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psnet.ahrq.gov/node/49788/psn-pdf
March 01, 2017 - hospitals with EHRs provided pharmacists access to view
parts of the EHR for medication therapy management purposes
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - Such data, which is collected mostly for billing purposes, contain clinical information on diagnoses,
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - SPOTLIGHT CASE
The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department.
Citation Text:
Amashta ML, Barnes DK. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department.. PSNet [internet]. Rockv…
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - Further, measures that have been validated for one purpose are sometimes used inappropriately for other purposes
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psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
January 01, 2022 - bronchoscopy has
proven to be an effective and less invasive option for both diagnostic
and therapeutic purposes
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psnet.ahrq.gov/node/846770/psn-pdf
March 29, 2023 - complication of esophageal endoscopy
Endoscopy is an important tool for both diagnostic and therapeutic purposes
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psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
December 09, 2020 - Bronchoscopy ( Figure 1 ) is performed for a wide range of diagnostic, therapeutic, and research purposes
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psnet.ahrq.gov/node/50859/psn-pdf
January 31, 2020 - What about the use of AI as an adjunct for screening purposes?
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - Most information printed on ampules is primarily for legal or business purposes, and does not really
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Carole Stockmeier, Sarah Mossburg, Lee Merton | September 24, 2024
Also Read the Essay
View more articles from the same authors.
…
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psnet.ahrq.gov/node/836878/psn-pdf
April 27, 2022 - The Media’s Role in Patient Safety
April 27, 2022
Millenson ML, Dowell P, Mossburg SE. The Media’s Role in Patient Safety. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/medias-role-patient-safety
Brief History of the Media Influencing Patient Safety
Despite studies raising questions about avoidable ha…
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psnet.ahrq.gov/node/50844/psn-pdf
January 29, 2020 - Improving Patient Safety and Team Communication
through Daily Huddles
January 29, 2020
Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet].
2020.
https://psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
Background
Communicat…
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psnet.ahrq.gov/node/73905/psn-pdf
October 06, 2021 - Health Equity and Maternal Health
October 6, 2021
Tully K, Stuebe AM, Gibson A, et al. Health Equity and Maternal Health. PSNet [internet]. 2021.
https://psnet.ahrq.gov/perspective/health-equity-and-maternal-health
Redefining Maternal Safety
Maternal safety refers to the safety of a person during pregnancy, childb…
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psnet.ahrq.gov/node/49468/psn-pdf
December 16, 2004 - Mark My Limb
December 1, 2004
Jacott WE, O'Leary D. Mark My Limb. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/mark-my-limb
The Case
A patient went to the operating room (OR) for surgery on the lower leg. Per the Universal Protocol, the
surgeon marked the proper leg prior to bringing the patient to the O…
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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/node/60977/psn-pdf
January 08, 2020 - Multiple Levels Involved in Prescribing the Wrong
Medication
September 30, 2020
Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
The Case
A 65-year-old woman co…
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - information with respect to improving patient safety;
Utilization of patient safety work product for the purposes … For the purposes of this conversation, we can say that the Network of Patient Safety Databases will collect
-
psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - For the purposes of this conversation, we can say that the Network of Patient Safety Databases will collect … information with respect to improving patient safety;
Utilization of patient safety work product for the purposes
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psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
December 22, 2018 - the port device should be exclusively used for chemotherapy, not to provide venous access for other purposes
-
psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - The patient was placed on close observation for safety purposes but continued to decline and was transferred