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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Human factors systems approach to healthcare quality and patient safety. … We have kind of that dual objective of a typical industrial engineering objective to improve quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/issue/use-computers-clinical-care-case-series-advanced-us-sites
August 04, 2021 - November 1, 2017
A Department of Medicine infrastructure for patient safety and clinical quality
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - National Surgical Quality Improvement Program (NSQIP) risk factors can be used to validate American Society
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psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - differential, and assist clinicians to refine their selection of laboratory tests and imaging:
Pain location, quality … symptoms such as fever, nausea, vomiting, and diarrhea
Physical exam findings such as the location and quality … imaging has increased significantly over the last 20 years, driven largely by improved availability and quality
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … lines across five delivery systems. 3 The publications To Err Is Human in 2000 and Crossing the Quality … Crossing the Quality Chasm concluded that a high-functioning healthcare delivery system is obligated … Health technology, quality and safety in a learning health system.
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … National Action Plan to Advance Patient Safety , released by the Agency for Healthcare Research and Quality … Health technology, quality and safety in a learning health system. … Crossing the Quality Chasm concluded that a high-functioning healthcare delivery system is obligated
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psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - excruciatingly painful, continuous opioid
infusions with bolus dosing as needed are appropriate palliative measures … Results from a quality/safety project.J Pain Symptom Manage. 2022;64(3):e133-e138. … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - Corrective measures should
be taken accordingly, including calling for additional resources if needed … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/49553/psn-pdf
January 01, 2008 - Doing it right the first time: quality
improvement and the contaminant blood culture. … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/node/73302/psn-pdf
May 26, 2021 - I believe in the root
cause and process improvement methodology of quality control.
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research and Quality … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … WebM&M Cases
Anesthesia: A Weighty Issue
August 21, 2013
Quality
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - QUESTIONS
4
Making Healthcare Safer (MHS) IV Reports
Farzana Samad, PharmD, FISMP, CPPS
Center for Quality … project was funded under Contract No. 75Q80122C00002 from
the Agency for Healthcare Research and Quality … Neurology – Johns Hopkins University
Core Faculty – The Armstrong Institute for Patient Safety and Quality … Slide 5: Making Healthcare Safer (MHS) IV Reports Farzana Samad, PharmD, FISMP, CPPS Center for Quality
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - Regular breaks are an important safety measure.
Excessively long shifts should be avoided. … Duty-hour limits and patient care and resident outcomes: can
high-quality studies offer insight into … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … BMJ quality & safety. 2011 Dec 1;20(12):1027-34. … BMJ quality & safety. 2017 Feb 1;26(2):131-40. … BMJ Quality & Safety. 2005 Apr 1;14(2):80-6. … BMJ quality & safety. 2018 Nov 1;27(11):892-901.
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - Systems-level changes like checklists and forcing functions, when integrated into the EHR, provide
additional measures … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - negative emotional reactions to
strangers and pain.6
14
Levels of Sedation (1)
• Nearly all sedation scales … standardized adverse event definitions
which facilitates compiling and sharing data with
researchers and quality … Quality Use of Medicines – medication safety issues in naming; look‐alike, sound‐alike medicine names … Safety gaps in medical team communication: Results of quality improvement efforts in a cardiac catheterization
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psnet.ahrq.gov/node/60744/psn-pdf
July 29, 2020 - Implementation of the American College of
Cardiology/American Heart Association Guidelines) National Quality … high-risk patients with non-ST-segment elevation acute coronary
syndromes: results from the CRUSADE Quality … Circulation: Cardiovascular Quality and Outcomes. 2014;7(A346).
43. … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - whether or not to operate, including
the patient’s current clinical status and prognosis, comorbidities, quality … • Scoring systems have been created to assess risk, such as the NSQIP (National
Surgical Quality
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psnet.ahrq.gov/node/49537/psn-pdf
June 01, 2007 - National Surgical Quality
Improvement Program (NSQIP) risk factors can be used to validate American … project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
Research and Quality