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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - Adverse Events, Near Misses, and Errors
Citation Text:
Adverse Events, Near Misses, and Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/33570/psn-pdf
June 15, 2024 - Diagnostic Errors
June 15, 2024
Diagnostic Errors. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/diagnostic-errors
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 20…
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psnet.ahrq.gov/node/33587/psn-pdf
June 15, 2024 - Missed Nursing Care
June 15, 2024
Missed Nursing Care. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/missed-nursing-care
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed…
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - But perhaps we should turn our attention away from R-AHMRs to ensuring mandated and timely peer review
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psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
March 01, 2018 - Ensuring sufficient staffing to tackle causes of care omissions is a key element in reducing the risk
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - Helping patients navigate these spaces can be valuable for ensuring the continuation of care across
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psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
November 15, 2023 - additional results, revisions to innovation description, considerations for planning and development, and ensuring
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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - common pediatric diagnoses may be helpful in standardizing pediatric care at referring hospitals and
ensuring
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - This collaboration is important
to ensuring that expectations are clear, and the experiences are preparing
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - intelligence available to the healthcare provider and the family on what is going on with the
patient and ensuring
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psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
March 01, 2015 - But perhaps we should turn our attention away from R-AHMRs to ensuring mandated and timely peer review
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psnet.ahrq.gov/node/73906/psn-pdf
October 06, 2021 - System-wide effort to look at the care of
Spanish-speaking patients, to address the gaps, including ensuring
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - having that safety culture and leader’s support of safety culture in what they say and do is critical to ensuring
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - common pediatric diagnoses may be helpful in standardizing pediatric care at referring hospitals and ensuring
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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - Ensuring sufficient staffing to tackle causes of care omissions is a key element in reducing the risk
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psnet.ahrq.gov/node/60241/psn-pdf
February 24, 2022 - this primer is to provide updated information to the patient safety community about the
challenges of ensuring … most significant challenges in NHs continued to be retaining adequate RN and CNA staffing levels,
ensuring
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psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
February 01, 2014 - These include: (i) establishing a no interruption zone (NIZ); (ii) ensuring a do-not-disturb approach
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psnet.ahrq.gov/web-mm/uterine-artery-injury-during-cesarean-delivery-leads-cardiac-arrests-and-emergency
September 30, 2020 - SPOTLIGHT CASE
Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy
Citation Text:
Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - SPOTLIGHT CASE
Cognitive Overload in the ICU
Citation Text:
Patel VL, Buchman TG. Cognitive Overload in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - SPOTLIGHT CASE
E-prescribing: E for error?
Citation Text:
Ashton EW. E-prescribing: E for error?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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