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psnet.ahrq.gov/issue/nurses-achilles-heel-using-big-data-determine-workload-factors-impact-near-misses
July 28, 2021 - Study
Nurse's Achilles Heel: using big data to determine workload factors that impact near misses.
Citation Text:
Campbell AA, Harlan T, Campbell M, et al. Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. J Nurs Scholarsh. 2021;53(3):333-342. d…
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psnet.ahrq.gov/node/851918/psn-pdf
August 02, 2023 - Racism in health services for adolescents: a scoping
review.
August 2, 2023
Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J
Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560.
https://psnet.ahrq.gov/issue/racism-health…
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psnet.ahrq.gov/node/48134/psn-pdf
August 14, 2019 - Root cause analysis for hospital-acquired pressure injury.
August 14, 2019
Black JM. Root cause analysis for hospital-acquired pressure injury. J Wound Ostomy Continence Nurs.
2019;46(4):298-304. doi:10.1097/WON.0000000000000546.
https://psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
Pr…
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - For example, the following variations led to challenges in determining the need for follow-up imaging
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
January 01, 2020 - Lower Motor Neuron (2)
Determining upper vs. lower motor neuron weakness early can be essential
Many
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - Bridge the Digital Divide: Incorporate digital health literacy strategies 8 such as determining patient
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psnet.ahrq.gov/issue/hospital-surveys-centers-medicare-and-medicaid-services-analysis-more-34000-deficiencies
May 26, 2021 - Study
Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies.
Citation Text:
Antognini JF. Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. J Patient Saf. 2021;17(4)…
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psnet.ahrq.gov/node/849128/psn-pdf
May 17, 2023 - Is primary care a patient-safe setting? Prevalence,
severity, nature, and causes of adverse events: numerous
and mostly avoidable.
May 17, 2023
Garzón González G, Alonso Safont T, Zamarrón Fraile E, et al. Is primary care a patient-safe setting?
Prevalence, severity, nature, and causes of adverse events: numerous …
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psnet.ahrq.gov/node/33679/psn-pdf
January 01, 2009 - The
challenges to greater disclosure extend beyond liability and include determining how best to disclose
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
May 01, 2007 - Determining Free Phenytoin Levels
Order an unbound phenytoin level and assess it in the context of
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psnet.ahrq.gov/node/49463/psn-pdf
October 14, 2004 - technology should be tempered by a recognition that human processes also play a critical role in
determining
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psnet.ahrq.gov/node/33761/psn-pdf
February 01, 2014 - interruption
zone (NIZ); (ii) ensuring a do-not-disturb approach; (iii) providing staff education; (iv) determining
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.275_slideshow.ppt
August 01, 2012 - Arch Intern Med. 2007;167:2233-2239. http://www.ncbi.nlm.nih.gov/pubmed/17998497
15
Capability of determining
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psnet.ahrq.gov/node/33868/psn-pdf
October 01, 2018 - Strategies in the Community Pharmacy
Over the past decade, considerable attention has been directed at determining
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psnet.ahrq.gov/node/850678/psn-pdf
June 14, 2023 - Advance Alert Monitor Program: An Automated Early
Warning System for Adults At Risk for In-Hospital Clinical
Deterioration
June 14, 2023
https://psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-
risk-hospital
Summary
To address a well-documented hospital adverse outco…
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psnet.ahrq.gov/node/74866/psn-pdf
February 23, 2022 - Eliminating explicit and implicit biases in health care:
evidence and research needs.
February 23, 2022
Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and
research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/annurev-publhealth-052620-
10352…
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psnet.ahrq.gov/node/72629/psn-pdf
January 13, 2021 - Advancing health equity in patient safety: a reckoning,
challenge and opportunity.
January 13, 2021
Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf.
2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599.
https://psnet.ahrq.gov/issue/advancing-health-equity-patie…
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psnet.ahrq.gov/node/837200/psn-pdf
May 25, 2022 - Analysis of readmissions in a mobile integrated health
transitional care program using root cause analysis and
common cause analysis.
May 25, 2022
Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional
care program using root cause analysis and common cause ana…
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psnet.ahrq.gov/issue/what-context-features-might-be-important-determinants-effectiveness-patient-safety-practice
September 20, 2011 - Study
What context features might be important determinants of the effectiveness of patient safety practice interventions?
Citation Text:
Taylor SL, Dy SM, Foy R, et al. What context features might be important determinants of the effectiveness of patient safety practice interventions?…
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - For example, the following variations led to challenges in determining the need for follow-up
imaging