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psnet.ahrq.gov/node/837138/psn-pdf
May 18, 2022 - Association of diagnostic stewardship for blood cultures
in critically ill children with culture rates, antibiotic use,
and patient outcomes: results of the Bright STAR
Collaborative.
May 18, 2022
Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardship for blood cultures
in criticall…
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psnet.ahrq.gov/node/33586/psn-pdf
December 15, 2024 - Alert Fatigue
December 15, 2024
Alert Fatigue. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/alert-fatigue
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Bac…
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psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
June 29, 2020 - KH : Has the role of the pharmacist at the hospital changed with the pandemic in terms of how they are
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psnet.ahrq.gov/issue/central-line-insertion-care-team-checklist
October 02, 2024 - Toolkit
Central Line Insertion Care Team Checklist.
Citation Text:
Agency for Healthcare Research and Quality. Central Line Insertion Care Team Checklist.
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psnet.ahrq.gov/issue/toolkit-decolonization-non-icu-patients-devices
November 15, 2023 - Toolkit
Toolkit for Decolonization of Non-ICU Patients with Devices.
Citation Text:
Agency for Healthcare Research and Quality. Toolkit for Decolonization of Non-ICU Patients with Devices.
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Whether a healthcare organization focuses on bed sores, oversedation, or both may be thought of in terms
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psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
September 25, 2019 - using specific language to frame a patient’s problem in a standard way. 12 This process includes using terms
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psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
June 15, 2022 - pasted, with data entry requiring less than a minute.( 23 ) For this case, I entered the following terms
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - Where are the hot spots and the cold spots around the country in terms of access? … Sometimes, that’s during the most trying times in terms of illness, suffering, and dying. … So, the changes that we’ve had in medicine in terms of documenting history and the social determinants
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - SPOTLIGHT CASE
Double Trouble
Citation Text:
Gurwitz JH. Double Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/glossary/handoffs-and-handovers
September 13, 2021 - Handoffs and Handovers
September 13, 2021
Anonymous (not verified)
See Primer . The process when one health care professional updates another on the status of one or more patients for the purpose of taking over their care. Typical examples involve a physician who has been on call overnight telling an incoming …
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psnet.ahrq.gov/node/34650/psn-pdf
April 21, 2015 - Human error: models and management.
April 21, 2015
Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770.
https://psnet.ahrq.gov/issue/human-error-models-and-management
The author discusses concepts of human error, contrasting the person approach with a system approach in
understanding the diff…
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psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - Other terms, often used interchangeably, such as emergency ultrasound , bedside ultrasound , focused
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - widely used in clinical practice, there is growing evidence that bridging may offer little benefit in terms
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - RW: What are you proudest of in terms of what you've accomplished?
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psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
April 27, 2022 - Readmissions and Adverse Events After Discharge
Citation Text:
Readmissions and Adverse Events After Discharge. 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/44513/psn-pdf
September 23, 2015 - Improving Diagnosis in Health Care.
September 23, 2015
Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine.
Washington, DC: National Academies Press; 2015. ISBN: 9780309377690.
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care
The National Academy of Me…
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psnet.ahrq.gov/web-mm/cultural-dimensions-depression
September 01, 2018 - Cultural Dimensions of Depression
Citation Text:
Kinzie DJ. Cultural Dimensions of Depression. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/crushing-chest-pain-missed-opportunity
February 01, 2007 - initial diagnosis of ACS was reasonable in view of the history, and the fact that this diagnosis, in terms
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psnet.ahrq.gov/node/49714/psn-pdf
August 21, 2014 - erysipilas" in the 5th century BC as a
complication of erysipelas.(2) Since then, there have been numerous terms