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psnet.ahrq.gov/node/33854/psn-pdf
March 01, 2018 - Organization of hospital nursing, provision of nursing care, and
patient experiences with care in Europe
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psnet.ahrq.gov/node/49412/psn-pdf
September 01, 2003 - Because the healthcare organization had switched carbamazepine formulations at all its member hospitals
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - SPOTLIGHT CASE
An Inadvertent Bolus of Norepinephrine.
Citation Text:
Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
Copy Citation
F…
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psnet.ahrq.gov/node/73334/psn-pdf
August 01, 2024 - An Inadvertent Bolus of Norepinephrine.
May 26, 2021
Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Counc…
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - The World Health Organization reports falls as the second leading cause of unintentional injury deaths … https://www.cdc.gov/falls/data-research/index.html#:~:text=Falls%20are%… World Health Organization. … The leadership in healthcare organizations needs to adopt existing evidence and do research, develop
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - average amount paid per claim.( 14,15 ) Using in situ simulation to detect errors in facility design, organization … 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/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - The leadership in healthcare organizations needs to adopt existing evidence and do research, develop … The World Health Organization reports falls as the second leading cause of unintentional injury deaths … https://www.cdc.gov/falls/data-research/index.html#:~:text=Falls%20are%… World Health Organization.
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psnet.ahrq.gov/node/49571/psn-pdf
October 01, 2008 - Coming Up Short
October 1, 2008
Hochberg Z'ev. Coming Up Short. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/coming-short
The Case
A 12-year-old Hispanic female was seen for a well-child check. The child was delivered 2 months
prematurely (likely due to domestic violence) in Puerto Rico. She had an intra…
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - We chose to invent our own, but if other organizations are looking for technology, there are many companies … Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/periodic-issue/periodic-issue-423
January 04, 2024 - Most respondents (91%) rated their organization as committed to learning and continuous improvement,
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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
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - July 20, 2016
Quality improvement and patient safety organizations in anesthesiology.
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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/851389/psn-pdf
July 31, 2023 - Adoption Considerations Use by Others (Use By Other Organizations)
Currently, this ASN innovation has
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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/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/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - Early Warning Systems
Multiple institutions and organizations have developed protocols and mechanisms
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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