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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Department of Health and Human Services. … Department of Health and Human Services. … July 8, 2009
Pediatric medication safety in the emergency department.
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psnet.ahrq.gov/web-mm/informed-or-misled
April 24, 2018 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Department of Health and Human Services. … Department of Health and Human Services. … May 18, 2022
Improving handoffs in the emergency department.
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psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Catonsville, MD: Office of Health Care Quality, Department of Health & Mental Hygiene; December 2007. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Impact of personal wireless communication devices in the emergency department. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/dangerous-shift
July 24, 2013 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Department of Health and Human Services. … Department of Health and Human Services. … July 24, 2013
Improving handoffs in the emergency department. … A conceptual framework for emergency department-to-inpatient handoff negotiations.
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psnet.ahrq.gov/issue/validation-diagnostic-reminder-system-emergency-medicine-multi-centre-study
April 14, 2011 - 2022
Usability of a human factors-based clinical decision support in the emergency department … computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department
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psnet.ahrq.gov/issue/safety-ems
March 14, 2018 - June 16, 2009
The National Emergency Department Safety Study: study rationale and design … November 10, 2010
Clinical handover of patients arriving by ambulance to the emergency department
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Danger points for shortages of staff are weekend shifts and times of high emergency department census … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Department of Health and Human Services. … Department of Health and Human Services. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Department of Health and Human Services. … Department of Health and Human Services. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/web-mm/dropped-lung
February 06, 2012 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Results of a Department of Veterans Affairs Cooperative Study. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Department of Health and Human Services. Office of the Secretary. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
November 18, 2016 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Pregnant adolescents in the emergency department: diagnosed and not diagnosed. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Missed opportunities for recognition of ischemic stroke in the emergency department. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49720/psn-pdf
December 01, 2014 - Commentary—Part 1
A 67-year-old man with a history of untreated hypertension presented to the emergency department … Drawing labs and patient transport to
the radiology department for non-contrast head CT may introduce … Development of "in-house" stroke protocols that parallel established emergency
department protocols … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/eliminating-explicit-and-implicit-biases-health-care-evidence-and-research-needs
May 11, 2016 - Author(s)
Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department … November 11, 2020
Opioid-Related Inpatient Stays and Emergency Department Visits by State … March 14, 2018
Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients
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psnet.ahrq.gov/issue/radiologic-safety-events-within-pediatric-emergency-medicine-network
August 01, 2018 - improve patient safety: the effects of process variance on pediatric patient safety in the emergency department … Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department … July 13, 2010
Risk factors for adverse events in emergency department procedural sedation
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psnet.ahrq.gov/issue/systematic-workup-transfusion-reactions-reveals-passive-co-reporting-handling-errors
December 21, 2016 - July 21, 2021
Interruptions in emergency department work: an observational and interview … Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department … November 15, 2023
Preferred language and diagnostic errors in the pediatric emergency department
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psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside
March 01, 2011 - March 1, 2011
Risk factors for adverse events in emergency department procedural sedation … Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department … improve patient safety: the effects of process variance on pediatric patient safety in the emergency department
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psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-propofol-procedures
April 11, 2011 - April 11, 2011
Risk factors for adverse events in emergency department procedural sedation … Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department … improve patient safety: the effects of process variance on pediatric patient safety in the emergency department