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psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities
April 26, 2006 - Book/Report
Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities.
Citation Text:
Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. Washington, DC: VA Office of Inspector General; April 20, 201…
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psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
April 24, 2019 - Study
The use of a checklist in a pediatric oncology clinic.
Citation Text:
McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657.
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psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
December 22, 2021 - Newspaper/Magazine Article
The role of failure mode and effects analysis in health care.
Citation Text:
Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32.
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psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth
July 24, 2013 - Commentary
Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth.
Citation Text:
Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth. Best Pract Res …
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psnet.ahrq.gov/issue/quality-care-concerns-and-facility-response-following-medical-emergency-va-southern-nevada
July 13, 2022 - Book/Report
Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas.
Citation Text:
Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care Sy…
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psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - reluctance to ask for help due to an expectation of competency in what appeared to be a straightforward diagnosis … The importance of cognitive errors in diagnosis and strategies to minimize them. … Patient Safety Innovations
Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses … 31, 2023
WebM&M Cases
Coming up for Err: Missed Diagnosis
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psnet.ahrq.gov/node/33873/psn-pdf
February 01, 2019 - Trying to make sure that students get maybe the top 10 diagnoses of what you might pick
from for that … number of
publicly available datasets that you can query and examine in terms of what are the top diagnoses
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - information such as his specific opioid-use history
Solution:
Institutions should ensure information about diagnoses
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psnet.ahrq.gov/node/33681/psn-pdf
March 01, 2009 - health literacy
has been repeatedly linked to problems with the use of preventive services, delayed diagnoses
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - Create an environment that provides the time practitioners need to think through their patients'
diagnoses … and treatments and match the appropriateness of drug therapy with the patient (i.e., right
drug for diagnosis
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention
Citation Text: … Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. … Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. … community pharmacists with a medication profile (and refill history), vital signs, laboratory test results, diagnoses … Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet].
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psnet.ahrq.gov/web-mm/errors-sepsis-management
November 03, 2015 - SPOTLIGHT CASE
Errors in Sepsis Management
Citation Text:
Shimabukuro D. Errors in Sepsis Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/issue/ahrq-report-diagnostic-errors-emergency-department-wrong-answer-wrong-question
September 23, 2020 - Commentary
The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question.
Citation Text:
Kelen GD, Kaji AH, Schreyer KE, et al. The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. Ann Emerg M…
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psnet.ahrq.gov/issue/association-between-cancer-specific-adverse-event-triggers-and-mortality-validation-study
January 29, 2020 - Study
Association between cancer-specific adverse event triggers and mortality: a validation study.
Citation Text:
Weingart SN, Nelson J, Koethe B, et al. Association between cancer‐specific adverse event triggers and mortality: A validation study. Cancer Med. 2020;9(12):4447-4459. doi:1…
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psnet.ahrq.gov/issue/scoping-review-communication-tools-applicable-patients-and-their-primary-care-providers-after
December 15, 2021 - Review
A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital.
Citation Text:
Spencer RA, Singh Punia H. A scoping review of communication tools applicable to patients and their primary care providers after discharge …
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psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and-care-patient-chico-community-based-outpatient
November 29, 2023 - Book/Report
Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California.
Citation Text:
Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. Washing…
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psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm
October 12, 2022 - Book/Report
The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm.
Citation Text:
The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-011…
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psnet.ahrq.gov/issue/racial-differences-antibiotic-prescribing-primary-care-pediatricians
April 22, 2020 - Study
Racial differences in antibiotic prescribing by primary care pediatricians.
Citation Text:
Gerber JS, Prasad PA, Localio AR, et al. Racial differences in antibiotic prescribing by primary care pediatricians. Pediatrics. 2013;131(4):677-684. doi:10.1542/peds.2012-2500.
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psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work-during-clinical
April 20, 2022 - Study
A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergencies.
Citation Text:
Bernstein SL, Picciolo M, Grills E, et al. A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergen…
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psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-errors-and-barriers-reporting
March 21, 2018 - Study
Nurses' perceptions of causes of medication errors and barriers to reporting.
Citation Text:
Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33.
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