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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - African Partnerships for Patient Safety: Lessons Learned
Shams B. Syed, MD, MPH | December 1, 2014
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Syed SS. African Partnerships for Patient Safety: Lessons Learned. PSNet [intern…
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - SPOTLIGHT CASE
Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery
Citation Text:
Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.. PSNet [internet]…
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psnet.ahrq.gov/node/37429/psn-pdf
February 17, 2011 - Outcomes of care by hospitalists, general internists, and
family physicians.
February 17, 2011
Lindenauer PK, Rothberg MB, Pekow PS, et al. Outcomes of Care by Hospitalists, General Internists, and
Family Physicians. New Engl J Med. 2007;357(25):2589-2600. doi:10.1056/nejmsa067735.
https://psnet.ahrq.gov/issue/ou…
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - Around the Block
Citation Text:
Minichiello T. Around the Block. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Format:
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psnet.ahrq.gov/node/45989/psn-pdf
June 07, 2017 - Radiologic safety events within a pediatric emergency
medicine network.
June 7, 2017
Blumberg SM, Mahajan P, O?Connell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency
Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684.
https://psnet.ahrq.gov/issue/radiologic-s…
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psnet.ahrq.gov/node/43779/psn-pdf
May 28, 2015 - Debriefing in the emergency department after clinical
events: a practical guide.
May 28, 2015
Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A
Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10.019.
https://psnet.ahrq.gov/issue/debri…
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psnet.ahrq.gov/node/44373/psn-pdf
August 12, 2015 - Healthcare Utilizing Deliberate Discussion Linking Events
(HUDDLE): a systematic review.
August 12, 2015
Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events
(HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188.
https://psnet.ahrq.gov/issue/healthcare-utilizing-del…
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psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx
Spotlight
Hurried Team Huddle and Poor Communication: Unsafe
Practice During Anesthesia for Emergency Cesarean
Delivery
Source and Credits
• This presentation is based on the June 2023 AHRQ WebM&M
Spotlight Case
o See…
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - SPOTLIGHT CASE
Chest Pain in a Rural Hospital
Citation Text:
MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/35703/psn-pdf
July 13, 2010 - Injury and liability associated with monitored anesthesia
care: a closed claims analysis.
July 13, 2010
Bhananker SM, Posner KL, Cheney FW, et al. Injury and liability associated with monitored anesthesia
care: a closed claims analysis. Anesthesiology. 2006;104(2):228-234.
https://psnet.ahrq.gov/issue/injury-and-l…
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psnet.ahrq.gov/node/43147/psn-pdf
July 19, 2017 - ACOG Committee Opinion #590: preparing for clinical
emergencies in obstetrics and gynecology.
July 19, 2017
Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies
in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5.
doi:10.1097/01.AOG.0000444442.04111.c6.
…
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psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - New Oral Anticoagulants
December 1, 2013
Fang MC. New Oral Anticoagulants. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/new-oral-anticoagulants
Case Objectives
Review properties of newer target-specific oral anticoagulants (TSOACs) such as dabigatran,
rivaroxaban, and apixaban.
State key perioperative c…
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psnet.ahrq.gov/node/840141/psn-pdf
November 16, 2022 - Toward zero harm: Mackenzie Health's journey toward
becoming a high reliability organization and eliminating
avoidable harm.
November 16, 2022
Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward
becoming a high reliability organization and eliminating avoidable harm. J P…
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psnet.ahrq.gov/node/39893/psn-pdf
November 02, 2010 - Surgical safety and hospital volume across a wide range
of interventions.
November 2, 2010
Eggli Y, Halfon P, Meylan D, et al. Surgical safety and hospital volume across a wide range of
interventions. Med Care. 2010;48(11):962-71. doi:10.1097/MLR.0b013e3181eaf9f6.
https://psnet.ahrq.gov/issue/surgical-safety-and-h…
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psnet.ahrq.gov/node/34886/psn-pdf
February 03, 2011 - Potentially inappropriate medication use among elderly
home care patients in Europe.
February 3, 2011
Fialová D, Topinková E, Gambassi G, et al. Potentially inappropriate medication use among elderly home
care patients in Europe. JAMA. 2005;293(11):1348-58.
https://psnet.ahrq.gov/issue/potentially-inappropriate-me…
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity
Barbara Pelletreau, RN; John Riggi | March 27, 2024
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Citation Text:
Pelletreau B, Riggi J. In Conversation with..Barbara Pe…
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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - Cybersecurity and How to Maintain Patient Safety
Barbara Pelletreau, RN; John Riggi; Bryan M. Gale, MA; Sarah E. Mossburg, RN, PhD | March 27, 2024
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Pelletreau B, Riggi J, Gale B…
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psnet.ahrq.gov/node/40394/psn-pdf
January 01, 2019 - Partnership for Patients.
October 6, 2016
Washington, DC: US Department of Health and Human Services.
https://psnet.ahrq.gov/issue/partnership-patients
Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to
decrease preventable harm in United States hospitals.…
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psnet.ahrq.gov/node/44866/psn-pdf
March 15, 2016 - Associations between attending physician workload,
teaching effectiveness, and patient safety.
March 15, 2016
Wingo MT, Halvorsen AJ, Beckman T, et al. Associations between attending physician workload, teaching
effectiveness, and patient safety. J Hosp Med. 2016;11(3):169-73. doi:10.1002/jhm.2540.
https://psnet.a…
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psnet.ahrq.gov/node/46001/psn-pdf
July 19, 2017 - Identifying hospitalized patients at risk for harm: a
comparison of nurse perceptions vs. electronic risk
assessment tool scores.
July 19, 2017
Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for
Harm: A Comparison of Nurse Perceptions vs. Electronic Risk Assess…