.ahrq.gov/perspective/conversation-david-meltzer-md-phd
November 01, 2018 - At the same time, our health system was thinking about becoming an accountable care organization and
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - Related Resources
Perspective
High Reliability Organization
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psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
November 01, 2018 - At the same time, our health system was thinking about becoming an accountable care organization and
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
January 01, 2021 - Spotlight
Spotlight
Dangers of Missing an Epidural Abscess:
Multiple Visits and Delayed Diagnosis with
a Severely Negative Outcome
Source and Credits
• This presentation is based on the June 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Comm…