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psnet.ahrq.gov/node/836978/psn-pdf
May 16, 2022 - Check Twice, Transport Once
May 16, 2022
DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/check-twice-transport-once
The Case
Case #1: A 26-year-old woman (Patient A) presented to the Emergency Department (ED) with abdominal
pain and was diagnosed with “s…
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psnet.ahrq.gov/node/33721/psn-pdf
November 01, 2011 - Lesson from the VA's Team Training Program
November 1, 2011
Neily J, Mills PD, Paull DE, et al. Lesson from the VA's Team Training Program . PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/lesson-vas-team-training-program
Perspective
Introduction
The Veterans Health Administration (VHA) National Center…
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Hyperglycemia and Switching to Subcutaneous Insulin
December 1, 2015
Wetterneck TB. Hyperglycemia and Switching to Subcutaneous Insulin. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
The Case
A 47-year-old man with type 2 diabetes was admitted to the hospita…
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psnet.ahrq.gov/node/49554/psn-pdf
January 01, 2008 - Chemotherapy Extravasation
January 1, 2008
Schulmeister L. Chemotherapy Extravasation. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/chemotherapy-extravasation
The Case
A 73-year-old woman with no past medical history was diagnosed with stage IIIA breast cancer. She and
her oncologist decided to begin sys…
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - The success so far in promoting transparency in hospital performance on infections can be attributed
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - July 13, 2009
Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting
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psnet.ahrq.gov/periodic-issue/periodic-issue-294
June 30, 2021 - Review
Interventions promoting employee "speaking-up" within healthcare workplaces: a
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psnet.ahrq.gov/periodic-issue/periodic-issue-331
March 31, 2022 - Study
Promoting patient and nurse safety: testing a behavioural health intervention
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psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - physicians at the initial hospital also allows those physicians to take
responsibility and apologize, promoting
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - Promoting physician well-being is a new aspect of systems-based practice and professionalism that is
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - Promoting
physician well-being is a new aspect of systems-based practice and professionalism that is
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - August 10, 2019
Perspective
Innovations in Promoting
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psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - course we want to reduce adverse events, but we also want to look at the current system and see if it's
promoting
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psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - more educated might find it easier to
understand, access, and use those electronic health records for promoting
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psnet.ahrq.gov/classics
August 01, 2023 - Review
Classic
Interventions promoting employee "speaking-up
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - the planned management of such findings are all good routine communication practices. 3 Adjuncts to promoting
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - In the case of promoting vaginal birth, it is important to understand how C-section rates impact maternal
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psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
January 01, 2021 - valuable information for developing a care plan
that is congruent with the patient’s desires while promoting
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - Checklists
December 15, 2024
Checklists. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/checklists
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Background
…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case April 2006
Is the “Surgical Personality” a Threat to Patient Safety?
Source and Credits
This presentation is based on the April 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary …