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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-curriculum-outline-patient-safety-and
September 22, 2021 - Efforts to embed patient safety content into defined post-graduate medical curriculum face challenges
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psnet.ahrq.gov/issue/use-error-management-theory-quantify-and-characterize-residents-error-recovery-strategies
June 14, 2023 - participating residents made 314 errors; the majority were technical errors (63%) and commission errors (69%; defined
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psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
March 22, 2023 - Duplicate medication orders, defined as orders for two or more identical medications or same therapeutic
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psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination
April 03, 2019 - label ; participants were asked to identify four medications, with and without the icon, from pre-defined
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psnet.ahrq.gov/issue/prospective-evaluation-consultant-surgeon-sleep-deprivation-and-outcomes-more-4000
October 19, 2022 - complications or mortality in cardiac surgery patients when the attending surgeon was sleep deprived (defined
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psnet.ahrq.gov/issue/effects-night-team-system-resident-sleep-and-work-hours
November 16, 2022 - hour regulations , many residency programs are shifting toward night-team systems where residents work defined
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psnet.ahrq.gov/issue/inpatient-patient-safety-events-vulnerable-populations-retrospective-cohort-study
October 27, 2021 - This single-site retrospective cohort found that vulnerable populations (defined by race/ethnicity, insurance
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psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use-health-care
November 16, 2022 - transparency, lack of standardization regarding how race and social determinants are collected and defined
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-telemedicine-obstetrics-quality-and-safety
August 10, 2022 - provide services has grown substantially in recent years as safety profiles for the services are being defined
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psnet.ahrq.gov/issue/role-personal-health-information-management-promoting-patient-safety-home-qualitative
June 15, 2022 - Patient safety in the home has not been well defined and there have been few studies of this setting.
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psnet.ahrq.gov/node/39246/psn-pdf
April 11, 2018 - How perioperative nurses define, attribute causes of, and
react to intraoperative nursing errors.
April 11, 2018
Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors.
AORN J. 2010;91(1):132-45. doi:10.1016/j.aorn.2009.06.028.
https://psnet.ahrq.gov/issue/how-per…
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psnet.ahrq.gov/node/47309/psn-pdf
August 22, 2018 - Defining patient safety events in inpatient psychiatry.
August 22, 2018
Marcus SC, Hermann R, Cullen SW. Defining Patient Safety Events in Inpatient Psychiatry. J Patient Saf.
2018;17(8):e1452-e1457. doi:10.1097/PTS.0000000000000520.
https://psnet.ahrq.gov/issue/defining-patient-safety-events-inpatient-psychiatry
…
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psnet.ahrq.gov/node/36622/psn-pdf
January 14, 2011 - Measuring errors in surgical pathology in real-life
practice: defining what does and does not matter.
January 14, 2011
Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does
and does not matter. Am J Clin Pathol. 2007;127(1):144-52.
https://psnet.ahrq.gov/issue/measu…
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - termed Ambulance Patient Offload Time (APOT) by the California Health and Safety Code, wall
time is defined … An EMC is statutorily defined by EMTALA as:
(1) A medical condition manifesting itself by acute … Regardless of a patient’s mode of arrival, once a patient is physically on hospital property—defined … applies and the responsibility for the patient’s care transitions
to the hospital.22 This legally defined … Authority (EMSA) released an Interim Guidance Memo related to APOT wherein the
transfer of care was defined
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psnet.ahrq.gov/node/41727/psn-pdf
October 10, 2012 - Transferring responsibility and accountability in maternity
care: clinicians defining their boundaries of practice in
relation to clinical handover.
October 10, 2012
Chin GSM, Warren N, Kornman L, et al. Transferring responsibility and accountability in maternity care:
clinicians defining their boundaries of pract…
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psnet.ahrq.gov/node/44262/psn-pdf
November 17, 2016 - The challenges in defining and measuring diagnostic
error.
November 17, 2016
Zwaan L, Singh H. The challenges in defining and measuring diagnostic error. Diagnosis (Berl).
2015;2(2):97-103. doi:10.1515/dx-2014-0069.
https://psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error
Although diagnosti…
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psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
February 17, 2011 - This survey of nearly 3000 US hospitals found that less than 2% had a fully functional EHR (defined as
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psnet.ahrq.gov/issue/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically
May 26, 2011 - This study discovered that higher pharmacy workload, defined as the number of prescriptions dispensed
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psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
July 14, 2010 - The Institute of Medicine's Crossing the Quality Chasm report endorsed care management, defined as
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psnet.ahrq.gov/issue/low-literacy-impairs-comprehension-prescription-drug-warning-labels
January 21, 2009 - The majority of the study population had low or marginal health literacy, defined as reading at an 8th