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psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
February 26, 2025 - and were mostly drawn from analogies from high-risk industries—I thought there would be a role for testing
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psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - believe leaders need to take an idea like a ventilator
bundle or an idea that they see is perhaps worth testing
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - I'm on the task force that has been writing and
testing those scenarios.
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - Handoffs
June 15, 2024
Handoffs and Signouts. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/handoffs
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.
Backgroun…
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psnet.ahrq.gov/node/60721/psn-pdf
July 21, 2020 - But there’s also a lot of testing involved in
oncology and a lot of anxiety around that process which … very amenable to telemedicine, versus
sports medicine which is very hands-on, examining joints and testing
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - technology-focused solutions
developed in research environments will require appropriate real-world testing
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - Science of Improvement: Testing Changes.
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psnet.ahrq.gov/web-mm/transfer-troubles
December 29, 2014 - Non-essential testing and procedures should be avoided before transfer.
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psnet.ahrq.gov/node/49753/psn-pdf
February 01, 2016 - recommendations for training and credentialing procedures consisting of specific online
curriculum, testing
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psnet.ahrq.gov/node/49825/psn-pdf
April 01, 2018 - symptoms concerning for unstable
angina and determined that the patient would require additional cardiac testing
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - open-ended questions may help team members to obtain important
information on affordability and access to testing
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psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - Laboratory testing was notable for creatinine 1.83 mg/dl with unknown baseline, brain natriuretic peptide
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psnet.ahrq.gov/node/866343/psn-pdf
December 31, 2024 - Laboratory testing was notable for creatinine 1.83 mg/dl with unknown baseline, brain natriuretic peptide
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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 - other, defects and problems are easily surfaced and never hidden, and new ideas find fertile ground for testing
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root
Cause Analysis
July 1, 2008
Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet
[internet]. 2008.
https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
Perspective
Throughout most of his life, …
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - Breadcrumb
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Created By: AHRQ
Date Created: January 24, 20…
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psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
February 01, 2007 - In Conversation with...Joseph Britto, MD
February 1, 2007
Also Read an Essay
Citation Text:
In Conversation with..Joseph Britto, MD. PSNet [internet]. 2007.In Conversation with...Joseph Britto, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research …
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - Spotlight
Spotlight
Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery
1
Source and Credits
This presentation is based on the May 2024 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Andrew P.J. …
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psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
July 01, 2012 - EMR Entry Error: Not So Benign
Citation Text:
Koppel R. EMR Entry Error: Not So Benign. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - SPOTLIGHT CASE
Order Interrupted by Text: Multitasking Mishap
Citation Text:
Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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