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psnet.ahrq.gov/node/49806/psn-pdf
September 01, 2017 - She considered starting antibiotics but held off as the patient looked well and did not
"screen positive … The admitting internist also
deferred starting antibiotics, in part guided by the negative sepsis screening
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psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - Starting antibiotics in these circumstances is not necessarily an error, but continuing them for 3 weeks … clear focus of infection usually are not harmed by waiting until culture results are available before starting
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psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders
March 04, 2015 - Commentary
Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders.
Citation Text:
Crandell BC, Bates JS, Grgic T. Start using a checklist, PRONTO: Recommendation for a standard review process for chemotherapy orders. J Oncol Pharm Pract. 201…
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psnet.ahrq.gov/node/49782/psn-pdf
January 01, 2017 - When things go badly, clinicians
may later be asked what they were thinking by starting vasopressors
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psnet.ahrq.gov/issue/draft-guidelines-safe-communication-electronic-medication-information
September 30, 2020 - Newspaper/Magazine Article
Draft Guidelines for the Safe Communication of Electronic Medication Information.
Citation Text:
Draft Guidelines for the Safe Communication of Electronic Medication Information. Institute for Safe Medication Practices. Acute Care Edition. August 27, 2015;2;1-3…
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psnet.ahrq.gov/node/33885/psn-pdf
August 01, 2019 - We studied it in
2016, back when we were starting the program.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - Starting a Medication Reconciliation Program
Identify a champion and a multidisciplinary team to work
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psnet.ahrq.gov/issue/disrespectful-behavior-healthcarehave-we-made-any-progress-last-decade
March 15, 2022 - Newspaper/Magazine Article
Disrespectful behavior in healthcare...have we made any progress in the last decade?
Citation Text:
Disrespectful behavior in healthcare...have we made any progress in the last decade? ISMP Medication Safety Alert! Acute Care Edition. June 27, 2013.
Copy Cita…
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-2
March 23, 2012 - Study
STOPP/START criteria for potentially inappropriate prescribing in older people: version 2.
Citation Text:
O'Mahony D, O'Sullivan D, Byrne S, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age Ageing. 2015;44(2):213-218. doi:10.1093…
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psnet.ahrq.gov/node/836877/psn-pdf
May 16, 2022 - standard, to be able to put a numerator statement and denominator
statement, which is a really great starting
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psnet.ahrq.gov/submit-case-landing
March 25, 2025 - Breadcrumb
Home
Training and Education
WebM&M: Case Studies
WebM&M Case Submission
PSNet is looking for interesting, provocative cases that illustrate key issues in patient safety such as medication errors, diagnostic errors, and adverse events that either had the potential …
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - In Conversation with... Regina Hoffman about Building
Capacity for Patient Safety
July 31, 2023
In Conversation with.. Regina Hoffman about Building Capacity for Patient Safety. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
Editor’s no…
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psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
March 27, 2024 - So, data was my starting point for learning where the use of data in health care was and where I felt … We're starting to see more progress in clinical operational areas as well, but relatively early in terms
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psnet.ahrq.gov/node/72613/psn-pdf
December 22, 2020 - That’s where we got this whole idea of looking at dentistry harm from a
system’s level and starting
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
September 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case September 2007
Medication Reconciliation: Whose Job Is It?
Source and Credits
This presentation is based on the September 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Eric G. Poon, MD, MPH, Ha…
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psnet.ahrq.gov/issue/reducing-risk-adverse-drug-events-older-adults
November 21, 2021 - Commentary
Reducing the risk of adverse drug events in older adults.
Citation Text:
Pretorius RW, Gataric G, Swedlund SK, et al. Reducing the risk of adverse drug events in older adults. Am Fam Physician. 2013;87(5):331-6.
Copy Citation
Format:
Google Scholar PubMed BibTeX…
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psnet.ahrq.gov/node/33869/psn-pdf
November 01, 2018 - One of the things we did in starting the
program is we had a wonderful clinic coordinator.
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - Starting to train managers and leaders and to change the culture, that probably takes 3 to 5 years where … We still fall back on old habits and old behaviors, but it's starting to take a life where it would be
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - Starting to train managers and leaders and to change the culture, that probably takes 3 to 5 years where … We still fall back on old habits and old behaviors, but it's starting to take a life where it would be
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psnet.ahrq.gov/node/837784/psn-pdf
August 05, 2022 - In Conversation With... Francoise Marvel, MD
August 5, 2022
In Conversation With.. Francoise Marvel, MD. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
Editor’s note: Francoise A. Marvel, MD, is an assistant professor of medicine within the Division of
Cardiology at Joh…