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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
December 01, 2013 - National trends in oral anticoagulant use in the United States, 2007 to 2011.
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psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - telehealth visits before and during the
COVID-19 pandemic at a large integrated health system in the United … States.
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psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - handoffs-and-transitions
Annual Perspective 2014
Despite recent efforts to promote clinical integration, the United … States health care system remains highly
fragmented.
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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - There
are probably 100 and 200 official HELP programs in the United States and Canada—not very many
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psnet.ahrq.gov/node/49527/psn-pdf
December 01, 2006 - These voluntary programs involving
laboratories across the United States and several foreign countries … Aldershot, United Kingdom: Ashgate
Publishing; 2002.
14. Astion ML.
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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - worldwide (2), as many as 1 in 20 critically ill patients admitted to an intensive
care unit (ICU) in the United … States will be transferred to a different ICU.(3) A recent United Kingdom study
also indicated approximately
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psnet.ahrq.gov/web-mm/right-left-neither
November 16, 2022 - Aldershot, United Kingdom: Ashgate Publishing Ltd; 1997. 6. Reason J. … May 27, 2015
Improving hand hygiene at eight hospitals in the United States by targeting
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psnet.ahrq.gov/node/49720/psn-pdf
December 01, 2014 - Commission have emerged as an effective mechanism to
standardize and centralize stroke care in the United … States.(14) Various state-based agencies, the
Healthcare Facilities Accreditation Program, and other
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psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - Ambiguous or incomplete information transmitted
Physician states "give rocuronium" without specifying
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psnet.ahrq.gov/node/33683/psn-pdf
April 01, 2009 - The quality of health
care delivered to adults in the United States.
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - ideal, closed-loop communication process is described in the following order:
– The sender concisely states
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - ideal, closed-loop communication process is described in the following order: The sender concisely states
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
January 01, 2019 - Spotlight
Spotlight
Mistaken Attribution, Diagnostic Misstep
*
Source and Credits
This presentation is based on the January 2019 AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Timothy R. Kreider, MD, PhD, and John Q. Young, MD, MPP, PhD
…
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psnet.ahrq.gov/issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards-hospital-trust
January 29, 2020 - August 17, 2022
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psnet.ahrq.gov/issue/bleeding-and-pain-pregnant-woman-louisiana-couldnt-get-answers
January 18, 2023 - June 7, 2023
Hospitals in two states denied an abortion to a miscarrying patient.
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psnet.ahrq.gov/issue/medical-research-and-institutional-review-board-librarians-role-human-subject-testing
June 01, 2022 - Commentary
Medical research and the Institutional Review Board: the librarian's role in human subject testing.
Citation Text:
Medical research and the Institutional Review Board: the librarian's role in human subject testing. Robinson JG; Gehle JL. Reference Services Review. 2005;33(…
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psnet.ahrq.gov/issue/ahrq-quality-and-safety-initiatives
May 20, 2009 - Commentary
AHRQ quality and safety initiatives.
Citation Text:
Clancy CM. AHRQ quality and safety initiatives. Jt Comm J Qual Patient Saf. 2005;31(6):354-6.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/issue/assessing-patient-safety-culture-review-and-synthesis-measurement-tools
July 10, 2008 - Review
Assessing patient safety culture: a review and synthesis of the measurement tools.
Citation Text:
Singla AK, Kitch BT, Weissman JS, et al. Assessing Patient Safety Culture. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000235388.39149.5a.
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Format:
DOI …
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psnet.ahrq.gov/issue/first-do-no-harm-improving-health-quality-and-patient-safety
September 28, 2010 - Congressional Testimony
First, Do No Harm: Improving Health Quality and Patient Safety.
Citation Text:
First, Do No Harm: Improving Health Quality and Patient Safety. Full Committee Hearing. US Senate Committee on Health, Education, Labor and Pensions (May 5, 2011)
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…
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psnet.ahrq.gov/issue/quality-and-safety-healthcare-switzerland
March 23, 2022 - Book/Report
Quality and Safety of Healthcare in Switzerland.
Citation Text:
Quality and Safety of Healthcare in Switzerland. Vincent C, Staines A. Bern, Switzerland: Federal Department of Home Affairs, Federal Office of Public Health; 2019.
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