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psnet.ahrq.gov/node/33574/psn-pdf
March 15, 2025 - A 2016 systematic review commissioned by the World Health Organization identified missed and
delayed
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psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
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/web-mm/near-miss-bedside-medications
February 01, 2006 - These are generally readily apparent—unlike latent errors , which are features of an organization or … An organization-wide approach to measuring and improving safety.
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psnet.ahrq.gov/node/49870/psn-pdf
August 10, 2019 - The Colorectal Cancer Screening Committee of the World
Endoscopy Organization has standardized the definition … 'Right-sided lesions and
interval cancers,' Colorectal Cancer Screening Committee, World Endoscopy Organization
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - during a previous anesthetic even when it was performed in a different city or within another healthcare organization … November 15, 2023
Factors causing variation in World Health Organization surgical safety
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.197_slideshow.ppt
April 01, 2009 - Spotlight Case July 2008
Spotlight Case
Breakage of a PICC Line
*
*
Source and Credits
This presentation is based on the April 2009 AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Vesselin Dimov, MD
Creighton University
Editor, AHRQ WebM&M: …
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psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - Chest Tube Complications
Citation Text:
Santhosh L, Broaddus C. Chest Tube Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/node/49426/psn-pdf
November 01, 2003 - Don't Push
November 1, 2003
Meltzer HY. Don't Push. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/dont-push
The Case
A 37-year-old HIV-positive woman was brought to the emergency room by her family because she had
exhibited altered mentation for 3 days. The patient had been diagnosed with HIV infection 3 …
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - 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/node/33742/psn-pdf
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-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/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
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/perspective/conversation-katie-j-suda-pharmd-ms
December 07, 2020 - Additionally, the Association of State and Territorial Dental Directors, our state dental director’s organization … A final consideration is the size and organization of the majority of dental practices.
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psnet.ahrq.gov/node/33852/psn-pdf
January 01, 2017 - Engagement should also be tailored to the specific problems a
health care organization would like to
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psnet.ahrq.gov/primer/ambulatory-care-safety
December 15, 2024 - A 2016 systematic review commissioned by the World Health Organization identified missed and delayed
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - 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. … average amount paid per claim.( 14,15 ) Using in situ simulation to detect errors in facility design, organization
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - The year 2014 saw one notable report of how two separate health care organizations addressed such system … Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization
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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/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/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.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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