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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - tension between allocating resources for zero harm initiatives and other areas of healthcare, could be a significant … Statistically, patient harm is rare enough that reliably assessing whether a harm is preventable or not
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - Friedman found that physicians, medical students, and residents were confident about a diagnosis in a significant
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - device, or reviewing nutritional information, concerns for patient safety and risk of medical error are significant
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psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - Medical error also hit the news in a significant way during the same period. … One area that has seen significant advances is public reporting of quality data, at a federal level (
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - It addresses some of the most significant areas of COVID-19 patient safety news and research published
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psnet.ahrq.gov/node/865466/psn-pdf
March 27, 2024 - Equity in Patient Safety
March 27, 2024
Thomas A, Lee M, Mossburg S. Equity in Patient Safety. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/equity-patient-safety
Introduction
Safety and equity are among the central components that determine quality of care, according to nonprofit
advisory agencies l…
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - Annual Perspective
Equity in Patient Safety
Angela D. Thomas, DrPH, MPH, MBA; Merton Lee, PhD, PharmD; Sarah Mossburg, RN, PhD
| March 27, 2024
View more articles from the same authors.
Citation Text:
Thomas A, Lee M, Mossburg S. Equity in Patient Safety. …
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - Explicit support by the student's supervisor is critical given the significant time investment.
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psnet.ahrq.gov/node/49843/psn-pdf
October 01, 2018 - Pending significant progress in the science of sepsis diagnosis, these relatively
simple measures might
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psnet.ahrq.gov/node/49717/psn-pdf
September 01, 2014 - A Lot of Pain (Medications)
September 1, 2014
Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/lot-pain-medications
Case Objectives
Appreciate the challenges of managing acute pain in hospitalized patients on chronic opioids.
Describe the importance of understanding th…
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psnet.ahrq.gov/web-mm/lot-pain-medications
September 23, 2020 - SPOTLIGHT CASE
A Lot of Pain (Medications)
Citation Text:
Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XM…
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - impaired understanding of the situation due to young or old age, limited educational attainment, or
significant
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psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - impaired understanding of the situation due to young or old age,
limited educational attainment, or significant
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - Medical error also hit the news in a significant way during the same period. … One area that has seen significant advances is public reporting of quality data, at a federal level (
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - of these interventions alone will suffice, but together, they can begin to reverse one of the most significant
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - of these interventions alone will suffice, but together, they can begin to reverse one of the most significant
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - They have realized significant improvements in care outcomes and cost savings specifically related to
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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - They have realized significant improvements in care outcomes and cost savings specifically related to
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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 - Spotlight
Hindsight is 20/20: Thrombolytics for Alcohol
Intoxication
Source and Credits
• This presentation is based on the April 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Eric Signoff, MD, Noelle Boctor, MD, and David K.
B…
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psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
October 31, 2023 - Improving Patient Safety
Diagnosis
This case demonstrates how a delay in diagnosis can lead to significant