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psnet.ahrq.gov/node/50768/psn-pdf
December 27, 2019 - Mental health was actually a trailblazer for
defining cultural competence and I wrote a bit on the subject
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psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - The UpToDate article on this subject acknowledges the lack of data and recommends a clamp trial if
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psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - are required to disclose relevant financial relationships with commercial interests
related to the subject
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 24, 2024
Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/zero…
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psnet.ahrq.gov/web-mm/recurrent-appendicitis
January 15, 2020 - after completing a general surgery residency and then a breast surgery fellowship, and so was still subject
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - comprehensive risk assessment ( 15 ) by understanding communication processes, learning where they are subject
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Jeffery Schnipper, a subject matter expert in care
transitions and communication among healthcare providers
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psnet.ahrq.gov/node/33605/psn-pdf
March 12, 2021 - However, BCMA is subject to a number of
usability issues and workarounds that can degrade its effectiveness
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psnet.ahrq.gov/node/73953/psn-pdf
October 27, 2021 - https://psnet.ahrq.gov//#1
Disjointed care
Patients receiving care through multiple sources can be subject
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - Communication issues among the health care team are the subject of improvement projects and interprofessional
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psnet.ahrq.gov/node/846563/psn-pdf
March 21, 2023 - reported in AHRQ’s PSNet Collection
throughout 2022 and consulted with George Zangaro, PhD, RN, FAAN, a subject
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psnet.ahrq.gov/node/842923/psn-pdf
February 01, 2023 - Interventions instituted at the time of a case investigation are subject to drift.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - Spotlight Case
Spotlight Case May 2006
Right? Left? Neither!
Source and Credits
This presentation is based on the May 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Elizabeth A. Howell, MD, MPP; Mark R. Chassin, MD…
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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - Handoffs and Transitions
January 22, 2014
Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/handoffs-and-transitions
Annual Perspective 2014
Despite recent efforts to promote clinical integration, the United States health care system remains highly
fragmented. From it…
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psnet.ahrq.gov/node/33741/psn-pdf
November 01, 2012 - The Evidence-Based Physical Examination as a Patient
Safety Practice
November 1, 2012
McGee S. The Evidence-Based Physical Examination as a Patient Safety Practice. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
Perspective
Near the end of hi…
-
psnet.ahrq.gov/node/33727/psn-pdf
March 01, 2012 - Can Research Help Us Improve the Medical Liability
System?
March 1, 2012
Kachalia A. Can Research Help Us Improve the Medical Liability System? PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
Perspective
The United States medical malpractice liabili…
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psnet.ahrq.gov/node/837959/psn-pdf
August 31, 2022 - are required to disclose relevant financial relationships with ineligible companies
related to the subject
-
psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - February 26, 2025
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
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - Mental health was actually a trailblazer for defining cultural competence and I wrote a bit on the subject
-
psnet.ahrq.gov/primer/medication-administration-errors
December 15, 2024 - However, BCMA is subject to a number of usability issues and workarounds that can degrade its effectiveness