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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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www.ahrq.gov/research/findings/final-reports/leanprocess/leanprocess.html
May 01, 2018 - . *
Internal impetus for adopting Lean/TPS was described more frequently than external impetus. … Change agents were typically outside experts with experience in Lean/TPS, often described as "facilitators
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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
-
psnet.ahrq.gov/node/47898/psn-pdf
January 01, 2020 - Participants described the importance of factors such as communication,
supply of medications, health
-
psnet.ahrq.gov/node/836775/psn-pdf
March 23, 2022 - Four principles of managing
multiple aims and five key strategies for practical action are described
-
psnet.ahrq.gov/node/840483/psn-pdf
November 30, 2022 - In this study, pilots described crisis preparedness strategies, which surgical safety experts
then developed
-
psnet.ahrq.gov/node/74130/psn-pdf
December 01, 2021 - malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons
While prior research has described
-
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
-
psnet.ahrq.gov/node/860385/psn-pdf
January 10, 2024 - This study assessed which
factors influence residents to take a post-call day (PCD) off as described
-
effectivehealthcare.ahrq.gov/sites/default/files/suppl-2-user-guide-to-ocer_130129.pdf
January 01, 2011 - Figure S2.1 is a modified DAG illustrating a highly
simplified hypothetical study, described in chapter … As described in chapter 7,
intermediate, collider, and instrumental variables
may behave statistically … Various causes of selection bias have
been described as healthy-worker bias, volunteer
bias, selection … Conclusion
This supplement described the use of DAGs
to identify sources of bias in nonexperimental … Use of Directed Acyclic Graphs
In addition, we described methods for selecting
covariates based on
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/stakeholders-engagement-others_research-2012-1.pdf
January 01, 2012 - We found very little that described the evaluation of
stakeholder engagement processes or outcomes … Five articles described theory underlying stakeholder engagement,
4 described specific stakeholder … engagement methods, and 15 described specific efforts. … specific
stakeholder engagement
methods
Described specific efforts
Described challenges
faced … Nowell (2009) described rigorous methodology to assess impacts of stakeholder activities.
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digital.ahrq.gov/sites/default/files/docs/survey/stage3-mu-primary-care-provider-survey.pdf
June 16, 2021 - We are specifically interested in barriers to the activities described above
(e.g., sending and receiving … Again, please focus on activities described above (select one answer per row):
Facilitators Substantial … Assume that you were to perform the activities described
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psnet.ahrq.gov/youtube
Visit Curated Libraries
Audio-Described Version (1 minute, 58 seconds)
-
www.ahrq.gov/funding/process/grant-app-basics/apptime.html
October 01, 2014 - Writing Phase
Prepare outline following the application framework and structure described in the