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psnet.ahrq.gov/node/49440/psn-pdf
March 01, 2004 - He planned to obtain a right upper quadrant ultrasound if the pain did not respond to treatment
for
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - This
problem could have been anticipated and planned for at the point of admission.
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psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - what the government is doing to prevent health care–associated infections, and as part of that he planned
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - Examination and imaging confirmed that the disease was responding, so they planned to continue chemotherapy
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psnet.ahrq.gov/web-mm/premature-extubation
May 25, 2011 - While on rounds, the intensivist planned to ask the respiratory therapist to test for a cuff leak prior
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psnet.ahrq.gov/node/49544/psn-pdf
September 01, 2007 - that left
ventricular systolic function was assessed before arrival, during
hospitalization, or is planned
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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - medication lists, and problem lists
• Forwarding capability and allowing the use of surrogates during planned
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psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
November 01, 2023 - When an awake intubation is planned, a careful discussion about this technique and the process involved
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psnet.ahrq.gov/node/854848/psn-pdf
October 31, 2023 - pre-analytical-pitfalls-missing-and-mislabeled-specimens
https://psnet.ahrq.gov//#2
https://psnet.ahrq.gov//#3
and resulted in postponement of the planned
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psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - repeating critical information, confirming receipt of the information, and following through on the planned
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psnet.ahrq.gov/issue/introduction-discharge-plan-reduce-adverse-events-within-72-hours-discharge-icu
September 16, 2020 - Study
Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU.
Citation Text:
Williams TA, Leslie GD, Elliott N, et al. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. J Nurs Care Qual. 2010;25…
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psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
February 12, 2019 - Toolkit
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture.
Citation Text:
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …
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psnet.ahrq.gov/node/60906/psn-pdf
August 18, 2021 - Global Patient Safety Action Plan 2021-2030: Towards
Eliminating Avoidable Harm in Health Care.
August 18, 2021
Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240032705.
https://psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-
harm-health-care
The Wo…
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - A framework for assessing reasoning about controversial end-of-life clinical decisions.
Citation Text:
Fedyk M, Fairman N, Romano PS, et al. A framework for assessing reasoning about controversial end-of-life clinical decisions.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality…
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - We initially planned to release the National Action Plan in May 2020.
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psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid
August 05, 2015 - Commentary
National Action Plan for Adverse Drug Event Prevention: recommendations for safer outpatient opioid use.
Citation Text:
Ducoffe AR, York A, Hu DJ, et al. National Action Plan for Adverse Drug Event Prevention: Recommendations for Safer Outpatient Opioid Use. Pain Med. 2016;17(…
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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - SPOTLIGHT CASE
Engaging Seriously Ill Older Patients in Advance Care Planning
Citation Text:
Heyland DK. Engaging Seriously Ill Older Patients in Advance Care Planning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. …
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psnet.ahrq.gov/node/74722/psn-pdf
February 02, 2022 - Preventing and mitigating radiology system failures: a
guide to disaster planning.
February 2, 2022
Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide
to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg.2021210083.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - We initially planned to release the National Action Plan in May 2020.
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psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hospital-staffing-plans-nursing
May 04, 2015 - Legislation/Case Law
Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements.
Citation Text:
Enacting the Washington state patient safety act requiring hospital staffing plans for n…