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521. Improving Diagnostic Safety and Quality | PSNet
     psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
     January 31, 2024 - Recognition of the multifactorial contributors to diagnostic safety spans back almost 20 years with Dr

522. An Inadvertent Bolus of Norepinephrine. | PSNet
     psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
     December 04, 2016 - Back-check valves, which prevent backflow of medication due to differences in pressure in an IV infusion … standardized fashion Administer high-alert medications as primary infusions Utilize infusion sets with back-check … Furniss D, Back J, Blandford A.

523. In Conversation with...James P. Bagian, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
     September 01, 2006 - We did our first cultural survey back in 1998 to set the benchmark. … The data were then fed back to each VISN and facility. … Health PolicyHarvard School of Public HealthStaff Physician, VA Boston Healthcare System References Back

524. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50754/psn-pdf
     December 18, 2019 - The Case A 63-year-old woman with a history of liver transplantation secondary to hepatitis C, low back

525. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848107/psn-pdf
     April 26, 2023 - Recognition of the multifactorial contributors to diagnostic safety spans back almost 20 years with

526. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33750/psn-pdf
     May 01, 2013 - AJ: Two things that have really held us back on progress on patient safety: one is incentives, which

527. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49681/psn-pdf
     April 01, 2013 - a different dose or units than the original order, then the process should stop for clarification back