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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - SPOTLIGHT CASE
Resuscitation Errors: A Shocking Problem
Citation Text:
Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Good Catch in the Operating Room
Citation Text:
Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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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/node/49804/psn-pdf
September 01, 2017 - 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/node/33845/psn-pdf
November 01, 2017 - That valuable information resource is sometimes discounted and not recognized or supported by the
health … It
needs to be supported better. But it has the potential to be very helpful.
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psnet.ahrq.gov/web-mm/discharge-against-medical-advice
July 01, 2017 - A psychiatry consultation supported this determination. … This concern is supported by several studies that found that patients who leave AMA have significantly
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psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
June 01, 2005 - The end result is that they feel supported by the system and become vocal advocates of patient safety
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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/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/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/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/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/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/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/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/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/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
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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