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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - However, in the first case, the involvement of trainees raises additional questions unrelated to the … Patients respond to automated questions read by a computer-generated voice. … Questions are designed to identify patients who need additional coaching about their discharge instructions
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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - example, pediatricians can use age-appropriate adaptations
of tools like the Ask Suicide Screening Questions … Ask Suicide-Screening Questions (ASQ) Toolkit. National Institute of Mental Health. 2022.
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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - Those are important questions, and we do not ask them often enough. … Sarah Mossburg: That was really great, and I have many follow-up questions and just not enough time … Sarah Mossburg: You mentioned a journey of transformation, and one of the other follow-up questions
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - Those are important questions, and we do not ask them often enough. … Sarah Mossburg: That was really great, and I have many follow-up questions and just not enough time … Sarah Mossburg: You mentioned a journey of transformation, and one of the other follow-up questions
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psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility
May 20, 2015 - : An answer with many questions.
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psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care
March 17, 2015 - June 12, 2019
A systematic review of team training in health care: ten questions.
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psnet.ahrq.gov/issue/how-us-teams-advanced-communication-and-resolution-program-adoption-local-state-and-national
April 24, 2018 - Five key questions.
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psnet.ahrq.gov/issue/year-end-resident-clinic-handoffs-narrative-review-and-recommendations-improvement
March 28, 2018 - February 28, 2018
A systematic review of team training in health care: ten questions.
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psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
September 01, 2018 - Five key questions.
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psnet.ahrq.gov/issue/liquid-medication-dosing-errors-hispanic-parents-role-health-literacy-and-english-proficiency
December 14, 2016 - November 23, 2016
Questions Are the Answer.
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psnet.ahrq.gov/issue/building-and-sustaining-systemwide-culture-safety
July 21, 2009 - October 19, 2022
A systematic review of team training in health care: ten questions.
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psnet.ahrq.gov/issue/ambulatory-care-visits-treating-adverse-drug-effects-united-states-1995-2001
April 03, 2005 - February 27, 2009
To protect against drug errors, ask questions.
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psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review
March 02, 2011 - July 3, 2016
The 80-hour duty week: rationale, early attitudes, and future questions.
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psnet.ahrq.gov/information/Terms
Again, please contact us at psnetsupport@ahrq.hhs.gov if you have any questions about this policy.
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - Wrong Route for Nutrients
July 1, 2008
Scott-Cawiezell JR. Wrong Route for Nutrients. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/wrong-route-nutrients
The Case
An 82-year-old man living in a skilled nursing facility (SNF) had not been eating or drinking well for about 6
months. He had lost weight and d…
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - Reasoning can be explored with a patient by asking open-ended questions about how they came to their … It is also the duty of providers and bedside staff to raise questions if the care given is not congruent
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - with control system that would have prevented the incorrect ordering in this case through a series of questions … Checklists can include questions regarding an understanding of the indication for the procedure—or in
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psnet.ahrq.gov/web-mm/situational-unawareness
August 01, 2009 - Situational (Un)Awareness
Citation Text:
Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - There are three basic questions we use all the time: “What happened?” “Why did it happen?” … In the past, regulatory agencies created lengthy forms that asked standardized questions. … Although they appeared very thorough, sometimes the questions did not address the complexities of the … RCA 2 uses the “Five Whys” model to simplify and improve that. 1 It is not about answering 30 questions
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - There are three basic questions we use all the time: “What happened?” “Why did it happen?” … In the past, regulatory agencies created lengthy forms that asked standardized questions. … Although they appeared very thorough, sometimes the questions did not address the complexities of the … RCA 2 uses the “Five Whys” model to simplify and improve that. 1 It is not about answering 30 questions