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psnet.ahrq.gov/periodic-issue/periodic-issue-393
June 28, 2023 - The World Health Organization (WHO) Surgical Safety Checklist is widely used, but implementation challenges … Becoming a high-reliability organization (HRO) to improve patient safety is a goal of the Veterans Heath
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - SI : We were working on coding at last year's American Delirium Society meeting (it's a brand new organization … I said if there is one thing your organization can do is please create a single code for delirium: have
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - RW : How do you decide what level of the organization to give information back and then what to do with … The hand hygiene self-assessment framework tool developed at the World Health Organization is available
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - Neither report offers specific dosing guidance; both organizations recommend
individualizing therapy … The data in PDMPs are state-specific and various settings/organizations in
addition to hospitals, such
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psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - Neither report offers specific dosing guidance; both organizations recommend individualizing therapy … The data in PDMPs are state-specific and various settings/organizations in addition to hospitals, such
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - Simultaneously, policymakers and individual EMS organizations are considering the expansion of EMS’ role … Perspective
Patient Safety Events and the Role of Patient Safety Organizations
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - conditions within the pages of a textbook, it would actually look at the electronic medical records of an organization … conveyed back to the original diagnostician, as patients weave their way through different health care organizations … or different silos of the same organization.
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psnet.ahrq.gov/issue/impact-transitioning-24-hour-16-hour-call-model-amongst-cohort-canadian-anesthesia-residents
June 03, 2020 - 2012
Kaiser Permanente's performance improvement system, part 4: creating a learning organization
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psnet.ahrq.gov/issue/use-critical-incident-reports-medical-education-perspective
May 30, 2018 - optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization
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psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
February 26, 2025 - President of Clinical Excellence Operations and Executive Director of the Ascension Health Patient Safety Organization … Interview
In Conversation with Timothy Vogus about High Reliability Organization
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psnet.ahrq.gov/web-mm/failure-latch
November 27, 2012 - While the AAP and World Health Organization recommend exclusive breastfeeding for 6 months, only 11% … Geneva, Switzerland: World Health Organization, Division of Child Health and Development; 1998.
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psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - It is important to note that the American Academy of Pediatrics, the CDC, and the World Health Organization … an urgent national warning in early November 2020 cautioning about this error. 13 The World Health Organization … World Health Organization.
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psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - respiratory
depression, recommendations for the timing and duration of monitoring can differ among organizations
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - Other organizations in the United States implementing PROMPT include University of Washington M.C., Baylor
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - Geneva, Switzerland: World Health Organization; 2009.
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psnet.ahrq.gov/node/49679/psn-pdf
March 01, 2013 - Alternatively, the hospital may
consult the competency guidelines from an appropriate professional organization
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psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - Patient
Handover Processes
Construct Pit Stop Practice Principle
Handover
implementation
Process Organization
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
September 27, 2023 - SPOTLIGHT CASE
Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation
Citation Text:
Bourgeois JA, Xiong G. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation. PSNet [internet]. Rockville (MD): Agency for Health…
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psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - Spotlight
Spotlight
An Inadvertent Bolus of Norepinephrine
Source and Credits
• This presentation is based on the May 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Sarina Fazio, PhD, RN, Emma Blackmon, PhD,
RN, Amy Doroy, PhD,…
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psnet.ahrq.gov/node/74021/psn-pdf
October 25, 2021 - A little bit about my organization: the American Society
of Health-System Pharmacists (ASHP) represents … happened, and collecting data that can be presented both to their
institution, but also to collaborative organizations