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psnet.ahrq.gov/node/39171/psn-pdf
February 10, 2015 - Patient safety at ten: unmistakable progress, troubling
gaps.
February 10, 2015
Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood).
2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785.
https://psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps
Th…
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psnet.ahrq.gov/node/42423/psn-pdf
July 17, 2013 - National trends in hospital-acquired preventable adverse
events after major cancer surgery in the USA.
July 17, 2013
Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events
after major cancer surgery in the USA. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002843.
h…
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psnet.ahrq.gov/node/46975/psn-pdf
November 16, 2018 - Electronic health record usability issues and potential
contribution to patient harm.
November 16, 2018
Howe JL, Adams KT, Hettinger Z, et al. Electronic Health Record Usability Issues and Potential
Contribution to Patient Harm. JAMA. 2018;319(12):1276-1278. doi:10.1001/jama.2018.1171.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
January 01, 2023 - Assessing safety and outcomes in outpatient versus inpatient thyroidectomy using the NSQIP: a propensity
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psnet.ahrq.gov/node/73302/psn-pdf
May 26, 2021 - Leadership may be assessing challenges in their processes every year to 18 months, but a lot of
the
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psnet.ahrq.gov/node/49454/psn-pdf
July 01, 2004 - Assessing the use of activated protein C in the treatment of severe sepsis.
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psnet.ahrq.gov/node/49733/psn-pdf
May 01, 2015 - This can be done by assessing their understanding of
their diseases and their own self-efficacy in disease
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - In addition, organizations should strive to
build processes for assessing the extent to which systems
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psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - Slow Down: Right Drug, Wrong Formulation
January 1, 2018
A national survey assessing
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - January 11, 2022
WebM&M Cases
A framework for assessing
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - 2007;19(4):203-209. doi:10.1093/intqhc/mzm018
Improving Medication Safety in Community Pharmacy: Assessing
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - When assessing system solutions to better manage outpatient laboratory test results, one must consider
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - Assessing electronic note quality using the Physician
Documentation Quality Instrument (PDQI-9).
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - There are other ways including the patient in patient safety, such as assessing
and mitigating the effects
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psnet.ahrq.gov/node/49870/psn-pdf
August 10, 2019 - The first step in evaluating a new anemia in an older adult (after assessing for possible
hypovolemia
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psnet.ahrq.gov/node/837791/psn-pdf
August 05, 2022 - problematic and the most common medical errors.5,6 Diagnostic safety is also one of the
major challenges in assessing
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psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
January 13, 2021 - Tackling inpatient penicillin allergies: assessing tools for antimicrobial stewardship.
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - Assessing clinical reasoning: moving from in vitro to in vivo. Diagnosis (Berl). 2014;1:111-117.
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - dietitian could also have contributed to the diagnostic process, by virtue of their involvement in assessing
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - April 26, 2023
WebM&M Cases
A framework for assessing