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psnet.ahrq.gov/node/33695/psn-pdf
April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest
for Transparency in U.S. Hospitals' Patient Safety
Performance
April 1, 2010
Roberts LL, Ward MM, Evans TC. The Role of the National Quality Forum (NQF) in the Quest for
Transparency in U.S. Hospitals' Patient Safety Performance. PSNet [internet]. 2010.
ht…
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - circumstances, such as presentation with leg pain, the expertise of the emergency physician and the rapid
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psnet.ahrq.gov/node/33843/psn-pdf
October 01, 2017 - In Conversation With… Jeffrey Starke, MD
October 1, 2017
In Conversation With… Jeffrey Starke, MD. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-jeffrey-starke-md
Editor's note: Dr. Starke is Professor of Pediatrics–Infectious Disease at Baylor College of Medicine and
served as Infection…
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - Postdischarge Follow-Up Phone Call
March 1, 2012
Mourad M, Rennke S. Postdischarge Follow-Up Phone Call. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
Case Objectives
Understand why preventing readmissions through postdischarge phone calls is important.
Describe evidence su…
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psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - How would you clarify what the organizational response will be to each type of behavior? … But is a punitive response appropriate for reckless behavior? Our answer is yes. … I think we're seeing from health care regulators and hospitals a pretty rapid movement to find that center
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psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
February 08, 2023 - and the patient’s response drove the differential diagnosis and testing (see Table 1 ). Table 1. … Acute Dizziness Syndrome Description Benign causes a Serious causes a Acute vestibular b syndrome Rapid … used liberally in patients with intermittent dizziness to elicit the physical finding of nystagmus (rapid
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psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
November 01, 2012 - Emergency room triage of patients with acute chest pain by means of rapid testing for cardiac troponin … RW : In some ways you're swimming against a very rapid stream. … February 1, 2007
WebM&M Cases
Rapid Mis-St(r)ep
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psnet.ahrq.gov/node/33793/psn-pdf
November 01, 2015 - accreditation standard or some other widely recommended intervention like
with medication reconciliation, rapid … response teams, central line bundles, and so on—then of course
there's a role for a trial if it's an
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - Managing ICU surge during the COVID-19 crisis: rapid guidelines. … June 21, 2023
Patient Safety Innovations
Remote Response
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - to grow and to help change the culture more than anything.Finally, I've been very encouraged by the response … The response of our hospitals was not at all one of resistance; it was "How do we do it?" … Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid
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psnet.ahrq.gov/node/837959/psn-pdf
August 31, 2022 - The patient was stable after rapid
sequence intubation and maintenance of anesthesia with methohexital
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psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
December 01, 2014 - nervous just weeks into my new position as the lead for APPS at WHO—I wondered how we would shape our response … Now, 6 years later, we can look back at this response and appreciate some of the lessons that have emerged … thinking in global health, we decided that co-development was absolutely essential.( 7 ) Following a rapid
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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - nervous just weeks into my new position as the lead for APPS at WHO—I wondered how we would shape our response … Now, 6 years later, we can look back at this response and appreciate some of the lessons that have emerged … thinking in global health, we decided that co-development was absolutely essential.( 7 ) Following a rapid
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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - Each alarm has a different setting, and the appropriate response to one may be incredibly dangerous for … RW: We're beginning to see rapid acceleration in electronic records and computerized order entry.
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid … December 14, 2022
Intraoperative code blue: improving teamwork and code response
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - Noting the rapid expansion of telehealth during the COVID-19 pandemic, but also the lack of forward planning … July 31, 2023
Patient Safety Innovations
Remote Response
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psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
February 26, 2025 - And your response to those is, well, you think so? That's a good idea.
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - In response, the PCP completed a second evaluation and recommended a trial of discontinuing oral quetiapine … 2022 Clinical Practice Guideline included a weak recommendation only because an alarm might cause more rapid
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - when performing urgent,
unpredictable tasks.1 Trauma teams are good at reconfiguring and adapting in response
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psnet.ahrq.gov/node/60066/psn-pdf
March 25, 2020 - Rapid intake process – A dedicated area used to initiate care, hold patients awaiting diagnostic tests