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psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional
March 30, 2022 - EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined
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psnet.ahrq.gov/issue/medication-sharing-storage-and-disposal-practices-opioid-medications-among-us-adults
March 30, 2022 - November 14, 2018
Type 1 diabetes defined by severe insulin deficiency occurs after 30
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psnet.ahrq.gov/issue/adapting-cognitive-task-analysis-investigate-clinical-decision-making-and-medication-safety
March 10, 2021 - EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined
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psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
December 23, 2020 - February 15, 2023
Type 1 diabetes defined by severe insulin deficiency occurs after 30
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psnet.ahrq.gov/issue/automation-i-pass-tool-improve-transitions-care
August 04, 2021 - November 21, 2021
Type 1 diabetes defined by severe insulin deficiency occurs after 30
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psnet.ahrq.gov/issue/pediatric-medication-safety-considerations-pharmacists-adult-hospital-setting
January 29, 2020 - September 7, 2016
The well-defined pediatric ICU: active surveillance using nonmedical
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psnet.ahrq.gov/issue/veterans-health-administration-response-covid-19-crisis-surveillance-action
November 17, 2021 - EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined
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psnet.ahrq.gov/issue/putting-knowledge-practice-does-information-adverse-drug-interactions-influence-peoples
June 14, 2023 - September 1, 2015
Potentially inappropriate medications defined by STOPP criteria and
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psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning
December 15, 2021 - EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined
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psnet.ahrq.gov/issue/identifying-list-healthcare-never-events-effect-system-change-systematic-review-and-narrative
April 24, 2019 - EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined
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psnet.ahrq.gov/issue/using-assessment-reasoning-tool-facilitate-feedback-about-diagnostic-reasoning
February 23, 2022 - EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined
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psnet.ahrq.gov/issue/contributors-diagnostic-error-or-delay-acute-care-setting-survey-clinical-stakeholders
May 26, 2021 - EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined
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psnet.ahrq.gov/issue/quantification-and-classification-errors-associated-hand-repackaging-medications-long-term
April 21, 2021 - July 17, 2019
Potentially inappropriate medications defined by STOPP criteria and the
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psnet.ahrq.gov/node/46843/psn-pdf
June 21, 2018 - Electronic health record reviews to measure diagnostic
uncertainty in primary care.
June 21, 2018
Bhise V, Rajan SS, Sittig DF, et al. Electronic health record reviews to measure diagnostic uncertainty in
primary care. J Eval Clin Pract. 2018;24(3):545-551. doi:10.1111/jep.12912.
https://psnet.ahrq.gov/issue/elect…
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psnet.ahrq.gov/node/33674/psn-pdf
February 01, 2009 - Now that is defined by our
house staff and others as a safety issue. Well, in fact, it is. … It's sort of nice and easy and morally pure to say that once
you've defined this as a safety issue, … If you fix all of the issues
that are defined as safety issues, you cannot, at least in the modern payment
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
June 01, 2014 - pub_ID=2340
6
Background (2)
Others have defined wandering as referring to a patient who ʺstrays beyond … the view or control of staff without the intent of leavingʺ
Elopement, on the other hand, is defined
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psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - VA: In fact, that actually has been defined.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.92_slideshow.ppt
April 01, 2005 - CN defined as a 25% increase in serum creatinine within two days of exposure
Low rates of CN were subsequently … CN defined as a 25% increase in serum creatinine within 2 days of exposure
Incidence of CN: 1.7% in
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psnet.ahrq.gov/node/49767/psn-pdf
August 21, 2016 - The Commentary
by Julia Adler-Milstein, PhD
Interoperability is defined as the ability of a system … Take-Home Points
Interoperability is defined as the ability of a system or product to work with other
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
December 01, 2015 - pressure) check to see if there was a physiologic response with the alarm
For instance, an algorithm-defined … asystole event not associated with a simultaneous drop in blood pressure would be re-defined as false