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psnet.ahrq.gov/node/49477/psn-pdf
April 01, 2005 - Hold the tPA
April 1, 2005
Fagan SC. Hold the tPA. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/hold-tpa
The Case
A 74-year-old woman with a history of atrial fibrillation on warfarin therapy came to the emergency
department (ED) 1 hour after the sudden onset of aphasia and right-sided weakness. A non-co…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.128_slideshow.ppt
July 01, 2006 - Spotlight Case [MONTH] 2003
Spotlight Case July 2006
Moving Pains
Source and Credits
This presentation is based on the June/July 2006
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Hildy Schell, RN, MS, CCRN, CCNS, and…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
August 01, 2015 - PowerPoint Presentation
Spotlight
Privacy or Safety?
1
This presentation is based on the July/August 2015
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: John D. Halamka, MD, MS, Beth Israel Deaconess Medical Center; and Deven McGraw, JD, MPH, LLM…
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psnet.ahrq.gov/node/49428/psn-pdf
January 01, 2004 - To Resuscitate or Not?
January 1, 2004
Wu AW, Pronovost P. To Resuscitate or Not? PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/resuscitate-or-not
The Case
A critically ill end-stage AIDS patient was hospitalized for end-of-life care. Given the state of his disease,
his code status was Do Not Resuscitate/…
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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February 26, 2025
Innovation
Contact
…
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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - Robert Wachter, Editor, AHRQ WebM&M : In some ways, the role of simulation seemed self-evidently important … RW : In some ways this gets at policy issues of whether simulation should be required of trainees at … Simulation is clearly one of the ways that has been accomplished. … all rings true and yet, at least theoretically, The Joint Commission tomorrow could say one of the ways … would like all those things to be done everywhere and simultaneously because there are certainly many ways
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psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - Robert Wachter, Editor, AHRQ WebM&M : In some ways, the role of simulation seemed self-evidently important … RW : In some ways this gets at policy issues of whether simulation should be required of trainees at … Simulation is clearly one of the ways that has been accomplished. … all rings true and yet, at least theoretically, The Joint Commission tomorrow could say one of the ways … would like all those things to be done everywhere and simultaneously because there are certainly many ways
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psnet.ahrq.gov/node/33858/psn-pdf
May 01, 2018 - We just digitized the paper,
maybe in some fancy ways, but it was still digital paper. … These downsides in some ways seem to me to be almost inevitable, and then
you're going to have to clean … https://www.ncbi.nlm.nih.gov/pubmed/27573319
JH: I'll answer this in two ways. … not so much working on what they did years ago, a personal
health record, they're looking at novel ways … Now company after company is
creating novel ways for patients and doctors and nurses to have an experience
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psnet.ahrq.gov/node/33818/psn-pdf
November 01, 2016 - How has that gotten in the way of progress in certain ways, and where
do you see that going? … The
electronic health record—with appropriate standardization, with appropriate ways to protect
http … multiple perspectives on
different aspects of the law to understand it and to give insights about ways
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psnet.ahrq.gov/node/33648/psn-pdf
March 01, 2007 - In some ways, you look at the steps that Hopkins has
taken and it shows a lot of good people getting
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - this science pushes us to
view the organization as a collection of routines and taken-for-granted ways … Doing this will
require that we take what we have and find ways to tinker with it, in essence "growing
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psnet.ahrq.gov/node/33869/psn-pdf
November 01, 2018 - www.healthaffairs.org/doi/10.1377/hlthaff.2014.0072
Comprehensive Care Programs promote continuity in two ways … RW: In some ways, this is a complement to the hospitalist model and in some ways it's a contrast to it … But there are other ways to
think about diminishing handoffs.
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - There
are ways to start to define the core characteristics of people who have expertise in this area … The first is that in
some ways if everyone said yes, I'm an expert in patient safety—the reality is … important than you would have expected, or those that are less important or changed in
fundamental ways
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psnet.ahrq.gov/node/73954/psn-pdf
October 13, 2021 - It's like sending a message in a bottle: a qualitative study
of the consequences of one-way communication
technologies in hospitals.
October 13, 2021
Lafferty M, Harrod M, Krein SL, et al. It’s like sending a message in a bottle: a qualitative study of the
consequences of one-way communication technologies in hosp…
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psnet.ahrq.gov/node/33686/psn-pdf
August 01, 2009 - next several months, they started tackling this problem, these constant breakdowns in care,
in the ways … There are a lot of other ways in
which things can get done and a lot of other ways of exercising influence … They were being asked to work in ways that were nonsensical.
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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - Then, there are some very
specific issues around errors and the malpractice system and how in some ways … In some ways, both
patients and clinicians are vulnerable to emotional exhaustion and depersonalization … Health
care systems will need ways to create a "learning EHR." … More Wikipedia kind of models or different ways of
thinking about this.
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psnet.ahrq.gov/node/33639/psn-pdf
September 01, 2006 - Well, why are there different ways of
trying to achieve the same goal? They all can't be equal.
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psnet.ahrq.gov/node/33831/psn-pdf
April 01, 2017 - Not necessarily in severe ways,
but through the kinds of behaviors that frontline caregivers perceive … If you don't have equally transparent and equitable ways of judging and moving those
situations into … demonstrate that no matter
how you're paid, if you understand how you're paid, you can focus these tools in ways
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psnet.ahrq.gov/node/38108/psn-pdf
September 30, 2014 - No more blame & shame: developing event-reporting
systems may go a long way to reducing patient care
errors in EMS.
September 30, 2014
Rajasekaran K, Fairbanks RJ, Shah M. No more blame & shame. Developing event-reporting systems may
go a long way to reducing patient care errors in EMS. EMS magazine. 2008;37(9):61…
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psnet.ahrq.gov/node/41018/psn-pdf
December 21, 2011 - What stands in the way of technology-mediated patient
safety improvements? A study of facilitators and barriers
to physicians' use of electronic health records.
December 21, 2011
Holden RJ. What stands in the way of technology-mediated patient safety improvements?: a study of
facilitators and barriers to physician…