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psnet.ahrq.gov/issue/health-care-provider-use-private-sector-internal-error-reporting-systems
May 29, 2019 - The authors compared nine commercial reporting products and identified key elements purchasers should consider
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psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring
December 01, 2021 - and potential harms of zero-harm initiatives (e.g., misclassifying preventable events, failing to consider
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psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
January 12, 2022 - Investigations into medical mistakes that result in patient harm should be fair, complete, and consider
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psnet.ahrq.gov/issue/clinical-reasoning-wild-premature-closure-during-covid-19-pandemic
September 02, 2020 - Letter to the Editor, the authors suggest that the COVID-19 pandemic presents a unique opportunity to consider
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psnet.ahrq.gov/issue/when-less-better-physicians-are-afraid-not-intervene
July 29, 2020 - provide patients with a range of treatment options along with their associated risks and benefits, consider
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psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
February 01, 2023 - commentary reveals challenges related to nurses performing double checks and human factors elements to consider
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psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology
September 23, 2020 - The authors call for institutions to consider standardizing their paging communication.
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psnet.ahrq.gov/issue/problem-checklists
March 29, 2023 - commentary relates the differences between medical and aviation checklists to underscore the need to consider
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psnet.ahrq.gov/issue/new-argument-no-fault-compensation-health-care-introduction-artificial-intelligence-systems
May 13, 2020 - As the use of AI continues to expand, regulators and legal experts will need to consider how to manage
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psnet.ahrq.gov/issue/coaching-debriefer-peer-coaching-improve-debriefing-quality-simulation-programs
July 31, 2019 - element of the program involves a peer feedback form that explores 10 elements of debriefing that consider
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psnet.ahrq.gov/issue/learning-health-system-agenda-organizational-approaches-enhancing-occupational-well-being
October 28, 2020 - This approach discussed should consider both human factors and organizational design strategies to
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psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey
November 23, 2005 - The authors recommend elements to consider, including increasing awareness of complacency , potential
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psnet.ahrq.gov/issue/designing-patient-safety-developing-methods-integrate-patient-safety-concerns-design-process
December 14, 2010 - This report discusses patient safety issues to consider when designing health care facilities and includes
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psnet.ahrq.gov/issue/reducing-prognostic-errors-new-imperative-quality-healthcare
June 21, 2016 - light of the current emphasis on diagnostic error, the authors emphasize the need for clinicians to consider
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psnet.ahrq.gov/issue/multiple-latent-failures-align-allow-serious-drug-interaction-harm-patient
June 10, 2018 - led to patient harm, this article encourages health care providers investigating adverse events to consider
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psnet.ahrq.gov/issue/covid-19-assessing-risk-public-protection-posed-doctor-result-concerns-about-their-practice
July 15, 2015 - recommendations for leaders assessing complaints against physicians during the COVID-19 pandemic to consider
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - • The on-call cross-covering provider remained reluctant to consider sepsis
and did not evaluate … presumably heart failure, and this initial diagnosis likely had a
powerful impact on the failure to consider … the more clinicians invest in a particular diagnosis, the less
likely they may be to release it and consider … • One particularly common factor is high physician workload.4 Questions to consider
when analyzing … an unanticipated change in clinical exam or status occurs, one should broaden the
differential to consider
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.76_slideshow.ppt
October 01, 2004 - Take-Home Points
Consider strategies to reduce the likelihood of connecting oxygen tubing to the wrong … information and forces the user to look at the flowmeter to identify the gas
Take-Home Points
Consider
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - The intervention team acknowledges there are challenges any organization should consider prior to implementation … Resources Used and Skills Needed
To implement this intervention, organizations should consider the … Resources Used and Skills Needed
To implement this intervention, organizations should consider the
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psnet.ahrq.gov/node/43002/psn-pdf
March 12, 2014 - The participants were then asked to return to the cases, reflect on their
previous diagnosis, and consider