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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33775/psn-pdf
    December 01, 2014 - for Patient Safety (APPS)WHO Service Delivery & Safety World Health OrganizationGeneva, Switzerland References
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33786/psn-pdf
    May 01, 2015 - PhDAssistant ProfessorDepartment of Learning Health SciencesUniversity of Michigan Medical School References
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853772/psn-pdf
    September 27, 2023 - Clinical Pharmacist, Endocrinology Department of Pharmacy UC Davis Health hcamarillo@ucdavis.edu References
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851158/psn-pdf
    June 28, 2023 - [Available at] References 1. Bourassa MG. The history of cardiac catheterization.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33705/psn-pdf
    January 01, 2011 - Surgical Consultant, CRICO/RMF Kathy Dwyer Program Director, Loss Prevention and Patient SafetyCRICO/RMF References
  6. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
    December 01, 2006 - heparin for flushes does not require an order and is available on the floor See Notes for complete references
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33684/psn-pdf
    May 01, 2009 - Baron, MDCEO, Greenhouse Internists, PCChair, American Board of Internal Medicine References Back to
  8. psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
    July 23, 2024 - References Stange KC. The problem of fragmentation and the need for integrative solutions.
  9. psnet.ahrq.gov/innovation/critical-radiology-alert-process
    November 16, 2022 - [Available at]   References https://pubmed.ncbi.nlm.nih.gov/25576049/ https://pubmed.ncbi.nlm.nih.gov
  10. 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
  11. Psn-Pdf (pdf file)

    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 https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov … //#references https://psnet.ahrq.gov//#table https://psnet.ahrq.gov//#references 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.
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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 https://psnet.ahrq.gov//#references To address the above problems … Professor of Hospital Medicine, UCSF Physician Lead for Inpatient Informatics, UCSF Medical Center References
  14. 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
  15. 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
  16. 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
  17. 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
  18. Psn-Pdf (pdf file)

    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 https://psnet.ahrq.gov//#references https … ://psnet.ahrq.gov//#references https://www.ahrq.gov/policy/electronic/disclaimers/index.html
  19. 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
  20. 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

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