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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - On the night shift, the bedside nurse went to see the patient at 3:00 AM to administer the next scheduled … The nurse administered the scheduled dose of intravenous hydromorphone.
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - One week later, the patient presented to the radiology department for an ultrasound that had been scheduled … of a number of such cases, plus related cases involving patients who do not appear for an important scheduled
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - After this trial, the labor and delivery department scheduled all involved individuals (approximately … Because training all individuals during the same week proved logistically difficult, the hospital scheduled
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psnet.ahrq.gov/node/851912/psn-pdf
August 02, 2023 - Fatigue amongst anaesthesiology and intensive care
trainees in Europe: a matter of concern.
August 2, 2023
Abramovich I, Matias B, Norte G, et al. Fatigue amongst anaesthesiology and intensive care trainees in
Europe: a matter of concern. Eur J Anaesthesiol. 2023;40(8):587-595. doi:10.1097/eja.0000000000001849.
ht…
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psnet.ahrq.gov/node/60244/psn-pdf
April 22, 2020 - Perioperative COVID-19 defense: an evidence-based
approach for optimization of infection control and
operating room management.
April 22, 2020
Dexter F, Parra MC, Brown JR, et al. Perioperative COVID-19 defense: an evidence-based approach for
optimization of infection control and operating room management. Anesth …
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psnet.ahrq.gov/node/836958/psn-pdf
April 20, 2022 - Crossover of the patient satisfaction surveys, adverse
events and patient complaints for continuous
improvement in radiotherapy department.
April 20, 2022
Cucchiaro SÉ, Princen F, Goreux JË, et al. Crossover of the patient satisfaction surveys, adverse events
and patient complaints for continuous improvement in ra…
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psnet.ahrq.gov/node/74054/psn-pdf
November 10, 2021 - Supervision, interprofessional collaboration, and patient
safety in intensive care units during the COVID-19
pandemic.
November 10, 2021
Hennus MP, Young JQ, Hennessy M, et al. Supervision, interprofessional collaboration, and patient safety
in intensive care units during the COVID-19 pandemic. ATS Sch. 2021;2(3):…
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psnet.ahrq.gov/node/49820/psn-pdf
February 01, 2018 - Returning Home Safely
February 1, 2018
Toles M. Returning Home Safely. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/returning-home-safely
The Case
A 72-year-old man was admitted to the hospital after a fall at home resulting in a right humerus fracture and
shoulder dislocation, as well as other injuries …
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psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
January 31, 2018 - ACGME's 2017 Revision of Common Program Requirements
Kathy Malloy; Timothy P. Brigham, PhD; Thomas J. Nasca, MD | August 1, 2017
View more articles from the same authors.
Citation Text:
Malloy K, Brigham TP, Nasca TJ. ACGME's 2017 Revision of Common Program Requir…
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psnet.ahrq.gov/node/49776/psn-pdf
November 01, 2016 - Continuity Errors in Resident Clinic
November 1, 2016
Warm EJ. Continuity Errors in Resident Clinic. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
The Case
A 32-year-old woman presented to internal medicine clinic for evaluation of headaches and difficulty
concentrating. …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
February 01, 2013 - Failure to Contact (3)
One week later, the patient went to the radiology department for an ultrasound scheduled
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psnet.ahrq.gov/node/43456/psn-pdf
October 03, 2017 - Veterans' Access to Care through Choice, Accountability,
and Transparency Act of 2014.
October 3, 2017
HR 3230, 113th Congress: 2014.
https://psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act-
2014
The Veterans Affairs (VA) health system has both achieved success and str…
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psnet.ahrq.gov/node/46449/psn-pdf
September 27, 2017 - VA hospitals flooded with complaints about care.
September 27, 2017
Estes A. Boston Globe. September 16, 2017.
https://psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care
Psychological safety can empower staff to communicate concerns that affect patient safety. This
newspaper article reports on Veteran…
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psnet.ahrq.gov/node/44557/psn-pdf
November 20, 2015 - Reforming the Veterans Health Administration—beyond
palliation of symptoms.
November 20, 2015
Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N
Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438.
https://psnet.ahrq.gov/issue/reforming-veterans-health-admi…
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psnet.ahrq.gov/node/45082/psn-pdf
April 27, 2016 - Surgeons must tell patients of double-booked surgeries,
new guidelines say.
April 27, 2016
Abelson J, Staltzman J. Boston Globe. April 13, 2016.
https://psnet.ahrq.gov/issue/surgeons-must-tell-patients-double-booked-surgeries-new-guidelines-say
Although scheduling overlapping surgeries may improve operating room e…
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psnet.ahrq.gov/node/73192/psn-pdf
April 23, 2012 - The longer the shifts for hospital nurses, the higher the
levels of burnout and patient dissatisfaction.
April 23, 2012
Stimpfel AW, Sloane DM, Aiken LH. The longer the shifts for hospital nurses, the higher the levels of
burnout and patient dissatisfaction. Health Aff (Millwood). 2013;31(11):2501-2509.
doi:10.137…
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psnet.ahrq.gov/node/848363/psn-pdf
May 03, 2023 - Impact of the percentage of overlapping surgery on
patient outcomes: a retrospective cohort study of 87,000
surgical cases.
May 3, 2023
Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient
outcomes: a retrospective cohort study of 87,000 surgical cases. Ann Surg. 2023;…
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psnet.ahrq.gov/node/50906/psn-pdf
February 19, 2020 - Implementation of a discharge education program to
improve transitions of care for patients at high risk of
medication errors.
February 19, 2020
Crannage AJ, Hennessey EK, Challen LM, et al. . Implementation of a discharge education program to
improve transitions of care for patients at high risk of medication err…
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psnet.ahrq.gov/node/47741/psn-pdf
March 06, 2019 - Association of overlapping surgery with perioperative
outcomes.
March 6, 2019
Sun E, Mello MM, Rishel CA, et al. Association of Overlapping Surgery With Perioperative Outcomes.
JAMA. 2019;321(8):762-772. doi:10.1001/jama.2019.0711.
https://psnet.ahrq.gov/issue/association-overlapping-surgery-perioperative-outcomes…
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psnet.ahrq.gov/node/43816/psn-pdf
November 21, 2016 - Family-initiated dialogue about medications during
family-centered rounds.
November 21, 2016
Benjamin JM, Cox E, Trapskin PJ, et al. Family-initiated dialogue about medications during family-centered
rounds. Pediatrics. 2015;135(1):94-101. doi:10.1542/peds.2013-3885.
https://psnet.ahrq.gov/issue/family-initiated-d…