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361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39418/psn-pdf
     March 31, 2010 - Take Charge of Your Hospital Stay to Avoid Medical Mistakes. March 31, 2010 Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010. https://psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes This television interview offers recommendations for patients to keep themselves safe wh…

362. Signout Fallout | PSNet
     psnet.ahrq.gov/web-mm/signout-fallout
     November 16, 2022 - About 2 hours after starting the infusion, the patient became more obtunded.

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73200/psn-pdf
     April 28, 2021 - replacement should be used in hospitalized patients; the sole use of “sliding scale” insulin (i.e., doses starting

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50859/psn-pdf
     January 31, 2020 - Does the patient need a mammography starting at 30, 40, or 50 years old?

365. In Conversation with... Charles Ornstein | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-ornstein
     October 01, 2009 - CO: When you're first starting out on the beat, you ask a lot of questions.

366. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety | PSNet
     psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
     October 01, 2009 - CO: When you're first starting out on the beat, you ask a lot of questions.

367. Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis | PSNet
     psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
     February 26, 2025 - Another important starting component is performance reporting, which is most effective on a weekly basis

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49603/psn-pdf
     June 01, 2010 - This is one of the best starting points for a just culture.

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60630/psn-pdf
     June 24, 2020 - Education is “predictably disappointing” and should never be relied upon alone to improve safety. June 24, 2020 ISMP Medication Safety Alert! Acute care edition. June 4, 2020;25(11):1-4. https://psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone- improve-safety Interven…

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49844/psn-pdf
     October 01, 2018 - Diffusion of Responsibility Leads to Danger October 1, 2018 Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger The Case A 70-year-old man was sent to the emergency department (ED) from a nursing facility…

371. Home | PSNet
     psnet.ahrq.gov/
     March 25, 2025 - This website is up to date as of March 24, 2025. You will not be able to register for an account and will no longer be able to obtain Continuing Medical Education (CME), Maintenance of Certification (MOC), or Continuing Pharmacy Education (CPE) credits. We are not taking submissions for WebM&M cases, Innovations, Train…

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836879/psn-pdf
     April 27, 2022 - In Conversation With... Michael L. Millenson April 27, 2022 In Conversation With.. Michael L. Millenson. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-michael-l-millenson December 16, 2021 Editor’s note: Michael L. Millenson is the President of Health Quality Advisors LLC, author of the c…

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33668/psn-pdf
     May 01, 2008 - I think hospitals should be starting to use computerized monitoring for adverse drug events.

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33702/psn-pdf
     November 01, 2010 - these coded data and figure out the best way within that resource to measure safety, as opposed to starting

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33818/psn-pdf
     November 01, 2016 - to move from the research into scaling this up to a national level, which has really put a dent in starting

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866395/psn-pdf
     July 23, 2024 - Rescue Improvement Conference Innovation Summary July 23, 2024 https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary Summary The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure to rescue with a particular focus on communication and com…

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865373/psn-pdf
     March 27, 2024 - That’s starting to change now with more applications of deep learning and large language models in healthcare

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33718/psn-pdf
     October 01, 2011 - In Conversation With… Paul G. Shekelle, MD, MPH, PhD October 1, 2011 In Conversation With… Paul G. Shekelle, MD, MPH, PhD. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd Editor's note: Dr. Shekelle is director of the Southern California Evidence-Based Practice Cen…

379. Comanagement: Who's in Charge? | PSNet
     psnet.ahrq.gov/web-mm/comanagement-whos-charge
     July 01, 2011 - anticoagulant use is a shared responsibility—hospitalists always contact neurosurgery physicians before starting

380. A "Weak" Response | PSNet
     psnet.ahrq.gov/web-mm/weak-response
     February 24, 2011 - Telephone psychotherapy and telephone care management for primary care patients starting antidepressant