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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia
Citation Text:
Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…
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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix
Leo A. Gordon, MD | September 1, 2007
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Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The…
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - AHRQ PSNet Webinar
AHRQ PSNet Webinar
Making Healthcare Safer (MHS) IV:
Rapid Response Systems and Opioid Stewardship
February 10, 2025
Agenda
2
• Logistics
• Introduction to the Making Healthcare Safer (MHS) IV Reports
• Report 1 – Rapid Response Systems
► Discussion
► PSNet Resources
• Report 2 – Opioi…
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psnet.ahrq.gov/node/852807/psn-pdf
August 30, 2023 - Sleep Deprivation Leads to Medication Error During
Spinal Epidural Anesthesia
August 30, 2023
Bohringer C, Osborne R. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-…
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - as the SBAR (situation-background-assessment-recommendation) protocols and crew resource management techniques
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psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
December 01, 2009 - as the SBAR (situation-background-assessment-recommendation) protocols and crew resource management techniques
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - context of their actual work environment (e.g., observations, task analysis, and other ethnographic techniques
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - Education and simulation techniques for improving reliability of care.
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psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
August 01, 2015 - context of their actual work environment (e.g., observations, task analysis, and other ethnographic techniques
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - applying established patient safety strategies such as reporting and error analysis, and by teaching techniques
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - Education and simulation techniques for improving reliability of care.
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - We used both quantitative and qualitative methods, including multiple rapid assessment techniques such
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - 30% less likely to be readmitted or visit the emergency department.( 12 ) Structured communication techniques
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psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - Key Issues in Developing a Successful Hospital Safety Program
John Whittington, MD | July 1, 2006
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Citation Text:
Whittington JC. Key Issues in Developing a Successful Hospital Safety Program. PS…
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - In Conversation with...Allan Frankel, MD
July 1, 2006
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Citation Text:
In Conversation with..Allan Frankel, MD. PSNet [internet]. 2006.In Conversation with...Allan Frankel, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
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psnet.ahrq.gov/node/837784/psn-pdf
August 05, 2022 - In Conversation With... Francoise Marvel, MD
August 5, 2022
In Conversation With.. Francoise Marvel, MD. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
Editor’s note: Francoise A. Marvel, MD, is an assistant professor of medicine within the Division of
Cardiology at Joh…
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Eric Thomas, Sarah Mossburg, Merton Lee | September 24, 2024
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psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - We used both quantitative and qualitative methods, including multiple rapid assessment techniques such
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psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
May 14, 2020 - allow hospital and ambulatory care providers to employ telehealth best practices and patient evaluation techniques
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - Application of Safety-II Principles
Chalapathy Venkatesan, MD, MS, CPPS, Kathy Helak, MSN, BSN, RN, FACHE, CPPS, Zoe Sousane, BS, Cindy Manaoat Van, MHSA, CPPS | August 28, 2024
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Citation Text:
…