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psnet.ahrq.gov/web-mm/ectopic-or-not
March 27, 2024 - Ectopic or Not?
Citation Text:
Givens VM, Lipscomb GH. Ectopic or Not?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - a strategic emphasis on safety (2), and have difficulty implementing abstract concepts like
"high reliability
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psnet.ahrq.gov/web-mm/urine-tough-position
January 01, 2009 - October 25, 2023
COVID-19 and patient safety: time to tap into our investment in high reliability
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psnet.ahrq.gov/node/49389/psn-pdf
February 01, 2003 - poor carpenter blames his tools,” it is nonetheless important to question both the design and the reliability
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psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - beyond the technical analysis is the more challenging judgment regarding what is an acceptable level
of reliability
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - Systems solutions such as checklists, safeguards, and process standardization can improve
reliability
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psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - It's an unfortunate reminder that the reliability of
patient reports to pinpoint biopsy site locations
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - minimum they need to understand basic
patient safety concepts, such as culture of safety and high reliability
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psnet.ahrq.gov/node/33765/psn-pdf
April 01, 2014 - Understandably, for many providers and hospital associations, their
standards for the reliability of
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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - a strategic emphasis on safety ( 2 ), and have difficulty implementing abstract concepts like "high reliability … Interview
In Conversation with Timothy Vogus about High Reliability
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - In our early work in assessing interrater reliability of determining the timing of an illness or complication … review to be poor (kappa<0.5) for seven conditions, moderate (0.512) In recent assessments of interrater reliability
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - a strategic emphasis on safety ( 2 ), and have difficulty implementing abstract concepts like "high reliability … Analysis
February 26, 2025
Perspective
High Reliability
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psnet.ahrq.gov/node/33609/psn-pdf
March 15, 2025 - Clinical Decision Support Systems
March 15, 2025
Clinical Decision Support Systems. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/clinical-decision-support-systems
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice…
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psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
January 01, 2019 - Spotlight
Missed Opportunities for Suicide
Risk Assessment
Source and Credits
• This presentation is based on the November 2019 AHRQ WebM&M
Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Glen Xiong, MD & Debra Kahn, MD
○ Editors in Chief, AHRQ We…
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psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
September 01, 2017 - Missed Patient Assignment: Is Anyone There?
Citation Text:
Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/web-mm/premature-extubation
May 25, 2011 - Premature Extubation
Citation Text:
Sagana R, Hyzy RC. Premature Extubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - Spinal Epidural Abscess
Citation Text:
Lu Y, Salvador D. Spinal Epidural Abscess. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax
Citation Text:
Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …
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psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
July 23, 2024 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans
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May 31, 2023
Innovation
Contact
…
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psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - Just Culture & high reliability. Journal of Emergency Medical Services. April 18, 2018. … https://www.jems.com/ems-insider/just-culture-high-reliability
5.