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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - Crossed Coverage
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Steven R. Kayser, PharmD | February 1, 2007
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The Case A 27-year-old woman with a history of congenital heart di…
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psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
January 01, 2016 - Getting the (Right) Doctor, Right Away
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Kiran Gupta, MD, MPH, and Raman Khanna, MD | August 21, 2016
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The Case A 57-year-old woma…
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - fundamentals and model functionality. 15
Regulatory bodies should also play a role in setting guidelines and requirements
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - care is never going to do that because of the cost, the production pressure, the lack of regulatory requirements
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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - security, HHS recommends measures such as using a firewall and antivirus software, having strong password requirements
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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - Some states have set specific requirements for clinical hours in various types of settings, but the
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - equipment and installing them, but having goals around what the system would achieve, what are the requirements
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psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
July 01, 2017 - National Practitioner Data Bank: Malpractice Reporting Requirements.
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psnet.ahrq.gov/perspective/risk-management-and-patient-safety
December 01, 2010 - Perspective
ACGME's 2017 Revision of Common Program Requirements
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
April 24, 2024 - SPOTLIGHT CASE
CE/MOC
The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department.
PPT
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital.
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Garima Agrawal, MD, MPH, and Diana Mai Nguyen, MD
| June 14, 2023
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January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx
Spotlight
The Dose Makes the Poison: Medication Error During
Procedural Sedation in the Pediatric Emergency
Department
Source and Credits
• This presentation is based on the April 2023 AH…
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psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
August 16, 2023 - Delayed Recognition of a Positive Blood Culture
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Sarah Doernberg, MD, MAS | July 1, 2017
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The Case A 58-year-old woman with metas…
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - Medication Safety Events Related to Diagnostic Imaging
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Luciano Sanchez, PharmD, Hollie Porras, PharmD, BCPS, and Cathy Lammers, MD
| July 8, 2022
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psnet.ahrq.gov/primer/radiation-safety
September 07, 2019 - Radiation Safety
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September 7, 2019
Background
Technological advances in medicine have given physicians the tools to diagnose and treat diseases much more quickly and accur…
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psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
April 24, 2024 - The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - Preventing PICC Complications: Whose Line Is It?
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Nancy Moureau, BSN, RN, CRNI, CPUI, VA-BC | December 1, 2012
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The Case
A 55-yea…
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-requiring-intensive-care-admission-systematic
May 16, 2018 - Review
Incidence and preventability of adverse events requiring intensive care admission: a systematic review.
Citation Text:
Vlayen A, Verelst S, Bekkering GE, et al. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. J Eval Clin Pr…
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psnet.ahrq.gov/issue/safe-electronic-health-record-use-requires-comprehensive-monitoring-and-evaluation-framework
November 19, 2014 - Commentary
Safe electronic health record use requires a comprehensive monitoring and evaluation framework.
Citation Text:
Sittig DF, Classen D. Safe electronic health record use requires a comprehensive monitoring and evaluation framework. JAMA. 2010;303(5):450-451. doi:10.1001/jama.20…