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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - screening with minimal impact on care delivery.6,7 In primary care and outpatient clinics, where
appointments … Scheduling rapid follow-up visit
appointments before discharge helps bridge the gap between inpatient
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psnet.ahrq.gov/issue/influencing-sceptical-staff-become-supporters-service-improvement-qualitative-study-doctors
September 02, 2020 - Patient safety, resident well-being and continuity of care with different resident duty schedules
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psnet.ahrq.gov/issue/ssssh-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-regional
March 08, 2017 - Patient safety, resident well-being and continuity of care with different resident duty schedules
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psnet.ahrq.gov/node/33693/psn-pdf
February 01, 2010 - degradation, and the risk of error.(19) The Committee on
Optimizing Graduate Medical Trainee Hours and Work Schedules
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psnet.ahrq.gov/issue/safety-relevant-mode-confusions-modelling-and-reducing-them
April 28, 2021 - Patient safety, resident well-being and continuity of care with different resident duty schedules
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psnet.ahrq.gov/web-mm/real-heartache
October 01, 2018 - sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules
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psnet.ahrq.gov/node/33672/psn-pdf
September 01, 2008 - Then the
pharmacy needs to approve the medications and set the right schedules electronically for the
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psnet.ahrq.gov/node/33801/psn-pdf
February 01, 2016 - control over your local environment—autonomy in terms of developing your
workflows, developing your schedule
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - Each time he was referred to podiatry, but he never went to any podiatry appointments. … In this case, the frame "return visit for peripheral neuropathy, not attending podiatry appointments" … Patient safety, resident well-being and continuity of care with different resident duty schedules
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psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
April 24, 2018 - The patient missed this follow-up appointment and ultimately returned to the clinic several months later
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - year-old man with widely metastatic gastric cancer presented to his oncologist's office for a follow-up appointment
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psnet.ahrq.gov/periodic-issue/periodic-issue-444
May 29, 2024 - June 12, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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psnet.ahrq.gov/web-mm/near-miss-neonate
August 15, 2018 - Near Miss With Neonate
Citation Text:
Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - Central, not Epidural
Citation Text:
Simmons D. Central, not Epidural. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/situational-unawareness
August 01, 2009 - Situational (Un)Awareness
Citation Text:
Abramson EL, Kaushal R. Situational (Un)Awareness. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
March 30, 2016 - Chemotherapy Administration Safety Standards
Citation Text:
Bergsbaken J. Chemotherapy Administration Safety Standards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - Cups of Error
Citation Text:
Blegen MA, Pepper GA. Cups of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/node/49661/psn-pdf
August 01, 2012 - Residual Anesthesia: Tepid Burn
August 1, 2012
Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
The Case
A 42-year-old Filipino man presented to an outpatient surgery center for scheduled repair of an anal fistula.
The pat…
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psnet.ahrq.gov/web-mm/patient-mix
December 01, 2007 - Patient Mix-Up
Citation Text:
Shojania KG. Patient Mix-Up. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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…
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psnet.ahrq.gov/node/33634/psn-pdf
May 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia
May 1, 2006
Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia.
PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
Perspective
Over the last decade, sur…