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psnet.ahrq.gov/node/37282/psn-pdf
September 27, 2016 - Verbal medication orders in the OR.
September 27, 2016
Hendrickson T. Verbal medication orders in the OR. AORN J. 2007;86(4):626-9.
https://psnet.ahrq.gov/issue/verbal-medication-orders-or
This article describes the causes of medication errors in the operating room and discusses prevention
strategies, including us…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015337-mingle-final-report-2008.pdf
January 01, 2008 - It also makes sense that more ER visits and
reduced access to the primary care doctor leads to a higher
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach
241
Diagnostic Failure: A Cognitive
and Affective Approach
Pat Croskerry
Abstract
Diagnosis is the foundation of medicine. Effective treatment cannot begin until an
accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of
clinic…
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psnet.ahrq.gov/node/37305/psn-pdf
January 02, 2011 - Medication administration in anesthesia: time for a
paradigm shift.
January 2, 2011
Stabile M; Webster CS; Merry AF.
https://psnet.ahrq.gov/issue/medication-administration-anesthesia-time-paradigm-shift
To reduce anesthesia administration errors, the authors propose changing the organizational culture to
foster a…
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psnet.ahrq.gov/node/34905/psn-pdf
February 25, 2009 - On the quest for Six Sigma.
February 25, 2009
Moorman D. On the quest for Six Sigma. Am J Surg. 2005;189(3):253-8.
https://psnet.ahrq.gov/issue/quest-six-sigma
This discussion of patient safety from a surgical perspective highlights issues involving hierarchy, human
factors, and multidisciplinary team training as …
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psnet.ahrq.gov/node/40497/psn-pdf
June 15, 2011 - Are we finally getting serious about medical errors?
June 15, 2011
Burns J.
https://psnet.ahrq.gov/issue/are-we-finally-getting-serious-about-medical-errors
This article explores the challenges to improving patient safety and discusses strategies for reducing
medical errors.
https://psnet.ahrq.gov/issue/are-we-fi…
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psnet.ahrq.gov/node/40299/psn-pdf
April 16, 2018 - Medication errors in the emergency department: need for
pharmacy involvement?
April 16, 2018
https://psnet.ahrq.gov/issue/medication-errors-emergency-department-need-pharmacy-involvement
This piece reports on the prevalence of medication errors in the emergency department and suggests
expanding pharmacy involvemen…
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www.ahrq.gov/nursing-home/resources/ventilation-covid-19.html
May 01, 2022 - Ventilation (COVID-19)
Resource: Ventilation (COVID-19)
This page provides an updated version of the Centers for Disease Control and Prevention's recommended strategies for using ventilation to reduce exposures to COVID-19, and features ventilation improvement tools and FAQs.
Source: CDC
Topic(s): Inf…
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www.ahrq.gov/hai/cusp/videos/03a-engage-senior-exec/index.html
June 01, 2018 - Engage the Senior Executive
CUSP Toolkit
The CUSP toolkit includes training tools to make care safer by improving the foundation of how your physicians, nurses, and other clinical team members work together. These videos reinforce the material presented in each module of the CUSP toolkit.
Engage the Seni…
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www.ahrq.gov/antibiotic-use/acute-care/safety/changes.html
November 01, 2019 - Making Effective Changes in Antibiotic Decision Making
After viewing or presenting this presentation viewers will be able to—
Identify relevant factors that could improve antibiotic use
Identify interventions to reduce future harm associated with unnecessary antibiotic use
Apply interventions to effe…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
April 30, 2025 - PARS)
promoted professional self-governance, fostered a fair and just culture of patient safety, and reduced … A study of the decision
aids reduced the use of discretionary surgery without apparent adverse effects
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psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
March 01, 2017 - What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety
Sara J. Singer, MBA, PhD | September 1, 2013
View more articles from the same authors.
Citation Text:
Singer SJ. What We've Learned About Leveraging Leadership a…
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - Specimen Almost Lost
November 1, 2017
Hehe YK. Specimen Almost Lost. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/specimen-almost-lost
The Case
A 29-year-old woman presented to the hospital with a rash that had spread across her legs and abdomen.
She was admitted to the medicine service for further evalu…
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psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - Back to Basics
March 1, 2007
Hellman R. Back to Basics. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/back-basics
The Case
A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with
right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.173_slideshow.ppt
April 01, 2008 - Spotlight Case [MONTH] 2003
Spotlight Case April 2008
Antibiotics for URI/Sinusitis: A Simple Decision Gone Bad
Source and Credits
This presentation is based on the April 2008
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Sumant Ranji, MD,…
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psnet.ahrq.gov/innovation/critical-radiology-alert-process
November 16, 2022 - Critical Radiology Alert Process
Save
Save to your library
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October 30, 2024
View more articles from the same authors.
Innovation
Contact
…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case November 2006
Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality
Source and Credits
This presentation is based on the November 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.98_slideshow.ppt
June 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case June 2005
Getting to the Root of the Matter
Source and Credits
This presentation is based on the June 2005
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Scott Flanders, MD; Sa…
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-refs.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
References
Previous Page Next Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
References
Appendix A. Flow Chart for Impl…
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-refs.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
References
Previous Page Next Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
References
Appendix A. Flow Chart for Impl…