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psnet.ahrq.gov/node/867849/psn-pdf
February 26, 2025 - References
1. Carayon P, Schoofs Hundt A, Karsh BT, et al.
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psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - Mossburg, RN, PhD
Senior Researcher
AIR
Crystal City, VA
References
https://psnet.ahrq.gov//#_edn12
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psnet.ahrq.gov/node/72564/psn-pdf
November 14, 2018 - Columbia, MD
Bryan Gale, MA
Senior Research Analyst, IMPAQ Health
IMPAQ International
Columbia, MD
References
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psnet.ahrq.gov/node/865698/psn-pdf
April 24, 2024 - Mossburg, RN, PhD
Senior Researcher
American Institutes for Research (AIR)
Columbia, MD
References
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psnet.ahrq.gov/node/33838/psn-pdf
July 01, 2017 - ScD, MPH Professor of Medicine and Law Stanford University School of Medicine
Stanford Law School
References
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psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
April 01, 2003 - Leape, MD Adjunct Professor of Health PolicyHarvard School of Public Health
References
Back to Top
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psnet.ahrq.gov/node/60746/psn-pdf
July 29, 2020 - Maternal-Fetal Medicine
Department of Obstetrics and Gynecology
UC Davis Health
hlhedriana@ucdavis.edu
References
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psnet.ahrq.gov/node/853981/psn-pdf
September 27, 2023 - Psychiatry
Department of Psychiatry and Behavioral Sciences
UC Davis Health
gxiong@ucdavis.edu
References
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psnet.ahrq.gov/node/840255/psn-pdf
November 16, 2022 - Mossburg, RN, PhD
Senior Researcher
AIR
Arlington, VA
References
1. What is ergonomics (HFE)?
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.185_slideshow.ppt
October 01, 2008 - access may develop enhanced expectations for timely and accurate delivery of information
See Notes for references … Computer and Internet access for medically underserved populations has been expanding
See Notes for references … supported by health promoters
In both examples, the patient manages privacy and security
See Notes for references … national experience with personal health records, will stimulate further innovation
See Notes for references
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psnet.ahrq.gov/node/49744/psn-pdf
October 01, 2015 - The rationale for meaningful use was
https://psnet.ahrq.gov//#references
simple: policymakers were … Given the
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https://psnet.ahrq.gov … //#references
https://psnet.ahrq.gov//#table
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clinical decision … https://psnet.ahrq.gov//#references
The technical challenges won't be solved until or unless we all … References
1. Excerpts from the American Recovery and Reinvestment Act of 2009.
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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
In this case, the preoperative … communication among caregivers and patients, the incidence and
http://www.drugid.info
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#figure
https://psnet.ahrq.gov//#figure … Pittsburgh School of Pharmacy
Executive Director of Pharmacy
University of Pittsburgh Medical Center
References
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psnet.ahrq.gov/node/49766/psn-pdf
August 21, 2016 - per year.(4)
https://psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references
In this case, the delayed communication surrounded the diagnosis … https://psnet.ahrq.gov//#references
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To address the above problems … Professor of Hospital Medicine, UCSF Physician Lead for Inpatient
Informatics, UCSF Medical Center
References
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.296_slideshow.ppt
April 01, 2013 - metabolic homeostasis (e.g., hyper- or hypoglycemia, fluid and electrolyte problems)
See Notes for references … evidence or generally accepted practices) are available from national organizations
See Notes for references … safe PN practice guidelines
Unfortunately, adherence to these guidelines has been poor
See Notes for references … providers and may require less clarification or intervention compared with written orders
See Notes for references … formulations, but these may not be safer in the absence of a standardized PN-use process
See Notes for references
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
July 01, 2011 - measurements of Internationalized Normalized Ratio (INR) and adjustments in the warfarin dose
See Notes for references … checked every 28 days but one week was appropriate in light of recent hospitalization
See Notes for references … improve INR control
Standardized, patient-centered approaches seem to be more effective
See Notes for references … than warfarin, but may be cost effective because there is no INR testing and monitoring
See Notes for references
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
October 01, 2011 - setting of acute illness but key to minimize impact of hospital-acquired deconditioning
See Notes for references … Contraindications for exercising ICU patients
Termination thresholds for activity
See Notes for references … support)
At risk for complications preventable with early
exercise and activity
*
See Notes for references … ventilator setting for increase in positive end-expiratory pressure or assist control mode
*
See Notes for references
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.257_slideshow.ppt
December 01, 2011 - 100% of hospitalists and most emergency physicians use iPads in direct clinical care
See Notes for references … communication among health care teams through use of video, pictures, text messaging, or email
See Notes for references … providers
Allow for bedside decision support which helps clinicians provide optimal care
See Notes for references … (PHI)
May also increase interruptions, which may be associated with medical errors
See Notes for references
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - name=fiverights
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#table
https://psnet.ahrq.gov … //#references
each other (as they did in this case) and combine with the active failure of individuals … Hedy Cohen, RN, BSN, MS Vice President Institute for Safe Medication Practices
References
1. … View AHRQ Disclaimers
http://www.ismp.org/Tools/AssessERR.pdf
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https … ://psnet.ahrq.gov//#references
https://www.ahrq.gov/policy/electronic/disclaimers/index.html
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - The trends are likely explained by higher caloric intake and lower physical activity
See Notes for references … disproportionately affected—T2DM comprises 46%–86% of all new cases of diabetes in minority youth
See Notes for references … recommendations, sexual histories in adolescents are sometimes inappropriately omitted
See Notes for references … mothers are less likely to receive prenatal care and more likely to deliver prematurely
See Notes for references … fold
The analysis estimated that 45% of pregnant teens have a history of sexual abuse
See Notes for references
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.167_slideshow.ppt
January 01, 2008 - considered mistakes
This data relies on self-reporting and likely underestimates magnitude
See Notes for References … shame may be long-lasting
Feelings appear to occur regardless of stage of training
See Notes for References … emotions
Do not avoid the patient
Avoid defensive medical practice
Accept responsibility
See Notes for References … rather than a sign of weakness
Disclose error to patient and apologize if appropriate
See Notes for References … opportunity for professional role-modeling of error acknowledgment and open discussion
See Notes for References