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psnet.ahrq.gov/node/46579/psn-pdf
April 11, 2018 - Improvement strategies include use of graphics, timely patient-centered communication, and
scheduling appointments
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psnet.ahrq.gov/node/41028/psn-pdf
May 14, 2018 - This alert calls on hospitals to design work
schedules to minimize fatigue risks, monitor the safety
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psnet.ahrq.gov/node/33733/psn-pdf
July 01, 2012 - Also, sometimes when physicians order exactly the right medication, dose,
schedule, and route for the … The dose, schedule, route, time, and patient are clearly specified.
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - A Room Without Orders
January 1, 2016
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/room-without-orders
Case Objectives
Review a common process for planned direct hospital admissions.
Describe challenges of prioritizing day-to-day patient care activities wi…
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psnet.ahrq.gov/taxonomy/term/3460
August 11, 2025 - In fact, many of the systems problems discussed by Reason and others—poorly designed work schedules,
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psnet.ahrq.gov/node/40393/psn-pdf
December 21, 2014 - in inpatient medicine wards, due to numerous barriers including variability in physician and
nurse schedules
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psnet.ahrq.gov/node/38077/psn-pdf
January 31, 2011 - accreditation-council-graduate-medical-educations-limits-residents-work-hours-and-patient
https://psnet.ahrq.gov/issue/optimizing-graduate-medical-trainee-resident-hours-and-work-schedules-improve-patient-safety
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psnet.ahrq.gov/node/45310/psn-pdf
January 03, 2017 - of patients who had been referred
to a gastroenterology clinic and were not scheduled for in-person appointments … Investigators sought to
determine the number of patients deemed not to require appointments and how
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psnet.ahrq.gov/web-mm/production-pressures
November 16, 2022 - Production Pressures
Citation Text:
Carayon P. Production Pressures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/issue/core-entrustable-professional-activities-entering-residency
June 01, 2022 - Book/Report
Core Entrustable Professional Activities for Entering Residency.
Citation Text:
Core Entrustable Professional Activities for Entering Residency. Washington, DC: Association of American Medical Colleges; 2014.
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…
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - SPOTLIGHT CASE
A Room Without Orders
Citation Text:
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX EndNote X3…
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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/issue/armstrong-institute-patient-safety-and-quality
July 09, 2019 - October 24, 2018
Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules
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psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - An alternate approach would be to pursue throughout health system staggered schedule starts for trainees … members of the interprofessional team during the transition, and the implementation of staggered start schedules
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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - Production Pressures
May 1, 2007
Carayon P. Production Pressures. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/production-pressures
The Case
A 65-year-old man with bipolar disorder was scheduled for maintenance electroconvulsive therapy (ECT), a
procedure he had received dozens of times before. These pro…
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psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - These patients should be scheduled proactively by the
clinic for longer appointments during the first … Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to
Improve Patient
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psnet.ahrq.gov/glossary/swiss-cheese-model
September 13, 2021 - In fact, many of the systems problems discussed by Reason and others—poorly designed work schedules,
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psnet.ahrq.gov/issue/hamilton-father-misdiagnosed-lung-cancer-demands-answers
September 13, 2017 - Newspaper/Magazine Article
Hamilton father misdiagnosed with lung cancer demands answers.
Citation Text:
Hamilton father misdiagnosed with lung cancer demands answers. Carville O. The Star. November 14, 2014.
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Print
…
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psnet.ahrq.gov/issue/evolving-story-overlapping-surgery
April 19, 2016 - Commentary
The evolving story of overlapping surgery.
Citation Text:
Mello MM, Livingston EH. The Evolving Story of Overlapping Surgery. JAMA. 2017;318(3):233-234. doi:10.1001/jama.2017.8061.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
March 16, 2022 - Government Resource
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications.
Citation Text:
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. Alexandria, VA: Department of Defense, Office of the Inspector General; February 21…