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psnet.ahrq.gov/node/47468/psn-pdf
October 24, 2018 - The report advocates
for adjusting purchasing behaviors to focus less on the price and features of each
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psnet.ahrq.gov/issue/pulse-center-patient-safety-education-advocacy
April 21, 2021 - Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features
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psnet.ahrq.gov/print/pdf/node/840940
March 22, 2024 - PSNet
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Optimizing PSNet Search for Patient Safety Resources
February 15, 2024
Optimizing PSNet Search for Patient Safety Resources PSNet has over 17,000 patient safety resources
available - d…
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psnet.ahrq.gov/node/43613/psn-pdf
December 19, 2014 - discussed in a recent qualitative study, nurses frequently employ
workarounds that may bypass some safety features
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psnet.ahrq.gov/node/37290/psn-pdf
February 15, 2011 - medical-errors-involving-trainees-study-closed-malpractice-claims-5-insurers
This AHRQ-funded study uncovered distinctive features
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - The review reported reactive lymph nodes with hyalinization but no other features of Castleman, and normal … Castleman's disease—hyaline vascular type—clinical, cytological and histological features with review … Hodgkin's disease with coexistent Castleman-like histologic features. A report of three cases. … B-cell lymphoma with hyaline vascular Castleman disease-like features: a clinicopathologic study.
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - a never event.( 9 ) The literature also recommends stocking and using a single CVC kit with safety features … accompany emergency department CVC insertion: a checklist and/or an order set with assistive documentation features … Promote added safety features into CVC designs that both offer visual prompts (colored guidewires) or … Pre-Event Training Experience ED workload Standardized CVC Kit Safety features
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psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
June 01, 2016 - year-end handoffs resemble other types of handoffs in many regards, there are important distinguishing features … Given these features, the academic year-end transfer poses significant patient safety risks as well as … Studies have drawn on the existing handoff literature to propose features of a safe year-end transfer … The academic year-end transfer of outpatients has a number of unique features compared with traditional
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psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - One study in 2014
looked at the effect on diagnostic performance of distracting salient clinical features—findings … Significantly more diagnostic errors occurred with salient distracting features, especially for
complex … https://psnet.ahrq.gov/issue/why-do-doctors-make-mistakes-study-role-salient-distracting-clinical-features
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psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-administration-expert-panel
June 22, 2022 - The expert panel proposed three categories (assessment, management, features of healthcare), 15 domains
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psnet.ahrq.gov/issue/covid-19-pandemic-preparation-using-simulation-systems-based-learning-prepare-largest
August 19, 2020 - The authors discuss the unique features and advantages of a centralized simulation response and key themes
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psnet.ahrq.gov/issue/deep-scope-framework-safe-healthcare-design
August 18, 2021 - Informed environmental features , such as the built environment , can improve safety outcomes.
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psnet.ahrq.gov/issue/covid-19-be-or-not-be-diagnostic-question
September 02, 2020 - others may present with atypical symptoms (e.g., delirium, smell and taste dysfunction, cardiovascular features
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psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health
October 05, 2022 - Electronic health record (EHR) workarounds arise when users bypass safety features to increase efficiency
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psnet.ahrq.gov/issue/exploring-causes-copd-misdiagnosis-primary-care-mixed-methods-study
September 23, 2020 - This mixed methods study examined the prevalence and features of patients misdiagnosed with chronic obstructive
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psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting
March 09, 2022 - The authors reviewed design features of patient safety dashboards from 10 hospitals and discuss the
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psnet.ahrq.gov/issue/influence-electronic-health-record-design-usability-and-medication-safety-systematic-review
July 19, 2023 - This systematic review sought to evaluate what design features within EHRs can impact medication safety
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psnet.ahrq.gov/issue/implementation-health-information-technology-safety-classification-system-veterans-health
August 04, 2021 - into one of five types: HIT failures, unmet user needs, external system interactions, absence of HIT features
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psnet.ahrq.gov/issue/large-scale-coordination-health-care
August 06, 2016 - This special issue features articles about human cognitive performance in different health care settings
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psnet.ahrq.gov/issue/changing-course
March 26, 2014 - involving patients and families who have experienced medical errors in prevention efforts, this article features