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psnet.ahrq.gov/node/48081/psn-pdf
January 01, 2021 - Of participants who had been aware of lessons learned, 90%
shared them with staff and 75% described
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psnet.ahrq.gov/node/846762/psn-pdf
March 29, 2023 - Its
use by hospitals in the United States is described to illustrate the value of black box data to
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psnet.ahrq.gov/personalization
Audio-Described Version (1 minute, 27 seconds)
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psnet.ahrq.gov/node/60665/psn-pdf
July 08, 2020 - response-practicing-chiropractors-during-early-phase-covid-19-pandemic-
descriptive-report
An international sample of chiropractic practitioners described
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psnet.ahrq.gov/node/48074/psn-pdf
August 14, 2019 - This systematic review
described and categorized patient safety indicators for prescribing psychiatric
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psnet.ahrq.gov/node/837140/psn-pdf
May 18, 2022 - antecedents (e.g., sufficient nurse education and staffing) associated
with nursing surveillance are described
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psnet.ahrq.gov/node/838623/psn-pdf
October 19, 2022 - Guidelines to reduce drawbacks are described.
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psnet.ahrq.gov/node/74722/psn-pdf
February 02, 2022 - Disaster planning tools, checklists,
and other recommendations are described.
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psnet.ahrq.gov/node/844796/psn-pdf
September 18, 2019 - About 20%
of respondents described experiencing physical violence at work at least once; very few were
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psnet.ahrq.gov/node/74190/psn-pdf
December 15, 2021 - Participants described psychological, social/behavioral, and financial impacts and
more than half reported
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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - Dozens of biases have been described in the medical literature ( 11 ); Table 1 lists several prevalent … strategies have not yet been proven to directly reduce errors in practice, many strategies (including some described … They frequently result from cognitive biases that are well described in the medical literature. … effect The susceptibility of diagnosticians to be disproportionately influenced by how a problem is described … , by whom it is described, or even the environment where an encounter takes place Hindsight bias
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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - Unfortunately, defibrillator user errors, such as the one described in this scenario, are not uncommon … These errors have been described in scholarly reviews as well.( 11 ) Additionally, failure to properly … years, led to further errors.( 10,12 ) Finally, mismatch of cables with specific defibrillators was described … With regard to equipment usage and supply errors such as those described in this case, whenever possible … With regard to equipment problems such as those described by the case in question, a daily (or per shift
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psnet.ahrq.gov/node/866899/psn-pdf
October 09, 2024 - EHR notes described more uncertainty for patients with discordance.
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psnet.ahrq.gov/node/867340/psn-pdf
December 11, 2024 - Approximately 72% described harms with breakdowns
occurring in three processes: monitoring and supply
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - For example, Gaba described most anesthetic accidents as evolving from
small errors and system failures … Causes and Prevention of Failure-to-Rescue
Previous research has described three critical stages that … A 2022 systematic review described this paradigm as the 3Rs (recognize, relay and react) underpinning … such as the need for external model validation to
ensure generalizability.3
Recent research has also described
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psnet.ahrq.gov/node/838914/psn-pdf
October 26, 2022 - The
formation, activities, and primary themes of safety issues are described.
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psnet.ahrq.gov/node/850175/psn-pdf
June 07, 2023 - The piece introduces a four-step framework through
which to examine the origins of bias, how its described
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psnet.ahrq.gov/node/838913/psn-pdf
October 26, 2022 - In this study, transfer center nurses (TCN) described communication
challenges that may influence patient
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psnet.ahrq.gov/node/847044/psn-pdf
April 05, 2023 - Both groups of patients described positive communication with nurses and
physicians, trust in the team
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psnet.ahrq.gov/node/47898/psn-pdf
January 01, 2020 - Participants described the importance of factors such as communication,
supply of medications, health