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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - What things can I not afford to miss? … and symptoms and lab studies and it's not looking through textbook chapters to figure out where those things
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - Wrong Route for Nutrients
July 1, 2008
Scott-Cawiezell JR. Wrong Route for Nutrients. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/wrong-route-nutrients
The Case
An 82-year-old man living in a skilled nursing facility (SNF) had not been eating or drinking well for about 6
months. He had lost weight and d…
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - importantly, writing vague orders such as "medications as at home" can be confusing and leave too many things
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - beneficence and nonmaleficence ( 5 ) require that, as clinicians, we ensure our patients' safety in the things
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - One of the things that helps get leadership buy-in and support is impact.
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - One of the things that helps get leadership buy-in and support is impact.
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - Sarah Mossburg: One of the other things that you touched on briefly is equity and equitable care. … see our data management plans, they often wonder why we didn’t recommend that they measure specific things
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - Among other things, HSIB will look to build a skilled workforce combining health care risk managers,
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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - Building Capacity for Patient Safety
Regina M. Hoffman, MBA, RN, Cindy Manaoat Van, MHSA, CPPS, Sarah E. Mossburg, RN, PhD
| July 31, 2023
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Hoffman R, Mossburg S, Van CM. Build…
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - Patient Safety 101
June 16, 2024
Patient Safety 101. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/patient-safety-101
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…
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psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
December 01, 2005 - The Checklist Manifesto: How to Get Things Right. New York, NY: Metropolitan Books; 2009.
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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - Blaming individuals for character defects when things go wrong, the so-called person-centered approach
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - Among other things, its purpose was to promote the development and certification of CPGs.
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psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - The Checklist Manifesto: How to Get Things Right. New York, NY: Metropolitan Books; 2009.
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - October 4, 2023
Alarm management: first things first: using reliable data to eliminate
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - The Checklist Manifesto: How to Get Things Right . New York, NY: Metropolitan Books; 2010.
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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - are used in multiple ways
to set up a sterile field, cover and protect instruments and wipe and dry things
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - Sarah Mossburg: One of the other things that you touched on briefly is equity and equitable care. … see our data management plans, they often wonder why we didn’t recommend that they measure specific things
-
psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - Patient Safety 101
Citation Text:
Patient Safety 101. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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D…
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - May 27, 2010
Doing the "right" things to correct wrong-site surgery.