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psnet.ahrq.gov/issue/excessive-work-hours-physicians-training-el-salvador-putting-patients-risk
August 04, 2021 - June 17, 2014
Putting the sleepy resident issue to bed: federal legislation is not the answer
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psnet.ahrq.gov/issue/clinician-factors-associated-delayed-diagnosis-appendicitis
October 26, 2022 - 2024
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer
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psnet.ahrq.gov/issue/crowding-emergency-department-challenges-care-children
October 19, 2022 - Resources
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer
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psnet.ahrq.gov/issue/engineering-safety-use-failure-mode-and-effects-analysis-laboratory
January 23, 2017 - : An answer with many questions.
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psnet.ahrq.gov/issue/health-care-safety-what-needs-be-done
December 01, 2011 - December 9, 2009
Improving hospital performance: culture change is not the answer.
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psnet.ahrq.gov/issue/guide-developing-community-based-patient-safety-advisory-council
November 30, 2016 - November 21, 2016
Questions Are the Answer.
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psnet.ahrq.gov/node/33686/psn-pdf
August 01, 2009 - command, and control, Toyota had
learned that no amount of planning would ever get you to a perfect answer … The answer
I had to give was, "I really don't know. … The key is not importing the answer: it's in
importing the robust process by which the great answers … SS: The easy answer is that the nurse doesn't understand what to do. … The real answer is that leadership
doesn't know what it should want nurses to do.
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psnet.ahrq.gov/node/35883/psn-pdf
July 01, 2009 - Bar Code Label Requirements for Blood and Blood
Components.
July 1, 2009
FDA; Food and Drug Administration; CBER; Center for Biologics Evaluation and Research.
https://psnet.ahrq.gov/issue/bar-code-label-requirements-blood-and-blood-components
This FAQ answers questions related to the FDA machine-readable bar-codi…
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - interprofessional team should discuss all potential problems including lack of staff
availability to answer
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psnet.ahrq.gov/node/42508/psn-pdf
December 18, 2017 - Watson: Beyond Jeopardy!
December 18, 2017
Ferrucci D, Levas A, Bagchi S, et al. Watson: Beyond Jeopardy!. Artif Intell. 2012;199-200.
doi:10.1016/j.artint.2012.06.009.
https://psnet.ahrq.gov/issue/watson-beyond-jeopardy
This commentary describes how question answering systems can augment evidence-based decision
…
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psnet.ahrq.gov/node/853625/psn-pdf
September 20, 2023 - ‘Dr. Google’ meets its match: Dr. ChatGPT.
September 20, 2023
Leonard A. KFF Health News. September 12, 2023.
https://psnet.ahrq.gov/issue/dr-google-meets-its-match-dr-chatgpt
The use of artificial intelligence (AI) holds potential for health care improvement that is beginning to be
documented. This article discus…
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psnet.ahrq.gov/issue/educator-toolkits-second-victim-syndrome-mindfulness-and-meditation-and-positive-psychology
June 28, 2023 - Author(s)
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer
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psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
July 28, 2013 - October 18, 2017
Questions Are the Answer.
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psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies
November 01, 2016 - November 21, 2016
Questions Are the Answer.
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psnet.ahrq.gov/node/36955/psn-pdf
September 13, 2011 - Patient safety in after-hours telephone medicine.
September 13, 2011
Killip S, Ireson CL, Love MM, et al. Patient safety in after-hours telephone medicine. Fam Med.
2007;39(6):404-9.
https://psnet.ahrq.gov/issue/patient-safety-after-hours-telephone-medicine
The investigators talked with patients who had used a fam…
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psnet.ahrq.gov/node/42708/psn-pdf
November 06, 2013 - Stay Connected: FAQs about Small-Bore Connectors and
Tubing Misconnections.
November 6, 2013
Arlington, VA: Association for the Advancement of Medical Instrumentation; October 2013.
https://psnet.ahrq.gov/issue/stay-connected-faqs-about-small-bore-connectors-and-tubing-misconnections
To help prevent tubing misconn…
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psnet.ahrq.gov/node/43144/psn-pdf
March 29, 2016 - Autopsy advocates.
March 29, 2016
Clark C. HealthLeaders Media. April 11, 2014.
https://psnet.ahrq.gov/issue/autopsy-advocates
Highlighting how hospital autopsy programs can uncover diagnostic errors, reveal adverse events, and
enhance learning opportunities, this news article recommends that these initiatives int…
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psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
April 04, 2011 - Unfortunately, this study indicates that the answer may be "no."
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psnet.ahrq.gov/node/33733/psn-pdf
July 01, 2012 - Analysis of
the survey's questions and answer options, however, reveals the survey could only generate … There were no questions or answer options on the survey that focused on what
appear to be the real problems … of health IT, i.e., there were no questions or answer options about
poor usability, lack of data standards
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psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solution
March 25, 2020 - 2023
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer