June 10, 2015 | By: Calevir
The Agency for Healthcare Research and Quality (AHRQ) has released the latest issue of the Web Morbidity and Mortality Rounds on the Web (WebM&M). Cases include Anchoring Bias with Critical Implications, Inflicting Confusion, and Unseen Perils of Urinary Catheters.
Interviews included feedback from leaders in organizations working to improve quality and safety:
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A recent Pennsylvania case shows how courts narrowly interpret the PSQIA, ignoring the D & A pathway and the clear language of the Final Rule. (Ungurian v. Beyzman, et al., 2020 PA Super 105). The cour
The Center for Patient Safety wants to share this important harm-prevention advice from The Joint Commission and its Sentinel Event Alert: Managing the Risks of Direct Oral Anticoagulants. The Joint Commis
Issue: A number of events reported co CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status Examples include: Patient with
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