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psnet.ahrq.gov/issue/physicians-attitudes-towards-copy-and-pasting-electronic-note-writing
March 04, 2015 - While past studies have discussed their impact on time efficiency and the quality of ambulatory care … A past AHRQ WebM&M commentary discussed how inaccurate clinical information pasted forward through
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psnet.ahrq.gov/issue/tempos-management-primary-care-key-factor-classifying-adverse-events-and-improving-quality
March 15, 2017 - The role of these tempos in precipitating diagnostic errors and communication errors is discussed through … A preventable adverse event caused by misunderstanding of disease tempo is discussed in this AHRQ WebM
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - The cardiac surgeon discussed the problem with the patient
and his wife, including the numerous risks … The surgeon briefly discussed the situation by telephone with his cardiac
surgery colleagues and then … questions and explain improvements made in response to the adverse event, as was done in the case
discussed … It would also be helpful to let the widow know beforehand if an
offer of compensation will be discussed … Be mindful that anything discussed after the compensation amount is offered tends not
to be remembered
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psnet.ahrq.gov/node/36579/psn-pdf
June 16, 2019 - https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-9
This monthly report discussed medication
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - The cardiac surgeon discussed the problem with the patient and his wife, including the numerous risks … The surgeon briefly discussed the situation by telephone with his cardiac surgery colleagues and then … the medical record would identify who attended the meeting about the surgical outcome and the facts discussed … It would also be helpful to let the widow know beforehand if an offer of compensation will be discussed … Be mindful that anything discussed after the compensation amount is offered tends not to be remembered
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psnet.ahrq.gov/node/860399/psn-pdf
January 24, 2024 - Speakers discussed the SOPS
Surveys and Databases, getting started on administering the surveys, and
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psnet.ahrq.gov/node/50668/psn-pdf
November 13, 2019 - Policies, programs, and challenges faced were discussed.
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psnet.ahrq.gov/node/855439/psn-pdf
December 07, 2023 - This session featured three health care executives who discussed how to align quality and
safety efforts
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psnet.ahrq.gov/node/50648/psn-pdf
November 06, 2019 - Systemic factors contributing to the
problem discussed include medications produced by a single supplier
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psnet.ahrq.gov/node/853075/psn-pdf
August 30, 2023 - Tracking
diagnosis outcomes at a patient level is one strategy discussed.
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psnet.ahrq.gov/node/48027/psn-pdf
June 05, 2019 - A PSNet commentary discussed the impact of diagnostic overshadowing on patient care.
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psnet.ahrq.gov/node/60311/psn-pdf
May 06, 2020 - Strategies discussed
to address the problem include medication, cognitive therapies and personal wellness
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psnet.ahrq.gov/node/863224/psn-pdf
February 28, 2024 - Health care information technologies, workarounds, and nontechnical skills measurement are
discussed
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psnet.ahrq.gov/node/842435/psn-pdf
January 26, 2023 - This session discussed challenges to the effective use of RCA results and
examine an approach to present
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psnet.ahrq.gov/node/840494/psn-pdf
November 30, 2022 - Important
steps discussed include assessment, analysis, planning, and implementation.
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psnet.ahrq.gov/node/837981/psn-pdf
August 31, 2022 - Areas of influence discussed include medication history completeness
and health information technology
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psnet.ahrq.gov/node/50812/psn-pdf
May 03, 2022 - Webcast speakers discussed an
overview of the program, supplemental items, available resources, and
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psnet.ahrq.gov/node/851365/psn-pdf
July 27, 2023 - https://psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care
These free workshops discussed
-
psnet.ahrq.gov/node/853626/psn-pdf
September 20, 2023 - Strategies for patients to play a role in their
diagnostic process are also discussed.
-
psnet.ahrq.gov/node/865597/psn-pdf
April 17, 2024 - The authors
highlight system issues exacerbating the failures discussed and provide recommendations