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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - implemented approaches to date include the following:
Self-reporting tools: Hospitals can implement short
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - Australian study found no benefit, but the implementation was somewhat flawed and the follow-up relatively short
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psnet.ahrq.gov/web-mm/think-surgeon
December 04, 2024 - Think Like a Surgeon
Citation Text:
Cooper Z. Think Like a Surgeon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - metabolized by the liver; therefore, in patients with AWS with liver injury or liver dysfunction, a short … comparing clinical outcomes in non-intubated patients with severe AWS treated with continuous infusions of short-acting
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - So, you really are educating, and it's a lot to do often in a very short period of time. … Or are there steps that we can take now and things that are actionable now for the short term that we
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - So, you really are educating, and it's a lot to do often in a very short period of time. … Or are there steps that we can take now and things that are actionable now for the short term that we
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
April 01, 2015 - PowerPoint Presentation
Spotlight
Dissecting the Presentation
*
This presentation is based on the April 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Shirley Beng Suat Ooi, MBBS (S'pore), Emergency Medicine Department, National Univers…
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - Fumbled Handoff
Citation Text:
Vidyarthi A. Fumbled Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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…
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psnet.ahrq.gov/node/867475/psn-pdf
February 26, 2025 - sedating medications at once
or when different opioid prescriptions are provided in overlapping or short
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psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
July 23, 2024 - New nurses and those on short-term assignments (i.e., travel nurses) should receive training on nurses
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psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
February 24, 2022 - dental treatment and instead only provide patients with temporizing measures such as prescriptions for short-term … Considerations
The COVID-19 pandemic has impacted how dental care can be safety delivered in the short
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psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - SPOTLIGHT CASE
How Do Providers Recover From Errors?
Citation Text:
West CP. How Do Providers Recover From Errors?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
August 21, 2024 - Doctor, Don't Treat Thyself
Citation Text:
Rosvold EO. Doctor, Don't Treat Thyself. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - Written materials should be at a 4th to 6th grade level, use short
sentences and simple words, provide
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - Written materials should be at a 4th to 6th grade level, use short sentences and simple words, provide
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - In short, we need to discard our goal of achieving some idealized vision of a health care safety culture … approaches to preventing errors, the pressures of turning residents into competent clinicians in a short
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - Radiology has been remarkably successful in achieving unprecedented growth and impact in a relatively short … Unfortunately, the evidence that can guide imaging is in short supply and, for most clinical questions
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - Adverse Event During Intrahospital Transport
Citation Text:
Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/inflicting-confusion
August 04, 2021 - A short-term study of chimeric monoclonal antibody cA2 to tumor necrosis factor alpha for Crohn's disease
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - Getting the Diagnosis Both Right and Wrong
Citation Text:
Olson AP. Getting the Diagnosis Both Right and Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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