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psnet.ahrq.gov/node/37905/psn-pdf
December 19, 2018 - Why Hospitals Should Fly: The Ultimate Flight Plan to
Patient Safety and Quality Care.
December 19, 2018
Nance JJ. Boseman, MT: Second River Healthcare Press; 2008. ISBN: 9780974386058.
https://psnet.ahrq.gov/issue/why-hospitals-should-fly-ultimate-flight-plan-patient-safety-and-quality-care
This book describes si…
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psnet.ahrq.gov/node/33950/psn-pdf
February 05, 2018 - Quick Tips--When Planning for Surgery.
February 5, 2018
Rockville, MD: Agency for Health Care Policy and Research; 2005. AHRQ Pub. No. 01-0040d.
https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery-0
This AHRQ brochure provides practical advice for patients facing non-emergent surgery, to help them be
gen…
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psnet.ahrq.gov/node/39612/psn-pdf
June 16, 2010 - National Action Plan to Improve Health Literacy.
June 16, 2010
Washington, DC: United States Department of Health and Human Services; 2010.
https://psnet.ahrq.gov/issue/national-action-plan-improve-health-literacy
This report presents goals for improved health literacy in the United States and recommends pra…
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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - that left ventricular systolic function was assessed before arrival, during hospitalization, or is planned
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psnet.ahrq.gov/node/33663/psn-pdf
September 15, 2008 - structure creates forums where clinical issues are discussed, actions approved, and implementation
planned
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - Nocturnal continuous positive airway pressure (CPAP) therapy
should be instituted 4-6 weeks before planned
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psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - well-designed and working correctly,
but was not configured, implemented, or used in a
way anticipated or planned
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - stratified prior to surgery, she received prophylaxis
for venous thromboembolism, and she underwent the planned
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - its reimbursements to hospitals for patients readmitted within 30 days of discharge, as is presently planned
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - Retrieving medications is something nurses do many times during a shift, and, most of the time,
it goes as planned
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psnet.ahrq.gov/node/33622/psn-pdf
November 01, 2005 - RW: I know you've said that the campaign became something very different than what you had planned, as
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psnet.ahrq.gov/node/43607/psn-pdf
October 15, 2014 - Dallas Ebola case shows even sound plans can fail
spectacularly.
October 15, 2014
Loftis RL. Dallas Morning News. October 5, 2014.
https://psnet.ahrq.gov/issue/dallas-ebola-case-shows-even-sound-plans-can-fail-spectacularly
Guidelines and rules are developed to help augment safety, but they cannot guarantee it. Th…
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psnet.ahrq.gov/node/45191/psn-pdf
June 01, 2016 - Rating hospitals by the stars: the feds' latest plan to
measure quality is the most controversial.
June 1, 2016
Rau J. Washington Post. May 17, 2016.
https://psnet.ahrq.gov/issue/rating-hospitals-stars-feds-latest-plan-measure-quality-most-controversial
Collecting data to meet quality measurement requirements adds…
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - Some of that should be planned, but some of that can be eliminated. … ended up with 35 amazingly exciting quality improvement projects that each one of these faculty had planned
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psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
January 01, 2019 - Spotlight
Spotlight
"Do You Want Everything Done?":
Clarifying Code Status
Source and Credits
• This presentation is based on the December 2019
AHRQ WebM&M Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Karl Steinberg MD, CMD, HMDC & Thaddeus
M…
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psnet.ahrq.gov/node/46787/psn-pdf
October 15, 2018 - Institute for Safe Medication Practices International
Mentorship Program.
October 15, 2018
Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/institute-safe-medication-practices-international-mentorship-program
Structured interaction with a wide variety of experts and environments enables medica…
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psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - The Wrongful Resuscitation
April 1, 2008
Teno JM. The Wrongful Resuscitation. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/wrongful-resuscitation
The Case
An 80-year-old man with diabetes, peripheral vascular disease, bilateral below-the-knee amputations, and
poor quality of life had previously been r…
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psnet.ahrq.gov/node/44735/psn-pdf
January 06, 2016 - Quality and patient safety teams in the perioperative
setting.
January 6, 2016
Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28.
doi:10.1016/j.aorn.2015.10.006.
https://psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
Team effectivenes…
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psnet.ahrq.gov/node/40895/psn-pdf
December 08, 2011 - Improving safety culture results in Rhode Island ICUs:
lessons learned from the development of action-oriented
plans.
December 8, 2011
Vigorito MC, McNicoll L, Adams L, et al. Improving safety culture results in Rhode Island ICUs: lessons
learned from the development of action-oriented plans. Jt Comm J Qual Patien…
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psnet.ahrq.gov/node/43054/psn-pdf
June 16, 2014 - We need to talk: an observational study of the impact of
electronic medical record implementation on hospital
communication.
June 16, 2014
Taylor SP, Ledford R, Palmer V, et al. We need to talk: an observational study of the impact of electronic
medical record implementation on hospital communication. BMJ Qual Saf…