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psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
January 01, 2020 - Spotlight
The Lost Start Date, an Unknown
Risk of E-prescribing
Source and Credits
• This presentation is based on the October 2019
AHRQ WebM&M Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Adam Wright, PhD, and Gordon
Schiff, MD
○ Editor, AHRQ…
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psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
February 26, 2025 - I think that we're starting to get enough people within the profession that there's a base against which
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - nonmodifiable risk factors (female gender, heart failure, diabetes, and prior history of hyponatremia), starting … These measures include using low starting doses and intensified monitoring around the time of treatment
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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/node/843094/psn-pdf
January 25, 2023 - Getting Started with a Communication and Resolution
Program (CRP) Policy or Commitment Statement to CR.
January 25, 2023
Collaborative for Accountability and Improvement Policy Committee. Seattle, WA: University of
Washington; 2022
https://psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-c…
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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/web-mm/hindsight-2020-thrombolytics-alcohol-intoxication
December 18, 2024 - A 61-year-old patient presented to the emergency department (ED) by taxicab complaining of weakness starting … “The risk of symptomatic intracranial hemorrhage in the stroke mimic population is quite low; thus, starting … history, physical examination, clinical decision support tools, and point of care laboratory tests (starting
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psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-crp-policy-or-commitment-statement-cr
February 28, 2024 - Tools/Toolkit
Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR.
Citation Text:
Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. Collaborative for Accountability and Improvement Po…
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - This can be just a short briefing before going into a procedure or even before starting the day.
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - And is it mature, or is it
just starting? … Within the network, some health systems were just
starting out, some were on the curve and working harder … Sarah Mossburg: For organizations that are just starting, what advice would you have for them to move
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psnet.ahrq.gov/node/864867/psn-pdf
April 10, 2024 - 61-year-old patient presented to the emergency department (ED) by taxicab complaining of weakness
starting … The risk of symptomatic intracranial hemorrhage in the stroke mimic population
is quite low; thus, starting … history, physical examination, clinical decision support tools, and point of care laboratory
tests (starting
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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/sites/default/files/2024-05/spotlight_case_hindsight_is_2020_slides_final_revised_05.03.2024.pdf
January 01, 2024 - 61-year-old patient presented to the emergency department (ED) by taxicab
complaining of weakness starting … The risk of
symptomatic intracranial hemorrhage in the stroke mimic population is quite low;
thus, starting … history, physical examination, clinical decision support tools, and point
of care laboratory tests (starting
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psnet.ahrq.gov/node/33706/psn-pdf
February 01, 2011 - I think that we're starting to get enough people within the profession
that there's a base against which
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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/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/perspective/making-healthcare-safer-iii-report
March 30, 2020 - challenge, a thoroughly researched review of the evidence surrounding potential solutions, and provides the starting … hits and be lost on what to do, go to the relevant chapter/section in this report and use that as your starting … This is something that we are just starting to get our arms around, and we should spend more time on
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - Once adequately volume-
supported, the patient was able to answer all questions well and recalled starting … could have raised questions about this patient’s new prescription, asking why the patient was
not only starting … Starting a medication;
2. Taking my medication;
3. Adding a medication;
4.