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psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
October 04, 2023 - August 2, 2017
Improving departmental psychological safety through a medical school-wide
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - Wrong-Time Error With High-Alert Medication
September 1, 2016
Creating psychological
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2018_ED_MaskedStats.PDF
January 01, 2018 - intubation and mechanical ventilation 9,955 0.03
217: Other respiratory therapy 105,985 0.35
218: Psychological
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2019_ED_MaskedStats.PDF
January 01, 2019 - intubation and mechanical ventilation 10,966 0.04
217: Other respiratory therapy 74,076 0.26
218: Psychological
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2020_ED_MaskedStats.PDF
January 01, 2020 - intubation and mechanical ventilation 11,256 0.05
217: Other respiratory therapy 36,558 0.16
218: Psychological
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - March 20, 2024
Psychological safety as a new ACGME requirement: a comprehensive all-in-one
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psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - Health Care Providers
Health Care Executives and Administrators
Pulmonary Complications
Psychological
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary20/suicide-risk-in-adolescents-adults-and-older-adults-screening
April 15, 2013 - these reviews, published by the National Institute for Health and Clinical Excellence, concluded that psychological … Does screening high school students for psychological distress, deliberate self-harm, or suicidal ideation … Randomised controlled trial of brief psychological intervention after deliberate self poisoning. … Service variation in baseline variables and prediction of risk in a randomised controlled trial of psychological … ethnicity; comorbid medical illness; history of previous suicide attempts; social, mental health, or other psychological
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/phenylketonuria_executive.pdf
February 01, 2012 - short- and long-term outcomes of treatments
and interventions for individuals with PKU, including
psychological … incidence of inattention, anxiety, and depressive
symptoms, additional studies on these and other
psychological
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx
Spotlight
Premature Closure: Was it Just Syncope?
Source and Credits
• This presentation is based on the November 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit i…
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psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - Transfusion "Slip"
February 1, 2004
Kaplan HS. Transfusion "Slip". PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/transfusion-slip
The Case
A married couple, Mr. and Mrs. M, was brought to the emergency department (ED) of a Level 1 trauma
center after a half-ton truck that had skidded out of control struck…
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6k.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 12)
Previous Page Next Page
Table of Contents
Care Coordination Measures Atlas Update
Chapter 1: Background
Chapter 2. What is Care Coordination?
Chapter 3. Care Coordination Measurement Framework
Chapte…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Why Choose a CUSP Approach?
ICU & Non-ICU
Slide Title and Commentary
Slide Number and Slide
Why Choose a CUSP Approach?
SAY:
Welcome to this presentation on the topic of “Why Choose a CUSP Approach?” The term CUSP is short for “the Comprehensive Unit-based Safety Program.” T…
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psnet.ahrq.gov/node/33786/psn-pdf
May 01, 2015 - Video to Improve Patient Safety: Clinical and Educational
Uses
May 1, 2015
Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient Safety: Clinical and Educational Uses. PSNet
[internet]. 2015.
https://psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
Perspective
Reports of…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - PowerPoint Presentation
Spotlight Case
Tough Call: Addressing Errors From Previous Providers
1
This presentation is based on the March 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: William Martinez, MD, MS, Assistant Professor of Medicine, …
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psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
February 26, 2025 - “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV)
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June 30, 2021
Innovat…
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psnet.ahrq.gov/web-mm/suicide-risk-hospital
November 01, 2011 - Suicide Risk in the Hospital
Citation Text:
Mills PD. Suicide Risk in the Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap
Citation Text:
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Forma…
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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - A Real Heartache
December 1, 2012
Polevoi SK. A Real Heartache. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/real-heartache
The Case
A 60-year-old man presented to the emergency department (ED) with 2 hours of burning chest pain. The
pain began at rest, and it radiated to his back and left axilla. He had…
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psnet.ahrq.gov/web-mm/dangerous-detour
November 28, 2018 - The Dangerous Detour
Citation Text:
Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…