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psnet.ahrq.gov/node/49618/psn-pdf
February 01, 2011 - (3,13)
Case & Commentary: Part 2
Prior to therapy, the physician did not refer the patient for a liver … director instructed the clinic staff to
discontinue the interferon and insisted that the physician refer
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psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - Kathy Helak: One example is that we don't refer to event reviews as investigations. … Most of the time, when we refer to events, we are referring to situations
when there was an undesired
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - ( 3,13 )
Case & Commentary: Part 2
Prior to therapy, the physician did not refer the patient for … director instructed the clinic staff to discontinue the interferon and insisted that the physician refer
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psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - Although the concept of leadership has traditionally been used to refer to the top rungs of an organization
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - Summary In summary, adverse events refer to harm from medical care rather than an underlying disease.
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psnet.ahrq.gov/node/866841/psn-pdf
September 23, 2024 - Instead, providers are asked
to identify the gaps and, with the patient’s approval, refer them to the
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - I refer to the iconic gathering that so readily evokes the surgical "days of the
giants": the traditional
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - Amy Helwig: We often refer to these as quality measures rather than patient safety measures.
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psnet.ahrq.gov/node/60167/psn-pdf
April 12, 2024 - https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
Background
Transitions of care refer
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
September 01, 2003 - results
Task Factors
Task design and clarity of structure
Availability and use of protocols
Please refer
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psnet.ahrq.gov/node/33636/psn-pdf
July 01, 2006 - This committee should be able to authorize action in
response to safety concerns or refer the actions
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psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - imaging (MRI), which revealed nonspecific abnormalities in the
patient’s right frontal lobe, but did not refer
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psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
December 01, 2009 - The phenomenon of disruptive conduct, however, affects all medical team members and what I refer to as … This is what we refer to as the question of implicit versus explicit culture. … I also worry about what I refer to as premature disclosure and apology in circumstances where there is
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - The phenomenon of disruptive conduct, however, affects all medical team members and what I refer to as … This is what we refer to as the question of implicit versus explicit culture. … I also worry about what I refer to as premature disclosure and apology in circumstances where there is
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psnet.ahrq.gov/node/33824/psn-pdf
January 01, 2016 - Patient safety problems refer to preventable harms caused by medical care, as opposed to underlying
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psnet.ahrq.gov/primers-0
March 15, 2025 - The terms adverse events, near misses, and medical errors are used in patient safety to refer
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psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
July 23, 2024 - Instead, providers are asked to identify the gaps and, with the patient’s approval, refer them to the
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psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
January 01, 2024 - diagnose BPPV and treat the offending canal with the canal - specific canalith repositioning maneuver or refer … , do a CTA of head & neck and consult neurology • Likely vestibular migraine ; treat as migraine & refer … episodes lasting 20 minutes to 12 hours, with decreased hearing, aural fullness or tinnitus are present & refer
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psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
June 15, 2024 - Background Transitions of care refer to the movement of patients between different healthcare settings
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psnet.ahrq.gov/node/867849/psn-pdf
February 26, 2025 - come to describe a mode of organization called high reliability
organizations (HRO).2
HRO principles refer