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psnet.ahrq.gov/node/47403/psn-pdf
November 07, 2018 - Defining minimum necessary anticoagulation-related
communication at discharge: Consensus of the Care
Transitions Task Force of the New York State
Anticoagulation Coalition.
November 7, 2018
Triller D, Myrka A, Gassler J, et al. Defining Minimum Necessary Anticoagulation-Related Communication
at Discharge: Consens…
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psnet.ahrq.gov/node/36185/psn-pdf
March 28, 2011 - Defining the technical skills of teamwork in surgery.
March 28, 2011
Healey A, Undre S, Vincent C. Defining the technical skills of teamwork in surgery. Qual Saf Health Care.
2006;15(4):231-4.
https://psnet.ahrq.gov/issue/defining-technical-skills-teamwork-surgery
The authors discuss a strategy for incorporating t…
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psnet.ahrq.gov/issue/ethics-and-practical-importance-defining-distinguishing-and-disclosing-nursing-errors
April 09, 2009 - Study
The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion paper.
Citation Text:
The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion paper. Johnstone MJ; Kanitsaki O.
Copy…
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psnet.ahrq.gov/node/35799/psn-pdf
March 29, 2006 - The ethics and practical importance of defining,
distinguishing and disclosing nursing errors: a
discussion paper.
March 29, 2006
Johnstone MJ; Kanitsaki O.
https://psnet.ahrq.gov/issue/ethics-and-practical-importance-defining-distinguishing-and-disclosing-nursing-
errors
The authors provide a definition of "nur…
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psnet.ahrq.gov/node/40548/psn-pdf
March 23, 2012 - Potentially inappropriate medications defined by STOPP
criteria and the risk of adverse drug events in older
hospitalized patients.
March 23, 2012
Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP criteria
and the risk of adverse drug events in older hospitalized patien…
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psnet.ahrq.gov/node/42561/psn-pdf
October 09, 2013 - Defining technical errors in laparoscopic surgery: a
systematic review.
October 9, 2013
Bonrath EM, Dedy NJ, Zevin B, et al. Defining technical errors in laparoscopic surgery: a systematic
review. Surg Endosc. 2013;27(8):2678-91. doi:10.1007/s00464-013-2827-5.
https://psnet.ahrq.gov/issue/defining-technical-errors…
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - Case Objectives Define what it means to be a professional. … In the present case, Reason's algorithm may define the error as blameless if the involved clinician acted
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psnet.ahrq.gov/node/41226/psn-pdf
April 22, 2012 - Defining impact of a rapid response team: qualitative
study with nurses, physicians and hospital
administrators.
April 22, 2012
Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with
nurses, physicians and hospital administrators. BMJ Qual Saf. 2012;21(5):391-8. do…
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psnet.ahrq.gov/node/44711/psn-pdf
September 21, 2016 - The well-defined pediatric ICU: active surveillance using
nonmedical personnel to capture less serious safety
events.
September 21, 2016
White WA, Kennedy K, Belgum HS, et al. The Well-Defined Pediatric ICU: Active Surveillance Using
Nonmedical Personnel to Capture Less Serious Safety Events. Jt Comm J Qual Patien…
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psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
July 29, 2020 - Commentary
Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening.
Citation Text:
Baim-Lance A, Ferreira KB, Cohen HJ, et al. Improving the approach to defining, classifyin…
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - We cannot measure what we cannot define. … need to ensure that these interventions are rigorously evaluated.( 14,15 ) Our work ahead should also define … Editorial: Helping health care organizations to define diagnostic errors as missed opportunities in diagnosis … They play out over time and are hard to define.
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - They play out over time and are hard to define. … We cannot measure what we cannot define. … need to ensure that these interventions are rigorously evaluated.( 14,15 ) Our work ahead should also define … Editorial: Helping health care organizations to define diagnostic errors as missed opportunities in diagnosis
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - We used to define having a good sign-out as actually having no sign-out—where there was no work to … However, it is also true that when you define a start and an end to a shift, it allows you to have a … It's very hard to define. The research hasn't really caught up there. … They define these "vigilance tasks," things that require a lot of attention and vigilance like monitoring
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - Two other terms define hazards to patients that do not result in harm: Near miss : an unsafe situation
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psnet.ahrq.gov/node/40656/psn-pdf
October 16, 2012 - Defining health information technology–related errors:
new developments since To Err Is Human.
October 16, 2012
Sittig DF, Singh H. Defining health information technology-related errors: new developments since to err is
human. Arch Intern Med. 2011;171(14):1281-4. doi:10.1001/archinternmed.2011.327.
https://psnet.…
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psnet.ahrq.gov/issue/defining-identifying-and-addressing-problematic-polypharmacy-within-multimorbidity-primary
July 22, 2015 - Review
Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review.
Citation Text:
Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scop…
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psnet.ahrq.gov/node/44340/psn-pdf
October 12, 2015 - Defining attributes of patient safety through a concept
analysis.
October 12, 2015
Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis.
J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715.
https://psnet.ahrq.gov/issue/defining-attributes-patient-safety-thro…
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psnet.ahrq.gov/node/41398/psn-pdf
May 30, 2012 - How should medication errors be defined? Development
and test of a definition.
May 30, 2012
Lisby M, Nielsen LP, Brock B, et al. How should medication errors be defined? Development and test of a
definition. Scand J Public Health. 2012;40(2):203-10. doi:10.1177/1403494811435489.
https://psnet.ahrq.gov/issue/how-sh…
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psnet.ahrq.gov/node/49729/psn-pdf
April 01, 2015 - https://psnet.ahrq.gov/web-mm/dissecting-presentation
Case Objectives
Define aortic dissection. … The true incidence is difficult to define because dissections can be
instantly fatal in the prehospital
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - There
are ways to start to define the core characteristics of people who have expertise in this area … Looking at the evolution of patient safety science over the last
20–25 years, we have really started to define