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psnet.ahrq.gov/node/33860/psn-pdf
June 01, 2018 - Safety Considerations in Building a Point-of-Care
Ultrasound Program
June 1, 2018
Moore C. Safety Considerations in Building a Point-of-Care Ultrasound Program. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
Perspective
At the American Colle…
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psnet.ahrq.gov/node/836942/psn-pdf
April 27, 2022 - Saline Flush Leads to Acute Paralysis of an Awake
Patient: Risks of Improper Medication Labeling in an
Operating Room
April 27, 2022
Kriss RS. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication
Labeling in an Operating Room. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-m…
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psnet.ahrq.gov/node/49487/psn-pdf
August 21, 2005 - Surprise Wire
August 21, 2005
Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/surprise-wire
The Case
A 39-year-old man with a history of liver disease presented to the emergency department (ED) with
gastrointestinal bleeding and altered mental status. Due to his clinic…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Spotlight
Spotlight
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees
*
Source and Credits
This presentation is based on the November 2018 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Olle ten C…
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psnet.ahrq.gov/node/49821/psn-pdf
February 01, 2018 - Right Place, Right Drug, Wrong Strength
February 1, 2018
Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
The Case
A 2-year-old girl was admitted to a hospital burn unit for a 10% total body surface area bur…
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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - Making Just Culture a Reality: One Organization's
Approach
October 1, 2007
Page AH. Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
Perspective
We've all been there...something goes wrong,…
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psnet.ahrq.gov/node/866055/psn-pdf
May 29, 2024 - proven to improve patient
outcomes.3 Because of this, Ascension Data Science Institute has heavily supported … Ascension supported this by creating a campaign to improve psychological safety.
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psnet.ahrq.gov/primer/culture-safety
September 15, 2024 - determining the values, beliefs, norms, and behaviors related to patient safety that are rewarded, supported
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - In the study, most clinicians felt unsupported or
under-supported, partly due to ambiguity around whom
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - hemoglobin was still above the restrictive hemoglobin transfusion threshold of 7.0 g/dL (which has been supported … While restricted transfusion is supported by the literature and has been incorporated into guidelines
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - Strategic decisions, supported by resources, must then follow this belief. … Organizational resources should be focused on ensuring that work settings are supported in these efforts
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
supported … In this specific case, it appears that the nursing staff members were not supported in making difficult
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - A consensus statement supported by multiple international professional societies including the American … June 29, 2011
Risks in the analogue and digitally-supported medication process and potential
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psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - Despite being an expected part of NICU care, such routine interventions may not be
supported by evidence
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psnet.ahrq.gov/node/72616/psn-pdf
December 22, 2020 - patient errors, hard tissue damage, and soft
tissue damage.7 As noted in the study conclusions and supported
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.185_slideshow.ppt
October 01, 2008 - migrant and farm workers to the health system through a personal health record and identification system supported
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psnet.ahrq.gov/perspective/conversation-withchristine-sinsky-md
February 26, 2025 - If physicians are really happy about their work, enjoying their work, and well supported in their work … study " In Search of Joy in Practice ," because I wasn't certain whether we would find things that supported
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psnet.ahrq.gov/node/33801/psn-pdf
February 01, 2016 - If
physicians are really happy about their work, enjoying their work, and well supported in their work … that study "In Search of Joy in Practice," because I wasn't certain whether we would
find things that supported
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psnet.ahrq.gov/node/33830/psn-pdf
March 22, 2016 - every year in the US due to medical errors, these estimates rely
on flawed methodology and are not supported
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
January 01, 2015 - Provider-Centered Care
Many current systems seem designed to meet needs of providers rather than patients, supported