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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - December 8, 2015
WebM&M Cases
Breathe Easy: Safe Tracheostomy … October 21, 2009
WebM&M Cases
Is It Safe to Be Direct
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Active, timely communication among all members of the clinical care team remains a cornerstone of safe … January 4, 2024
The delivery of safe and effective test result communication, management
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - professions in the Six Right’s—patient, drug, dose, route, time, concentration—is critical to effective and safe
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - Choice of sedation in endoscopic retrograde cholangiopancreatography: is monitored anesthesia care as safe … Medication Error and Recovery
January 31, 2024
Anesthesia workspaces for safe
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
February 01, 2003 - PowerPoint Presentation
Spotlight Case February 2003
Apnea in a Patient Under General Anesthesia
webmm.ahrq.gov
Source and Credits
This presentation is based on February 2003 Surgery–Anesthesia Spotlight Case
See full case–commentary on webmm.ahrq.gov
CME credit is available online
Commentary by: Paul Barach,…
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psnet.ahrq.gov/node/49790/psn-pdf
April 01, 2017 - term
"allergic reaction" for all significant reactions to medication or devices can be considered a safe
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psnet.ahrq.gov/node/33799/psn-pdf
January 01, 2015 - Clinician burnout is prevalent across health care settings and may impair clinicians' ability to maintain safe
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psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - That's the basis needed for us to even study things that create safe space to talk about near misses … difference in environment and care delivery impact your ability to measure the quality of care, or how safe … EMS personnel caring for patients in dynamic situations can influence efforts to monitor and deliver safe … culture is consistently linked to safety outcomes, and serves as a foundation for the provision of safe
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psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
May 16, 2022 - EMS personnel caring for patients in dynamic situations can influence efforts to monitor and deliver safe … culture is consistently linked to safety outcomes, and serves as a foundation for the provision of safe … That's the basis needed for us to even study things that create safe space to talk about near misses … difference in environment and care delivery impact your ability to measure the quality of care, or how safe
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - and reduce
the spread of COVID-19, and to ensure that patients and the healthcare workforce are kept safe … managing-teamwork-face-pandemic-evidence-based-tips
https://psnet.ahrq.gov/issue/integrative-total-worker-health-framework-keeping-workers-safe-and-healthy-during-covid … American College of Chest Physicians Joint Statement on Multiple Patients Per Ventilator
Institute for Safe
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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - Safe surgical care
9. Medication safety
10. … We worked on the second one with Atul Gawande and it came from Harvard with the Safe Surgery Checklist … All this work on providing safe care, providing high quality care, all of that will really flow from
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psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
November 13, 2024 - There is also a focus on national programs, such as Sugar/Safe-Temperature-Airway-Blood Pressure-Lab-Emotional … Additional printable resources addressing topics such as the flu, safe sleep, zika, and suggested management … November 13, 2024
Ensuring safe and equitable discharge: a quality improvement initiative
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - of becoming mechanistic and rhetorical, and, as that happens, it loses some of its power to promote safe … the staffing ratios in a given department, and the necessity of achieving other daily goals besides a safe … BS: Changing culture in and of itself is not the goal—rather, it is creating the context in which safe
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psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
December 01, 2006 - BS: Changing culture in and of itself is not the goal—rather, it is creating the context in which safe … of becoming mechanistic and rhetorical, and, as that happens, it loses some of its power to promote safe … the staffing ratios in a given department, and the necessity of achieving other daily goals besides a safe
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psnet.ahrq.gov/node/49464/psn-pdf
December 27, 2020 - Lap Burn
October 1, 2004
Ball K. Lap Burn. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lap-burn
The Case
A woman was scheduled for an elective diagnostic laparoscopy for dysfunctional uterine bleeding. After
accessing the abdomen with the trocar without complication, the surgeon inserted the laparoscope…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - Case: Signout Fallout (2)
On hospital day 4, the ICU team and the neurosurgeon decided it would be safe
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psnet.ahrq.gov/node/49496/psn-pdf
December 01, 2005 - manual dexterity (eg, self-administering injections), vision is crucial for other activities, such
as safe
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psnet.ahrq.gov/node/33603/psn-pdf
September 15, 2024 - contain guides and instructional
modules for implementing CUSP principles and methods for promoting safe
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - Long Term Care are a framework for improvement
Specific goals are:
Accurate resident identification
Safe
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - perspective/how-identify-and-manage-problem-behaviors
https://psnet.ahrq.gov/issue/surprising-way-stay-safe-hospital