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psnet.ahrq.gov/node/49391/psn-pdf
February 01, 2003 - In this case, the delay was not damaging, but represents
how difficult it can be for the psychiatric
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psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - This case represents a very serious near miss. But for the coincidence of Mrs.
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psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - and then undervalue data that would either support another diagnosis or refute the favored
diagnosis represents
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psnet.ahrq.gov/node/49847/psn-pdf
November 01, 2018 - I-PASS provides an organizational framework for both verbal and written handoff
communication and represents
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psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - integrated pharmacy systems—those with coordination between pharmacy and clinical
microbiology databases—represents
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psnet.ahrq.gov/web-mm/dangerous-detour
November 28, 2018 - were reported in US institutions.( 1 ) This number, drawn from a national “sentinel event” database, represents
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - Approach to Improving Patient Safety
While the patient in this case ultimately had a good outcome, it represents
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psnet.ahrq.gov/node/865984/psn-pdf
May 29, 2024 - The Commentary
By Vijay Agusala, MD, MBA, James Deen, MD and Saul Schaefer, MD
This case represents
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psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
July 17, 2024 - documentation, a CPOE alert, and a standardized screening question during the clinic intake process—represents
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psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary-0
October 23, 2019 - Book/Report
AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017.
Citation Text:
AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Rockville, MD: Agency for Healthc…
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psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
July 08, 2022 - Kelly, MD
This case represents a common event that frequently occurred in the hospital and especially … Strict attention to the risk of latex products represents an opportunity to improve health system safety
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psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
October 24, 2021 - A little bit about my organization: the American Society of Health-System Pharmacists (ASHP) represents … community pharmacies and found that nearly 90% of Americans live within 5 miles of a pharmacy. 1 This represents
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psnet.ahrq.gov/issue/can-patient-safety-be-measured-surveys-patient-experiences
March 04, 2020 - Study
Can patient safety be measured by surveys of patient experiences?
Citation Text:
Solberg LI, Asche SE, Averbeck BM, et al. Can patient safety be measured by surveys of patient experiences? Jt Comm J Qual Patient Saf. 2008;34(5):266-274.
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psnet.ahrq.gov/issue/educational-targets-reduce-medication-errors-general-surgery-residents
October 19, 2022 - Study
Educational targets to reduce medication errors by general surgery residents.
Citation Text:
Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009.
C…
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psnet.ahrq.gov/web-mm/surprise-wire
July 15, 2020 - On the surface, this case represents a straightforward example of “leaving something behind.”
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psnet.ahrq.gov/web-mm/feeling-no-pain
August 30, 2023 - center.( 9-11 ) In an effort to promote understanding among providers for whom systems-based thinking represents
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psnet.ahrq.gov/node/61079/psn-pdf
October 28, 2020 - This
antagonism of dopaminergic function represents the mechanism by which chlorpromazine exerts its
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - RN, MSc, and Wendy Chaboyer, RN, PhD This transfer from the postanesthesia care unit to the floor represents
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psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
August 31, 2020 - necessary communication points between providers and between providers and patients or family caregivers represents
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psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
January 29, 2021 - side effects of intravenous gentamicin therapy, the erroneous intravenous administration of this drug represents