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psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safety-investigation
May 03, 2023 - Newspaper/Magazine Article
Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB).
Citation Text:
Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). ISMP M…
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psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
May 01, 2011 - SPOTLIGHT CASE
The Wrong Shot: Error Disclosure
Citation Text:
Gallagher TH, Levinson W. The Wrong Shot: Error Disclosure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Google Sch…
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psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - A Double “Never Event”: Wrong Patient and Wrong Side.
September 27, 2023
Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
The Case
A first-year orthopedic surgery resident was consulted…
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psnet.ahrq.gov/node/49450/psn-pdf
June 01, 2004 - The Wrong Shot: Error Disclosure
June 1, 2004
Gallagher TH, Levinson W. The Wrong Shot: Error Disclosure. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
Case Objectives
Describe the rationale for disclosing harmful errors to patients.
Describe the specific information that patie…
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - unintended consequences that adversely affect access and other aspects of care, patient safety should be enhanced
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psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - However, high-touch post discharge
monitoring of high-risk patients, whether through enhanced video
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psnet.ahrq.gov/node/50611/psn-pdf
October 30, 2019 - prescriptions
were populated by more structured, standardized, readily available dosing information and enhanced
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psnet.ahrq.gov/node/865656/psn-pdf
April 24, 2024 - Hence, emergency
medications are needed for various clinical reasons: to provide enhanced safety to
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psnet.ahrq.gov/node/33738/psn-pdf
December 01, 2012 - We're going to have enhanced technology so
patients can see what's going on with their care process.
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psnet.ahrq.gov/node/49478/psn-pdf
April 01, 2005 - The patient underwent a contrast-enhanced abdominal CT to look for a lead point in the bowel
obstruction
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psnet.ahrq.gov/node/865412/psn-pdf
March 27, 2024 - relatively low yield, to obtain unenhanced
computed tomography (CT) of the head, but not contrast-enhanced
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - Enhanced medication reconciliation can involve interprofessional collaboration
(for example, pharmacists
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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - communication strategies of the stakeholders
involved, so practice improvements can be employed and enhanced
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psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - non–patient-centered conference room or nursing station rounds.( 6 ) Patients with online access may develop enhanced
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psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - need to be done to rethink quality indicators, like how to redesign
indicators to take advantage of enhanced
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - July 24, 2024
Grading recommendations for enhanced patient safety in sentinel event analysis
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - South Australia Department of Health increased by 275%.( 19 ) The rise in reports was attributed to enhanced
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - this commentary, but more information is available in other AHRQ WebM&M articles.( 12-14 ) Regarding enhanced
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psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
September 24, 2016 - Study
Classic
Driving improvement in patient care: lessons from Toyota.
Citation Text:
Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm. 2003;33(11):585-595.
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Google Scholar …
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psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
November 22, 2017 - Book/Report
Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns.
Citation Text:
Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. Washington, DC: United States Government …