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5781. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-399
      July 31, 2023 - When the patient’s initial triage note included CHF, physicians were less likely and/or slower to test

5782. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-394
      June 28, 2023 - potentially dangerous prescribing (i.e., prescribing medications to patients without associated blood test

5783. Wrong Catheter in the Right Patient | PSNet
      psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
      May 16, 2022 - Diagnostic and radiologic test results, as well as any required blood products, implants, devices, and

5784. When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)! | PSNet
      psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
      February 01, 2023 - All chemistry test results are shown in the table below (bold indicates abnormal values).

5785. Root Cause Analysis Gone Wrong | PSNet
      psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
      August 28, 2024 - factors engineering, needed to achieve deep understanding of an incident and to identify, select, and test

5786. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836839/psn-pdf
      March 31, 2022 - Establishing and validating an assessment tool will be required to systematically test and confirm the

5787. One Dose, Two Errors | PSNet
      psnet.ahrq.gov/web-mm/one-dose-two-errors
      September 29, 2017 - extra cost.( 5 ) Creation of a CDSS within existing EHRs requires many hours to develop, build, and test

5788. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33637/psn-pdf
      August 01, 2006 - implement safe practices here in Massachusetts: reconciling medications and communicating critical test

5789. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49760/psn-pdf
      May 01, 2016 - encephalitis) Targeted neuroimaging Assess focal neurological changes (stroke can present as delirium) Test

5790. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. | PSNet
      psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
      August 21, 2005 - Intravenously administered heparin is managed using either a calibrated activated partial thromboplastin test

5791. Production Pressures | PSNet
      psnet.ahrq.gov/web-mm/production-pressures
      November 16, 2022 - A test of the methodology with 10 case studies in an academic medical center shows that this novel approach

5792. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-295
      June 30, 2021 - During an exercise treadmill test, she experienced another “woozy” spell and the ECG showed an elevated

5793. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-278
      February 10, 2021 - avoiding anchoring bias, effective communication between care team members, and reviewing all available test

5794. Medication Safety Events Related to Diagnostic Imaging | PSNet
      psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
      January 26, 2022 - Four-year impact of an alert notification system on closed-loop communication of critical test

5795. The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/evolution-root-cause-analysis
      February 26, 2025 - For example, a strong action step would be to “add a flag to the EHR for similar test results so that … In contrast, a weak action step would be “update a policy on test result communication.”

5796. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
      February 26, 2025 - For example, a strong action step would be to “add a flag to the EHR for similar test results so that … In contrast, a weak action step would be “update a policy on test result communication.”

5797. Missed Nursing Care: A Key Measure for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
      March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety Jane Ball, PhD, and Peter Griffiths, PhD | March 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient…

5798. In Conversation With… Karl Bilimoria, MD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
      December 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS August 1, 2017  Also Read an Essay Citation Text: In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

5799. In Conversation With… Linda Aiken, PhD, RN | PSNet
      psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
      March 01, 2018 - In Conversation With… Linda Aiken, PhD, RN March 1, 2018  Also Read an Essay Citation Text: In Conversation With… Linda Aiken, PhD, RN. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

5800. Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes | PSNet
      psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
      July 23, 2024 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 22, 2020 Innovation Contact …