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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - I am very, very
concerned about the impact over staff burnout on patient safety or unintended consequences … Following COVID-19 timeline, what is the
impact on patient safety of all these unintended consequences
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psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - All these circumstances may lead to
serious consequences without strong communication strategies to … The second case illustrates the consequences of process failures when multiple errors occur, undesigned
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psnet.ahrq.gov/web-mm/dependence-vs-pain
October 30, 2019 - with opiate dependence present with comorbid conditions of HIV, hepatitis C, or skin infections—all consequences … Predictors and consequences of negative physician attitudes toward HIV-infected injection drug users.
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psnet.ahrq.gov/web-mm/diagnosing-hiv-it-doesnt-take-brain-surgeon
January 01, 2018 - signed consent for HIV testing were originally put into place when there were profound stigma and other consequences … Costs and consequences of the US Centers for Disease Control and Prevention's recommendations for opt-out
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psnet.ahrq.gov/node/73202/psn-pdf
April 28, 2021 - symptomatic people be confirmed by molecular testing.15 Clinicians should appreciate the risk and
consequences … The post-partum patient in this case who experienced a false positive testing error illustrates the
consequences
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psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
March 01, 2018 - care, more so than overuse or misuse combined.( 3 )
A growing body of research identifies causes and consequences … variation between European hospitals in the reported incidence of missed care.( 5 ) Missed care has consequences
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - (including unexpected outcomes of labor and delivery resulting in significant short- or long-term
consequences … spectrum of severity
and include a wide array of disorders.26 The most severe forms can have dire consequences
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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - considerations than epidural analgesia, it can result in critical respiratory depression events with significant consequences … WebM&M Cases
To Dilute or Not Dilute: Drug Errors and Consequences
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - (including unexpected outcomes of labor and delivery resulting in significant short- or long-term consequences … spectrum of severity and include a wide array of disorders. 26 The most severe forms can have dire consequences
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - Counterpoint Zero Harm Goals May Have Unintended Negative Safety Consequences The rationale for setting … allocation, commentators have also questioned how zero avoidable harm can be reliably measured, and the consequences
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psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - symptomatic people be confirmed by molecular testing. 15 Clinicians should appreciate the risk and consequences … The post-partum patient in this case who experienced a false positive testing error illustrates the consequences
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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - care, more so than overuse or misuse combined.( 3 )
A growing body of research identifies causes and consequences … variation between European hospitals in the reported incidence of missed care.( 5 ) Missed care has consequences
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psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
November 25, 2020 - Emergency department crowding: A systematic review of causes, consequences, and solutions.
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - As we have come to appreciate the consequences of ICU delirium, research has begun to answer key questions … systems to appreciate the frequency of delirium in ICU patients and the important short- and long-term consequences … I'm trying to make sure that along the way we don't do things that have unintended consequences.
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - Sometimes their consequences are hidden, becoming apparent only when they occur in sequence with
http
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psnet.ahrq.gov/node/49845/psn-pdf
October 01, 2018 - Although drug shortages can have direct consequences—such as when a critical medication is unavailable
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psnet.ahrq.gov/node/49862/psn-pdf
May 01, 2019 - environments by those who are unfamiliar with this imaging modality—at times with
serious, and even fatal, consequences
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psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive
Partners in the Transformation of Health Care
January 1, 2015
Plsek PE. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health
Care. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually…
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - Counterpoint Zero Harm Goals May Have Unintended Negative Safety Consequences The rationale for setting … allocation, commentators have also questioned how zero avoidable harm can be reliably measured, and the consequences … Those factors could help them avoid some of the negative unintended consequences of zero harm goals that
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psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
March 01, 2017 - others seek cues to determine desirable behavior.( 5 ) This means that small actions can have major consequences