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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - should
have prompted a surgical consultation for acute cholecystitis, which might have led to the correct … Abdominal pain in the emergency department: how to
select the correct imaging for diagnosis.
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psnet.ahrq.gov/issue/best-practices-administering-sops-surveys
January 10, 2024 - Webinar
Best Practices for Administering SOPS Surveys.
Citation Text:
Best Practices for Administering SOPS Surveys. Agency for Healthcare Research and Quality. January 24, 2024.
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - And then, how does the service itself perform in identifying critical patients and moving them to the correct … The ability to use correct data systems and quality measures, not over-apply quality measures, and not
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - , should have prompted a surgical consultation for acute cholecystitis, which might have led to the correct … Abdominal pain in the emergency department: how to select the correct imaging for diagnosis.
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psnet.ahrq.gov/issue/speak-video-series
November 27, 2018 - Audiovisual
Speak Up Video Series.
Citation Text:
Speak Up Video Series. Oakbrook Terrace, IL: Joint Commission.
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Electronic Health Records
December 15, 2024
Electronic Health Records. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/electronic-health-records
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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psnet.ahrq.gov/issue/cancer-diagnoses-delayed-among-prisoners-washington-state
March 24, 2021 - Newspaper/Magazine Article
Cancer diagnoses delayed among prisoners in Washington state.
Citation Text:
Cancer diagnoses delayed among prisoners in Washington state. Medscape Medical News. May 12, 2021.
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psnet.ahrq.gov/issue/black-or-other-doctors-may-be-relying-race-make-decisions-about-your-health
September 15, 2021 - Newspaper/Magazine Article
Black or 'other'? Doctors may be relying on race to make decisions about your health.
Citation Text:
Black or 'other'? Doctors may be relying on race to make decisions about your health. Smith J, Spodak C. CNN. April 25, 2021.
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psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - Haste Makes Care Unsafe
Citation Text:
Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - their own words their understanding of what they have learned (or demonstrate a new skill to ensure correct
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psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-crp-policy-or-commitment-statement-cr
February 28, 2024 - Tools/Toolkit
Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR.
Citation Text:
Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. Collaborative for Accountability and Improvement Po…
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - prescription order and all
medication labels.3 Having both names present allows for easier identification of correct … safeguards would have provided the nurse and provider in this case
with extra support to ensure the correct
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psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
November 30, 2021 - She was evaluated by multiple obstetric, medical, and surgical teams, and ultimately the correct diagnosis … was a diagnostic possibility); (2) cognitive bias (failure to attribute symptoms and signs to the correct
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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - prescription order and all medication labels. 3 Having both names present allows for easier identification of correct … safeguards would have provided the nurse and provider in this case with extra support to ensure the correct
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - previous PSNet WebM&M commentary , clinician bedside assessments are truly essential for a timely and correct … decrease the risk of circulatory collapse during surgery and contribute to improved outcomes. 25,26 Correct
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psnet.ahrq.gov/issue/preventing-errors-high-risk-medications
May 20, 2020 - Newspaper/Magazine Article
Preventing errors with high-risk medications.
Citation Text:
Preventing errors with high-risk medications. Wiley F. Drug Topics. August 2019;1633:16-18.
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psnet.ahrq.gov/issue/teamwork-toolkit
July 21, 2021 - Toolkit
Teamwork Toolkit.
Citation Text:
Teamwork Toolkit. Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019.
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psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management
September 11, 2019 - Book/Report
Textbook of Patient Safety and Clinical Risk Management.
Citation Text:
Textbook of Patient Safety and Clinical Risk Management. Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN 9783030594022.
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psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
November 27, 2018 - Book/Report
What Every Health Care Organization Should Know about Sentinel Events.
Citation Text:
What Every Health Care Organization Should Know about Sentinel Events. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN 9780866889117.
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psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
February 08, 2023 - SPOTLIGHT CASE
Neurological Red Flags: A Missed Stroke after Intermittent Episodes of Dizziness and Headache
Citation Text:
Edlow J. Neurological Red Flags: A Missed Stroke after Intermittent Episodes of Dizziness and Headache. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …