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psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
July 29, 2020 - This commentary describes how serious and non-serious adverse events (SAEs/AEs) are currently defined
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - Background
Definitions and Types of Patient Harm
Investigators in the Harvard Medical Practice Study defined … Errors are
defined as "an act of commission (doing something wrong) or omission (failing to do the right … A near miss is defined as "an event or situation that did not produce patient
injury, but only because
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psnet.ahrq.gov/node/74157/psn-pdf
December 08, 2021 - Serious reportable patient safety events were commonly defined as being largely
preventable; having
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psnet.ahrq.gov/issue/defining-identifying-and-addressing-problematic-polypharmacy-within-multimorbidity-primary
July 22, 2015 - This scoping review examined how polypharmacy is defined, identified, and addressed across 157 articles
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psnet.ahrq.gov/node/46380/psn-pdf
September 06, 2017 - Less than 20% of the included studies defined patient safety as an aspect of high performance.
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psnet.ahrq.gov/node/837193/psn-pdf
May 25, 2022 - National Academies of Science, Engineering, and Medicine (NASEM) report Improving Diagnosis
in Healthcare defined
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psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review
August 17, 2022 - This scoping review explored how medical errors are defined and measured in studies of pediatric surgery
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psnet.ahrq.gov/issue/defining-speaking-healthcare-system-systematic-review
September 27, 2023 - Review
Defining speaking up in the healthcare system: a systematic review.
Citation Text:
Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0.
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Forma…
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psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus
June 22, 2022 - Review
Defining and classifying terminology for medication harm: a call for consensus.
Citation Text:
Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-25…
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psnet.ahrq.gov/issue/defining-and-studying-errors-surgical-care-systematic-review
July 20, 2022 - Review
Defining and studying errors in surgical care: a systematic review.
Citation Text:
Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351.
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F…
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psnet.ahrq.gov/node/72831/psn-pdf
March 10, 2021 - enhancing-culture-safety-through-disclosure-adverse-events
Error disclosure is supported by a robust safety culture and a defined
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psnet.ahrq.gov/node/856638/psn-pdf
November 29, 2023 - the core safety elements of an SMS (policy, risk
management, assurance, and promotion), how they are defined
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psnet.ahrq.gov/node/60944/psn-pdf
September 23, 2020 - discusses the threat that the “flexibilization” of science has played during the COVID-19
pandemic, defined
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psnet.ahrq.gov/node/60569/psn-pdf
June 10, 2020 - workplace-team-resilience-systematic-review-and-conceptual-development
This systematic review examined nature of workplace team resilience, how it is defined
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psnet.ahrq.gov/node/40644/psn-pdf
October 04, 2020 - high-performance-work-systems-health-care-management-part-1-and-part-2
In this continuing series, high-performance work practices are explored and defined
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psnet.ahrq.gov/node/866323/psn-pdf
July 17, 2024 - ahrq-funded-patient-safety-project-highlights-improving-patient-safety-
enhancing-care
Care coordination is defined
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psnet.ahrq.gov/node/60350/psn-pdf
May 20, 2020 - apparent-cause-analysis-safety-tool
This article explores one hospital’s use of facilitated apparent cause analysis (ACA), which is defined
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psnet.ahrq.gov/node/851196/psn-pdf
July 05, 2023 - patient-falls-while-under-supervision-trends-incident-reporting
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
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psnet.ahrq.gov/node/837701/psn-pdf
July 20, 2022 - This scoping review
explored how medical errors are defined and measured in studies of pediatric surgery
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psnet.ahrq.gov/node/859353/psn-pdf
December 20, 2023 - imperfections of the numbers, a distinct dashboard is provided to enable comparison of 38 countries on
the defined