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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.281_slideshow.ppt
October 01, 2012 - Spotlight Case July 2008
Spotlight Case
CA-MRSA Skin Infections:
An Ounce of Prevention is Worth a Pound of Cure
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*
Source and Credits
This presentation is based on the October 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Catherine L…
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - Failure to Rescue
Citation Text:
Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - psnet.ahrq.gov//#17
based handoff practices ensures a seamless transfer of patient care, upholding safety and promoting
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - physicians at the initial hospital also allows those physicians to take responsibility and apologize, promoting
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
March 24, 2025 - 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/49591/psn-pdf
October 01, 2009 - dynamics
within teams are key contributors to good outcomes and decreased patient care errors.(3) Promoting
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psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
March 24, 2025 - more educated might find it easier to understand, access, and use those electronic health records for promoting
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psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - Promoting Patient-Centeredness in Opioid Deprescribing: a Blueprint for De-
implementation Science.
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psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - Such measures are critical to promoting a culture of safety, both within the care team and at the
organizational
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psnet.ahrq.gov/node/838197/psn-pdf
September 28, 2022 - Good communication, including “closing the
loop” between caregivers and patients, is vital to promoting
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - Accreditation has been observed to be more effective in promoting good safety practices than state-required
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids
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February 01, 2019 - Veterans Health Administration Stratification Tool for
Opioid Risk Mitigation (STORM) Shows Promise for
Targeting Prevention Interventions to Reduce Mortality in
Patients Who Are Prescribed Opioids
January 7, 2022
https://psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-miti…
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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - SPOTLIGHT CASE
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression
Citation Text:
Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - Infection After Carpal Tunnel Surgery
Citation Text:
Szabo RM. Infection After Carpal Tunnel Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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psnet.ahrq.gov/node/863649/psn-pdf
February 28, 2024 - Monika Haugstetter: Promoting TeamSTEPPS 3.0 is the top priority in the immediate future.
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psnet.ahrq.gov/node/33750/psn-pdf
May 01, 2013 - the tension
between scientific integrity and getting it right versus enthusiasm and boosterism for promoting
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psnet.ahrq.gov/node/33648/psn-pdf
March 01, 2007 - In Conversation with...Sorrel King
March 1, 2007
In Conversation with..Sorrel King. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/conversation-withsorrel-king
Editor's Note: Sorrel King is the mother of Josie King, who died tragically in 2001 at age 18 months
because of medical errors during a hospita…
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psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
September 15, 2024 - Disruptive and Unprofessional Behavior
Citation Text:
Disruptive and Unprofessional Behavior. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - Culture of Safety
September 16, 2024
Culture of Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/culture-safety
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 …