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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - to have an invasive component upon full excision. 1,2 However even knowing the above data, in the United … States concurrent lumpectomy and sentinel lymph node biopsy (SLNB), without prior confirmation of invasive
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - Individual states have responsibility for certifying personnel and designing the requirements of EMS … At the regional level, most states have developed some definitions and some quality measures. … Then in some states, they add on elements to the report that allow them to look at time-sensitive and … In many states, the Advanced EMTs also have a number of important medicines that they can deliver, like
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psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
January 01, 2021 - Spotlight
Spotlight
Two Cases of Retained Vaginal Packing:
When Writing an Order is Not Enough
Source and Credits
• This presentation is based on the April 2021 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Verna Gibbs, MD
o AHRQ W…
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - the management of increasingly ubiquitous technologies in the management of many different disease states
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - SPOTLIGHT CASE
Code Status Confusion
Citation Text:
Lo B, Tulsky JA. Code Status Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndN…
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psnet.ahrq.gov/node/33658/psn-pdf
October 01, 2007 - Now, that being
said, states that have gone down this path always worry that if they have a big event
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psnet.ahrq.gov/node/49479/psn-pdf
April 01, 2005 - The Forgotten Med
April 1, 2005
Cucina R. The Forgotten Med. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/forgotten-med
The Case
A 78-year-old woman with a history of chronic obstructive pulmonary disease (COPD) came to the hospital
with increasing shortness of breath and chest pain. Although she had no …
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psnet.ahrq.gov/web-mm/autopsy-revelation
December 01, 2007 - In 1994, the last year for which United States data exist, the autopsy rate for all non-forensic deaths
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - As the history of patient safety in the United States begins to be written, the patient role remains … similar "Patients' Right to Know" bills languished in the legislatures of Florida, Illinois, and other states … Union, requirements for reporting of hospital-acquired infections were the law in more than half the states … significant advances is public reporting of quality data, at a federal level (Hospital Compare), in some states
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psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - As the history of patient safety in the United States begins to be written, the patient role remains … similar "Patients' Right to Know" bills languished in the legislatures of Florida, Illinois, and other states … Union, requirements for reporting of hospital-acquired infections were the law in more than half the states … significant advances is public reporting of quality data, at a federal level (Hospital Compare), in some states
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - "( 3 ) Patient falls occur in approximately 2% of hospital stays, and in the United States up to 1 million
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - Building a Safety Program Using Principles of Resilience Engineering
Sudeep Hegde, PhD; Ann M. Bisantz, PhD; and Rollin J. Fairbanks, MD, MS | June 1, 2019
View more articles from the same authors.
Citation Text:
Hegde S, Fairbanks RJ, Bisantz A. Building a Safety…
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - In the United States, PE affects an estimated 500,000 to 600,000 people per year, with 200,000 to 300,000 … deaths per year. 1 150,000 to 200,000 PE-related hospitalizations occur annually in the United States
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - SPOTLIGHT CASE
Triple Handoff
Citation Text:
Vidyarthi A. Triple Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …
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psnet.ahrq.gov/node/33688/psn-pdf
October 01, 2009 - In Conversation with... Charles Ornstein
October 1, 2009
In Conversation with.. Charles Ornstein . PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-charles-ornstein
Editor's note: Charles Ornstein is a senior reporter at ProPublica, a nonprofit news organization in New
York. Formerly with th…
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - doing to prevent health care–associated infections, and as part of that he planned to survey all the states … So they sent the survey, and not surprisingly all 50 states said, rah, rah, everybody's using the checklist
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - doing to prevent health care–associated infections, and as part of that he planned to survey all the states … So they sent the survey, and not surprisingly all 50 states said, rah, rah, everybody's using the checklist
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - minimum nurse staffing ratios have been enacted in California and are under consideration in other states
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psnet.ahrq.gov/node/33672/psn-pdf
September 01, 2008 - In Conversation with…Eric G. Poon, MD, MPH
September 1, 2008
In Conversation with…Eric G. Poon, MD, MPH. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
Editor's note: Eric G. Poon, MD, MPH, is Director of Clinical Informatics at Brigham and Women's
Hospital and Assi…
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - The FDA states that compounding is the act of combining, mixing, or altering ingredients to create a … During the pre-procedure huddle, the scrub technician states what medications are on their sterile back