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psnet.ahrq.gov/node/865655/psn-pdf
April 24, 2024 - However, ICP monitoring is subject to measurement error and has been associated with
unacceptably high
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psnet.ahrq.gov/primer/health-care-associated-infections
December 15, 2024 - payment policies to catalyze efforts to decrease HAIs is that the definitions are complex and may be subject
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psnet.ahrq.gov/node/33565/psn-pdf
September 01, 2024 - payment policies to catalyze efforts to decrease HAIs
is that the definitions are complex and may be subject
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psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - To
further explore the topic, we engaged Mary Beth Kingston, PhD, RN, FAAN, a subject matter expert
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psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
November 01, 2023 - Decontamination has been the subject of extensive investigation by many governments, due to concern about
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psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - grant
applications are invited.(6) AHRQ may also convey interest in funding research in a particular subject … The field of diagnostic error and performance is another
example of one of these emerging subject areas
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - do so may result in litigation for false imprisonment, a very serious cause of action, which could subject … Of course, providers who negligently ignore a patient’s repeat falls might also be subject to liability
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psnet.ahrq.gov/node/72517/psn-pdf
November 25, 2020 - Take Home Points
Necrotizing soft tissue infections are often subject to delayed diagnosis, since the … systems appear to be inextricably linked in diagnostic reasoning, although
the former may be more subject
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - Analysis of Existing and Emerging Patient Safety Practices . 1 Although medication safety is a broad subject … This Annual Perspective was developed in collaboration with Ilene Harris, PharmD, PhD, a subject matter
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - The focus of working group meetings is subject to change, and it may be
expanded or altered based on … a multidisciplinary stakeholder team
An equity-informed, highly reliable organizational framework
Subject
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - The first was that our institution had several adverse events—one involving a healthy research subject
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - However, ICP monitoring is subject to measurement error and has been associated with unacceptably high
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
February 01, 2013 - done and to provide written or electronic documentation in case the failure to contact becomes the subject
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psnet.ahrq.gov/node/33882/psn-pdf
June 01, 2019 - Is safety a subject for science? Safety Sci. 2014;67:21-24.
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psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - Medication Safety Events Related to Diagnostic Imaging
July 8, 2022
Sanchez L, Porras H, Lammers C. Medication Safety Events Related to Diagnostic Imaging. PSNet
[internet]. 2022.
https://psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
The Cases
Case #1: A 42-year-old woman admitted with…
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - Defensive Medicine: "Glowing" with Pain
Citation Text:
Sethi MK. Defensive Medicine: "Glowing" with Pain. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
Google Scholar BibTeX EndNote X3 XML E…
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psnet.ahrq.gov/node/33614/psn-pdf
June 01, 2005 - Interpreting the Patient Safety Literature
June 1, 2005
Shojania KG. Interpreting the Patient Safety Literature. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
Perspective
Five years ago, a widely publicized randomized trial reported a 90% reduction in the inciden…
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psnet.ahrq.gov/node/33790/psn-pdf
August 01, 2015 - Just relying on
focus groups or subject matter experts may result in a functional order writing system
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psnet.ahrq.gov/Information/Editor
May 23, 2025 - The team brings a wealth of experience and deep subject matter expertise in the field, ensuring that
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - Citation
Editor’s note: Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ, is a high reliability subject … Jessica Behrhorst: I am currently working as a high reliability subject matter expert at Aptive Resources