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psnet.ahrq.gov/node/33656/psn-pdf
September 01, 2007 - Robert Wachter, Editor, AHRQ WebM&M: You started Better with a story about the "eyeball test"? … But I really didn't have it come together until I started thinking about the hospital in
Pittsburgh
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psnet.ahrq.gov/node/40753/psn-pdf
September 07, 2011 - Preoperative surgical briefings do not delay operating
room start times and are popular with surgical team
members.
September 7, 2011
Ali M, Osborne A, Bethune R, et al. Preoperative surgical briefings do not delay operating room start times
and are popular with surgical team members. J Patient Saf. 2011;7(3):139-…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
May 01, 2010 - He was started on total parenteral nutrition (TPN) with Premasol Amino acid solution at 3g/kg/d and Dextrose
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psnet.ahrq.gov/node/33811/psn-pdf
June 01, 2016 - When I started at Sinai Health System 6 years ago, I focused on high-alert
medications: anticoagulants
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psnet.ahrq.gov/node/50779/psn-pdf
January 08, 2020 - STOPP/START criteria for potentially inappropriate
medications/potential prescribing omissions in older
people: origin and progress.
January 8, 2020
O’Mahony D. STOPP/START criteria for potentially inappropriate medications/potential prescribing
omissions in older people: origin and progress. Expert Rev Clin Pharm…
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psnet.ahrq.gov/node/45074/psn-pdf
June 01, 2016 - Post-event debriefings during neonatal care: why are we
not doing them, and how can we start?
June 1, 2016
Sawyer T, Loren D, Halamek LP. Post-event debriefings during neonatal care: why are we not doing them,
and how can we start? J Perinatol. 2016;36(6):415-9. doi:10.1038/jp.2016.42.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - Getting Started with This Innovation
According to the CCHS team, to get started, sites will need to
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psnet.ahrq.gov/node/866995/psn-pdf
October 30, 2024 - In the meantime, on hospital day 4, the patient had been started on 7500 units of unfractionated heparin … subarachnoid hemorrhage, unfractionated heparin
was a reasonable option.13 Notably, it had already been started
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - ThedaCare
and Virginia Mason Medical Center both started in roughly 2003. … MG: There are some really compelling examples where very senior leaders have started to be open with
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psnet.ahrq.gov/node/39344/psn-pdf
March 03, 2010 - Mistake-proofing healthcare: why stopping processes
may be a good start.
March 3, 2010
Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus
Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007.
https://psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopp…
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psnet.ahrq.gov/innovation/virtual-hospitalist-program-address-hospitals-challenges-start-covid-19-pandemic
October 30, 2024 - A Virtual Hospitalist Program to Address a Hospital’s Challenges at the Start of the COVID-19 Pandemic
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April 27, 2022
Innovation
Conta…
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psnet.ahrq.gov/node/46790/psn-pdf
March 14, 2018 - When clinicians drop out and start over after adverse
events.
March 14, 2018
Rodriquez J, Scott SD. When Clinicians Drop Out and Start Over after Adverse Events. Jt Comm J Qual
Patient Saf. 2018;44(3):137-145. doi:10.1016/j.jcjq.2017.08.008.
https://psnet.ahrq.gov/issue/when-clinicians-drop-out-and-start-over-afte…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - The senior resident on the neurosurgical service told the intern that "heparin should be started if the
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psnet.ahrq.gov/node/46551/psn-pdf
October 25, 2017 - Inpatient notes: diagnostic excellence starts with an
incessant watch.
October 25, 2017
Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch.
Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447.
https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce…
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - When the morning shift started, the new
nursing assistant called the team to bedside as the patient … She was transferred
from the PACU to the inpatient floor that evening and started on a hydromorphone
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psnet.ahrq.gov/node/842919/psn-pdf
February 01, 2023 - The patient was started on a continuous insulin infusion and transitioned to
subcutaneous insulin as … An insulin drip was started for treatment of DKA.
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psnet.ahrq.gov/node/73200/psn-pdf
April 28, 2021 - Dextrose-containing fluids were started as
the patient was not tolerating any oral intake and?an? … an insulin
drip was started, after which?the patient’s?metabolic derangements normalized and?her?
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - Getting Started with This Innovation
Getting Started with This Innovation
Refine and expand program
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psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - Strongyloides infection before any immunosuppressant medications (such as chemotherapy or steroids) were started … be screened, but it is imperative to screen patients who are about to receive or who have recently started
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psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - The attending anesthesiologist took over, but before intubation could be performed, the patient started … After about two minutes, the patient started to cough up bloody secretions and was administered 100%