-
psnet.ahrq.gov/node/43711/psn-pdf
November 26, 2014 - surgical site infections resulted in an average increase in payments of more than
$20,000 across the episode
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psnet.ahrq.gov/node/43254/psn-pdf
May 01, 2015 - Medicare expenditures increased sharply during an adverse medical event episode and remained high
following
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psnet.ahrq.gov/issue/improving-timely-recognition-and-treatment-sepsis-pediatric-icu
December 09, 2020 - period, the average number of days between episodes of delayed sepsis recognition improved from one episode
-
psnet.ahrq.gov/node/50913/psn-pdf
February 19, 2020 - "Disruptive behavior" in the operating room: A
prospective observational study of triggers and effects of
tense communication episodes in surgical teams.
February 19, 2020
Keller S, Tschan F, Semmer NK, et al. “Disruptive behavior” in the operating room: A prospective
observational study of triggers and effects of…
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psnet.ahrq.gov/node/41526/psn-pdf
April 05, 2013 - still experienced
a clinically important medication error within one month following discharge for an episode
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psnet.ahrq.gov/issue/patient-safety-huddle
March 27, 2005 - This 27-episode podcast series offers short interviews with experts in the field that explore topics
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psnet.ahrq.gov/issue/disruptive-behavior-operating-room-prospective-observational-study-triggers-and-effects-tense
October 29, 2014 - Study
"Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams.
Citation Text:
Keller S, Tschan F, Semmer NK, et al. “Disruptive behavior” in the operating room: A prospective observational st…
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - help users retrospectively identify and assess the likelihood of a missed diagnosis in a healthcare episode … error (including missed diagnoses) by helping users identify missed opportunities in diagnosis in an episode … structured data collection instrument designed to help accurately assess diagnostic errors after a specific episode … After the initial assessment, if there is reason to believe there was a diagnostic error in the care episode
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psnet.ahrq.gov/issue/ajr-podcast-series-diagnostic-excellence-and-error
November 19, 2014 - Episode cover topics such as managing the emotional impact of error and follow-up for imaging recommendations
-
psnet.ahrq.gov/issue/what-happened-patient-safety
August 23, 2007 - This episode from the Turn on the Lights podcast (hosted by Institute for Healthcare Improvement leaders
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psnet.ahrq.gov/issue/do-clinician-disruptive-behaviors-make-unsafe-environment-patients
September 16, 2020 - that disruptive behavior was common, with 1 in 8 respondents reporting that they had witnessed an episode
-
psnet.ahrq.gov/print/pdf/node/866782
August 28, 2024 - help users retrospectively
identify and assess the likelihood of a missed diagnosis in a healthcare episode … help users retrospectively
identify and assess the likelihood of a missed diagnosis in a healthcare episode
-
psnet.ahrq.gov/node/74691/psn-pdf
January 01, 2021 - help users retrospectively
identify and assess the likelihood of a missed diagnosis in a healthcare episode … error (including missed diagnoses) by helping users identify missed
opportunities in diagnosis in an episode … structured data collection instrument designed to help
accurately assess diagnostic errors after a specific episode … After the initial assessment, if there is reason to believe there was a diagnostic error in the care episode
-
psnet.ahrq.gov/issue/improving-employee-voice-about-transgressive-or-disruptive-behavior-case-study
June 16, 2021 - In response to an episode of serious misconduct by a clinician, an academic hospital implemented a structured
-
psnet.ahrq.gov/issue/retrievals
August 16, 2023 - Episode 1
Transcript
Series available at
Save
Save to your library
Print
-
psnet.ahrq.gov/node/49839/psn-pdf
August 01, 2018 - He had been seen at another
hospital 2 weeks earlier for a similar episode, with a glucose level of … Approximately 2 weeks after the second discharge, the patient experienced another severe hypoglycemic
episode
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psnet.ahrq.gov/node/60521/psn-pdf
May 27, 2020 - Assessment of potentially inappropriate prescribing of
opioid analgesics requiring prior opioid tolerance.
May 27, 2020
Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid
analgesics requiring prior opioid tolerance. JAMA Netw Open. 2020;3(4).
doi:10.1001/jamanetwo…
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psnet.ahrq.gov/issue/investigating-long-term-consequences-adverse-medical-events-among-older-adults
March 24, 2019 - Medicare expenditures increased sharply during an adverse medical event episode and remained high following
-
psnet.ahrq.gov/node/45100/psn-pdf
June 15, 2016 - Impact of errors in paper-based and computerized
diabetes management with decision support for
hospitalized patients with type 2 diabetes. A post-hoc
analysis of a before and after study.
June 15, 2016
Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerized diabetes management
with decisi…
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psnet.ahrq.gov/issue/characteristics-initial-prescription-episodes-and-likelihood-long-term-opioid-use-united
April 24, 2018 - Study
Classic
Characteristics of initial prescription episodes and likelihood of long-term opioid use—United States, 2006–2015.
Citation Text:
Shah A, Hayes CJ, Martin BC. Characteristics of Initial Prescription Episodes and Likelihood of Long-Term Opioid Use - …