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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - Building Capacity for Patient Safety
Regina M. Hoffman, MBA, RN, Cindy Manaoat Van, MHSA, CPPS, Sarah E. Mossburg, RN, PhD
| July 31, 2023
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psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
October 01, 2009 - The Fluidity of Diagnostic "Wet Reads"
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Cindy S. Lee, MD, and Christopher P. Hess, MD, PhD | May 1, 2016
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The Case A 64-year-old …
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
July 01, 2017 - Team Training: Classroom Training vs. High-Fidelity Simulation
Stephen D. Pratt, MD and Benjamin P. Sachs, MB | March 1, 2006
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psnet.ahrq.gov/web-mm/all-history
February 01, 2006 - SPOTLIGHT CASE
All in the History
PPT
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Christopher Fee, MD | March 21, 2009
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Case Objectives Describe the Emergenc…
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psnet.ahrq.gov/issue/fda-101-medication-errors
March 11, 2015 - Government Resource
FDA 101: Medication Errors.
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March 26, 2008
This fact sheet discusses the role of the Food and Drug Administration (FDA) in reducing medica…
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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
August 16, 2023 - Critical Order Set Change and Critical Limb Ischemia
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Brian Clay, MD | January 1, 2019
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The Case A 72-year-old woman with a histo…
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psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens
September 01, 2021 - Press Release/Announcement
FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy.
Citation Text:
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 20, 2021.
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient.
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Zachary Chaffin, MD | January 4, 2024
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The Case
A 9-…
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psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
March 27, 2024 - Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes
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March 29, 2023
Innovation
Contact
Innov…
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psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
March 13, 2013 - CVC Removal: A Procedure Like Any Other
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Michelle Feil, MSN, RN | June 1, 2014
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The Case
A 27-year-old man with a history of Behç…
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psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
March 06, 2005 - One Bronchoscopy, Two Errors
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Elise Orvedal Leiten, MD, and Rune Nielsen, MD, PhD | January 1, 2019
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The Case
A 67-year-old man w…
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - In Conversation with...Peter J. Pronovost, MD, PhD
October 1, 2010
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Editor's note: Peter J. Pronovost, MD, PhD…
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psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2010 - SPOTLIGHT CASE
E-prescribing: E for error?
PPT
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Elisa W. Ashton, PharmD | February 1, 2012
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Case Objectives
Define…
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psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - In Conversation with…Carolyn Clancy, MD
September 1, 2005
Also Read an Essay
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Editor's Note: Dr. Carolyn Clancy has been the Direc…
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psnet.ahrq.gov/issue/patient-health-information-and-quality-improvement-act-2000
March 06, 2005 - Legislation/Regulation
Patient Health Information and Quality Improvement Act of 2000.
Citation Text:
Hannon K
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March 27, 2005
Hannon K…
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psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
September 07, 2019 - Disruptive and Unprofessional Behavior
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September 7, 2019
Background
Although the television physician of old was sometimes depicted as grandfatherly (Marcus Welby), today'…
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psnet.ahrq.gov/primer/communication-between-clinicians
September 07, 2019 - Communication Between Clinicians
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September 7, 2019
Background
This Patient Safety Primer will discuss methods of improving communication between clinicians in the context …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.365_slideshow.ppt
January 01, 2016 - PowerPoint Presentation
Spotlight
A Room Without Orders
1
This presentation is based on the January 2016
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Amy Vogelsmeier, PhD, RN, Sinclair School of Nursing; and Laurel Despins, PhD, RN, Sinclair Sc…
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psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx
Spotlight
A Complicated Course: Severe Alcohol Withdrawal with
Dexmedetomidine Infusion
Source and Credits
• This presentation is based on the July 2023 AHRQ WebM&M
Spotlight Case
o See the full article at ht…
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psnet.ahrq.gov/issue/safe-medication-administration-tool-kittm
August 11, 2021 - Slideset
Safe Medication Administration Tool Kit™.
Citation Text:
AORN
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July 6, 2005
AORN
This toolkit focuses on medication…