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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - • Polling questions will be conducted at the start and conclusion of the
presentation – we would … • All attendee lines are muted.
• You may submit questions via the Chat Function at any time. … ► Responses to questions will be posted, along with a recording of the
presentation, on the PSNet … POLLING QUESTIONS
4
Making Healthcare Safer (MHS) IV Reports
Farzana Samad, PharmD, FISMP, CPPS … Slide 1
Slide 2: Agenda
Slide 3: Logistics
Slide 4: POLLING QUESTIONS
Slide 5: Making Healthcare
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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - Once adequately volume-supported, the patient was able to answer all questions well and recalled starting … Using their critical thinking skills and pharmacotherapy knowledge, the pharmacist could have raised questions … One approach would have been to ask open-ended questions, utilize the teach-back method or ‘repeat what … patient, but also to more quickly identify the potential for an adverse drug event. 10 Using open-ended questions … during a consultation provides broader information to the pharmacist than questions with yes or no answers
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psnet.ahrq.gov/node/72863/psn-pdf
March 17, 2021 - patients to enhance the safety of their care that include preparing for doctor’s
appointments, asking questions
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psnet.ahrq.gov/node/866963/psn-pdf
October 16, 2024 - news article discusses improving the reliability of pulse oximetry through federal
regulation and questions
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psnet.ahrq.gov/node/866586/psn-pdf
August 28, 2024 - studies have evaluated Generative Pre-trained Transformer’s (GPT) accuracy in response to
text-only questions
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psnet.ahrq.gov/node/867021/psn-pdf
October 23, 2024 - innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
https://psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics-oversight-and-patient
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psnet.ahrq.gov/node/836870/psn-pdf
April 26, 2022 - https://psnet.ahrq.gov/issue/can-communication-and-resolution-programs-achieve-their-potential-five-key-questions
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psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
February 28, 2024 - This provides opportunities for us to study the kinds of questions that you're raising so that we can … These are key questions around which we are trying to develop a research portfolio. … In the area that I know best, primary care, substantial questions must be asked about whether we have … I do think we are well positioned in terms of data resources to answer this and other important questions … to at least make the case for that so people understand the choices they are making when they raise questions
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psnet.ahrq.gov/node/47739/psn-pdf
February 20, 2019 - The authors
provide quality control questions to help those involved in developing AI systems detect
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psnet.ahrq.gov/node/48072/psn-pdf
June 19, 2019 - reports on how double checks can prevent medication administration mistakes and
provides assessment questions
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psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-implementation
January 06, 2017 - Commentary
Rapid response systems: should we still question their implementation?
Citation Text:
Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp Med. 2013;8(5):278-81. doi:10.1002/jhm.2050.
Copy Citation
Format:
DOI G…
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psnet.ahrq.gov/issue/ahrq-report-diagnostic-errors-emergency-department-wrong-answer-wrong-question
September 23, 2020 - Commentary
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question.
Citation Text:
Kelen GD, Kaji AH, Schreyer KE, et al. The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. Ann Emerg M…
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psnet.ahrq.gov/node/33747/psn-pdf
March 01, 2013 - I will discuss the
results in relation to four key questions.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - The intern did not ask any follow-up questions about the plan.
5
Case: Signout Fallout (3)
At the … the heparin was unclear and neither the intern nor the on-call resident asked clarifying follow-up questions … role in the handoff process
Important that they confirm receipt of key information and ask clarifying questions … the error may have been prevented if the receiver had summarized the key steps or asked clarifying questions
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - thoughtfully discussed the pressures
students feel when they witness an error and struggle with the questions … So please, let me know if you have any questions or concerns.” … when everyone feels comfortable raising their
concerns to the pilot, and the pilots welcome these questions
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psnet.ahrq.gov/node/33621/psn-pdf
November 01, 2005 - accessible in often-confusing clinical situations helps create a safe environment in which problems and
questions … However, like most
intuitively obvious solutions, barriers, questions, and new adaptations will color … system of care delivery for hospitalized patients, I will answer a series
of frequently encountered questions … This is, in fact, two questions. The first is—how can we afford an RRT program?
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psnet.ahrq.gov/issue/malpractice-liability-patient-safety-and-personification-medical-injury-opportunities
February 03, 2011 - February 3, 2011
Assessing and supporting late career practitioners: four key questions … Five key questions.
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psnet.ahrq.gov/node/50743/psn-pdf
December 18, 2019 - including
appropriate messaging for patients, creating an app promotes actions (such as suggesting questions
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psnet.ahrq.gov/node/72485/psn-pdf
November 18, 2020 - accurate diagnosis such as seeking a second opinion and preparing for appointments with notes
and questions
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psnet.ahrq.gov/node/33879/psn-pdf
May 01, 2019 - The other night I had a patient that I had some questions about. … receiving the patient, I had their patient care report and was able to
look it over and answer my questions