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psnet.ahrq.gov/curated-library/world-patient-safety-day-2024-improving-diagnosis-patient-safety
August 30, 2023 - psychotic presentations, and the need for clear communication between medical specialists to ensure safe
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - Air on the Side of Caution
April 1, 2018
Robertson JM, Pozner CN. Air on the Side of Caution. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/air-side-caution
The Case
A young woman with morbid obesity was scheduled for cardiac catheterization to evaluate shortness of
breath and chest pain. A decision was m…
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psnet.ahrq.gov/node/49515/psn-pdf
July 01, 2006 - Nothing's safe: some schools ban peanut butter as allergy threat. The New York Times.
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psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - : does the fact that there was ultimately no harm indicate that
systems worked effectively and are safe
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psnet.ahrq.gov/node/73643/psn-pdf
August 01, 2022 - patients transition from the inpatient hospital setting to a SNF, with the objective of
promoting safe
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psnet.ahrq.gov/node/33640/psn-pdf
September 01, 2006 - Is it possible to provide effective, safe care, and to do so
without increasing costs even more?
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psnet.ahrq.gov/node/49414/psn-pdf
September 01, 2003 - In general, it
is a safe, easily learned procedure that has excellent surgical outcomes.(1,2)
https
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psnet.ahrq.gov/node/49727/psn-pdf
March 01, 2015 - critical values, available guidelines about best practices, and practical considerations in
designing safe
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psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - Large volume paracentesis is generally safe, but blood pressure may fall and require treatment.
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psnet.ahrq.gov/node/49659/psn-pdf
July 01, 2012 - Education and mentoring
There is a dearth of effective strategies to teach and foster high-quality and safe
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psnet.ahrq.gov/node/49507/psn-pdf
April 01, 2006 - The system changes necessary for high
quality and safe care are impossible unless we recognize and change
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psnet.ahrq.gov/node/49556/psn-pdf
March 01, 2008 - Matthew Grissinger, RPh Director, Error Reporting Programs Institute for Safe Medication Practices
References
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psnet.ahrq.gov/node/49812/psn-pdf
November 01, 2017 - Errors_in_the_Laboratory.htm
https://www.ncbi.nlm.nih.gov/pubmed/15555749
http://www.who.int/patientsafety/topics/safe-surgery
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psnet.ahrq.gov/node/49595/psn-pdf
December 01, 2009 - "Superficial" Report Leads to "Deep" Problem
December 1, 2009
Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
The Case
A 35-year-old woman presented to the emergency department (ED) complaining of left foot and an…
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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - The department established safe processes and expectations for staff training and
behavior.
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psnet.ahrq.gov/node/33876/psn-pdf
August 01, 2018 - For executives, making healthcare safe is a leadership imperative.
Healthc Exec. 2017;32:8-9.
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psnet.ahrq.gov/node/33727/psn-pdf
March 01, 2012 - generate payouts.(1,2) On the other hand, it is abundantly clear that health care delivery is far
from safe
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psnet.ahrq.gov/node/49456/psn-pdf
July 12, 2004 - this case if the interns were
sleeping in their call rooms or busy admitting patients, but it is a safe
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psnet.ahrq.gov/node/49695/psn-pdf
October 01, 2013 - Finding Fault With the Default Alert
October 1, 2013
Baysari M. Finding Fault With the Default Alert. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/finding-fault-default-alert
The Case
A 33-year-old man with known refractory epilepsy and developmental delay was admitted to the hospital
after experiencing …
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psnet.ahrq.gov/node/49551/psn-pdf
December 01, 2007 - Too Hot For Comfort
December 1, 2007
Cleland H, Wasiak J. Too Hot For Comfort. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/too-hot-comfort
The Case
A 4-month-old infant admitted to rule out sepsis was receiving maintenance intravenous (IV) fluid and IV
antibiotics via a peripheral line in the left antec…