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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
November 01, 2011 - Spotlight Case July 2008
Spotlight Case
Near Miss with Bedside Medications
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Source and Credits
This presentation is based on the November 2011
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Albert W. Wu, MD, MPH, Johns Hopkins Bloomberg S…
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psnet.ahrq.gov/node/33648/psn-pdf
March 01, 2007 - In Conversation with...Sorrel King
March 1, 2007
In Conversation with..Sorrel King. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/conversation-withsorrel-king
Editor's Note: Sorrel King is the mother of Josie King, who died tragically in 2001 at age 18 months
because of medical errors during a hospita…
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psnet.ahrq.gov/primer/health-literacy
September 07, 2019 - Health literacy is not necessarily static, but can vary with a person's mental or emotional state, illness
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psnet.ahrq.gov/node/49421/psn-pdf
October 01, 2003 - this case does represent an error and preventable
adverse event, because the patient experienced some emotional
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psnet.ahrq.gov/issue/healthcare-411-making-hospital-discharges-safer-seniors
February 24, 2021 - April 4, 2012
Emotional impact of patient safety incidents on family physicians and their
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psnet.ahrq.gov/node/49439/psn-pdf
March 01, 2004 - common and difficult to assess; because misunderstanding is so frequent
and can stem from a host of emotional
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psnet.ahrq.gov/primer/missed-nursing-care
September 07, 2019 - Investigators concluded the activities most frequently missed are those related to emotional and psychological
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psnet.ahrq.gov/node/33749/psn-pdf
April 01, 2013 - Young hospital doctors
after night duty: their task-specific cognitive status and emotional condition
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - particularly useful for identifying potential error during a pandemic that has taken such a physical and emotional … Supporting the emotional well-being of health care workers during the COVID-19 pandemic.
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - SPOTLIGHT CASE
Near Miss with Bedside Medications
Citation Text:
Wu AW. Near Miss with Bedside Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - Another qualitative study found significant but weak correlations between participants’ emotional stability … All studies included in the review identified a lack of emotional support after a safety event.
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - health care has shown pretty consistently that about one in three physicians meet the criteria for emotional … Linda Aiken has shown that about 34% of nurses meet the criteria for severe emotional exhaustion or
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psnet.ahrq.gov/node/33773/psn-pdf
September 01, 2014 - and diminishes the quality of life for patients in their final weeks or days.(14)
The physical and emotional
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psnet.ahrq.gov/node/866847/psn-pdf
September 25, 2024 - Our commitment to zero harm applies to physical as well
as emotional harm, to patients as well as workforce
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psnet.ahrq.gov/node/857060/psn-pdf
November 27, 2023 - Faculty also could provide emotional support for students who experience events and temper expectations
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psnet.ahrq.gov/node/60167/psn-pdf
April 12, 2024 - did not.9 Challenges to understanding
discharge instructions include patients’ lack of physical or emotional
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psnet.ahrq.gov/node/49420/psn-pdf
October 01, 2003 - likely to happen when one is working under suboptimal conditions.(6) Sleep deprivation,
distractions, emotional
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - and negative experiences of care in pregnant women. 11 The importance of maternal experiences and emotional … birth as traumatic, whether or not they have serious physical complications, and they may still report emotional
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - Our commitment to zero harm applies to physical as well as emotional harm, to patients as well as workforce … A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional … June 16, 2011
Association of open communication and the emotional and behavioural impact
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psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - expectations, traditions, assumptions about task distribution, command hierarchies, as
well as individual emotional