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psnet.ahrq.gov/issue/blinding-or-information-control-diagnosis-could-it-reduce-errors-clinical-decision-making
October 13, 2018 - The authors highlight test interpretation as one area particularity vulnerable to this problem and recommend
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psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
June 19, 2013 - wrong-site surgery and medication errors as the most pressing patient safety concerns in their area
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psnet.ahrq.gov/issue/technical-series-safer-primary-care
November 19, 2014 - Each monograph provides an introduction to each area of concern and practical approaches to improvement
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psnet.ahrq.gov/node/50886/psn-pdf
February 12, 2020 - Identifying risks areas related to medication
administrations - text mining analysis using free-text
descriptions of incident reports.
February 12, 2020
Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations -
text mining analysis using free-text descriptions of in…
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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - In some cases, there was even confusion over whether the marked site indicates the area to be operated … on, or the area to be avoided.
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psnet.ahrq.gov/node/35309/psn-pdf
January 02, 2017 - They recommend additional research in this area and more
attention to "practical facilitation of patient
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psnet.ahrq.gov/node/38033/psn-pdf
September 24, 2010 - Prior research in this area has demonstrated the
effectiveness of pharmacists at carrying out medication
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psnet.ahrq.gov/node/47042/psn-pdf
June 13, 2018 - addressing-dual-patient-and-staff-safety-through-team-based-standardized-
patient-simulation
Workplace violence in health care is a particular area
-
psnet.ahrq.gov/node/47415/psn-pdf
December 05, 2018 - The authors highlight test interpretation as one area particularity vulnerable to this problem
and recommend
-
psnet.ahrq.gov/node/41700/psn-pdf
December 31, 2014 - Progress in this area has stalled owing to disagreement between clinicians and system designers along
-
psnet.ahrq.gov/node/43173/psn-pdf
June 04, 2014 - were lack of
a regulatory mandate and insufficient evidence supporting their effectiveness in this area
-
psnet.ahrq.gov/node/38097/psn-pdf
January 02, 2017 - Prior work in this area has demonstrated that patients
can identify adverse events that were not documented
-
psnet.ahrq.gov/node/43013/psn-pdf
March 12, 2014 - underscores
persisting concerns related to test results management, despite longstanding work in this area
-
psnet.ahrq.gov/node/46723/psn-pdf
April 12, 2019 - diagnostic-assessment-deep-learning-algorithms-detection-lymph-node-
metastases-women-breast
Diagnostic error is a growing area
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psnet.ahrq.gov/node/46806/psn-pdf
January 01, 2020 - Triggers can
identify errors in a specific area or more globally measure an organization's safety.
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psnet.ahrq.gov/node/40236/psn-pdf
March 23, 2012 - Another safety area ripe for
intervention is managing test results after hospital discharge.
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psnet.ahrq.gov/node/863641/psn-pdf
February 28, 2024 - The fourth area of emphasis is active learning strategies. … And finally, the fifth area of emphasis is emerging team challenges and opportunities that come with … the website does retain the TeamSTEPPS module specific to diagnostic
improvement, given its growing area
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psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
January 01, 2020 - • Patient was seen by surgical and anesthesia teams in the
preoperative holding area the morning … • At this hospital, an initial blood sample is sent in a purple
tube from the holding area and then
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psnet.ahrq.gov/node/48111/psn-pdf
July 10, 2019 - Medication Safety in Key Action Areas.
July 10, 2019
Geneva, Switzerland: World Health Organization; 2019.
https://psnet.ahrq.gov/issue/medication-safety-key-action-areas
Reducing adverse medication events is a worldwide challenge. This collection of technical reports explores
key areas of concern that require act…
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psnet.ahrq.gov/issue/development-trigger-tools-surveillance-adverse-events-ambulatory-surgery
October 01, 2014 - Ambulatory surgery remains a relatively understudied area of patient safety.