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psnet.ahrq.gov/node/866578/psn-pdf
August 28, 2024 - requiring pharmacists to review orders for all high alert medications, such as insulin, in non-crash
situations
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psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
June 01, 2014 - which is more aimed at how to create habits that will make you become smarter in terms of looking at situations
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - However, clinicians in these situations should consider the following questions: If you were the previously
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psnet.ahrq.gov/node/33770/psn-pdf
August 01, 2014 - had between-visit contact with people, the more that you contact people the more
potential adverse situations
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - In these situations, however, it is very important that surgeons use all tools at their disposal to mitigate
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - nuanced and influenced by many complex factors, including the lack of high-quality evidence in specific situations
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psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - Also seeing that in certain situations supervisors are keen for
you to deviate from the rules if it
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psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
April 27, 2022 - For example, clinician peer input can affect diagnostic accuracy and confidence, particularly in situations
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
April 27, 2022 - hospitals should establish a massive transfusion protocol (MTP) that can be instituted in appropriate situations
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - requiring pharmacists to review orders for all high alert medications, such as insulin, in non-crash situations
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psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - Remle Crowe: Conversely, we could find situations where I will go in as the EMT and I’m met by somebody … The setting and workflow experienced by EMS personnel caring for patients in dynamic situations can influence
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - Sarah Mossburg: Are there situations where a zero harm approach to goal setting has been successful? … Are there any situations where clinicians might find that type of goal motivating?
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psnet.ahrq.gov/node/60220/psn-pdf
April 29, 2020 - Implicit Biases, Interprofessional Communication, and
Power Dynamics
April 29, 2020
Sanchez ES, Tran-Reina M, Ackerman-Barger K, et al. Implicit Biases, Interprofessional Communication,
and Power Dynamics. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/implicit-biases-interprofessional-communication-and-pow…
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psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
September 27, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up
Citation Text:
Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
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psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - Making Just Culture a Reality: One Organization's Approach
Alison H. Page, MS, MHA | October 1, 2007
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [in…
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psnet.ahrq.gov/perspective/safety-medical-devices
June 01, 2011 - The Safety of Medical Devices
Christopher Nemeth, PhD | June 1, 2011
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Nemeth CP. The Safety of Medical Devices. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and…
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psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
August 01, 2006 - lesson: enlightened, risk-taking leadership is the only way to achieve significant culture change in situations
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - expected norms and incidental lysis of adhesions (both relatively trivial procedures) to life-threatening situations
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psnet.ahrq.gov/issue/door-doc-patient-safety-toolkit
August 17, 2011 - Multi-use Website
Door-to-Doc Patient Safety Toolkit.
Citation Text:
Banner Health.
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January 9, 2008
Banner Health.
Th…
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psnet.ahrq.gov/node/49683/psn-pdf
April 01, 2013 - Acute Care Admission of the Behavioral Health Patient
April 1, 2013
Weiss AP, Rosenbaum JF. Acute Care Admission of the Behavioral Health Patient. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
The Case
A 25-year-old man presented to the emergency department (E…