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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - We now know that people end up back in the hospital quite frequently, and some of the ways the system … We need to find ways for more rapid-cycle learning that can be tried in a group of institutions and then … I'd like to get people working on them in ways that reward them to come up with innovations that can
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psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants
May 02, 2018 - Newspaper/Magazine Article
ALERT: reports of severe harm after intravenous administration of breast milk to infants.
Citation Text:
ALERT: reports of severe harm after intravenous administration of breast milk to infants. ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - I'm really interested in finding ways to leverage technology in order to continue to push boundaries
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psnet.ahrq.gov/node/33585/psn-pdf
March 15, 2025 - psnet.ahrq.gov/primer/root-cause-analysis
https://psnet.ahrq.gov/issue/radiation-offers-new-cures-and-ways-do-harm
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work?
Josh Peterson, MD, MPH | May 1, 2018
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View more articles from the same authors.
Citation Text:
Peterson JF. Integrating Multiple Medication Decision …
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psnet.ahrq.gov/issue/why-empathy-may-be-best-risk-management-strategy
August 09, 2017 - Newspaper/Magazine Article
Why empathy may be the best risk management strategy.
Citation Text:
Hertz BT. Why empathy may be the best risk management strategy. Medical economics. 2015;92(3):40-4.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - You spoke about some examples of high-quality care, and I’m wondering if you have any thoughts on ways … There are ways to do that, but it typically costs a lot, and it costs money for me to pay to an EHR company … There’s lots of ways to do this and many places where this can happen. For instance, medications.
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psnet.ahrq.gov/web-mm/2-week-itch
June 16, 2019 - The 2-Week Itch
Citation Text:
Cohen MR. The 2-Week Itch. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
October 28, 2020 - visitor restrictions, facilities can encourage family members and friends of residents to consider other ways … where we were producing good outcomes, and perhaps areas where we needed to think more carefully about ways … CMS recently announced that they are trying to come up with some ways to allow visitation in a safe manner
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - Triggers and Trigger Tools
March 15, 2025
Triggers and Trigger Tools. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/triggers-and-trigger-tools
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 safet…
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - This mindset is supported by five characteristic ways of thinking: preoccupation with failure; reluctance
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - entering the order for the CT scan, there was a long list of options that were labeled in many different ways … disrupt existing patterns of physician–nurse–pharmacy articulation across time and space in unexpected ways
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - Team Training: Classroom Training vs. High-Fidelity Simulation
Stephen D. Pratt, MD and Benjamin P. Sachs, MB | March 1, 2006
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Citation Text:
Pratt SD, PSachs B. Team Training: Classroom Training vs. High-Fidelity Simulatio…
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - for settings outside the hospital, improving the quality of
safety reporting systems, and developing ways
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - RW : You've probably both heard and then studied a variety of different ways of apologizing.
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psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
September 29, 2017 - Study
Classic
Communication-and-resolution programs: the challenges and lessons learned from six early adopters.
Citation Text:
Mello MM, Boothman RC, McDonald TB, et al. Communication-and-resolution programs: the challenges and lessons learned from six early ad…
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psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
November 01, 2005 - In Conversation with…Donald M. Berwick, MD, MPP
November 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Donald M. Berwick, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…
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psnet.ahrq.gov/primer/responding-patient-safety-events
October 18, 2023 - content of disclosure that matters most to them includes an explanation of why the error occurred, ways
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - With or without burnout, the disturbance of the event could change structures and processes in ways that … What are some ways on a day-to-day basis that frontline healthcare workers can address the violence that … Sarah Mossburg: Are you aware of any promising research exploring ways to prevent workplace violence
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD
November 16, 2022
Also Read the Essay
Citation Text:
In Conversation With.. Pascale Carayon, PhD and Nicole Werner, PhD. PSNet [internet]. 2022.In Conversation With... Pascale Carayon, PhD and Ni…