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psnet.ahrq.gov/web-mm/missed-appendicitis
March 13, 2013 - mistake to assume that lack of objective signs or the presence of atypical historical or laboratory features
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psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
May 01, 2005 - Low risk features of chest pain include: well localized, sharp, non-exertional, no diaphoresis, no nausea
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psnet.ahrq.gov/node/49570/psn-pdf
October 01, 2008 - Features that support patient involvement include the ability for patients to review after-visit
instructions
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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - measure improved significantly, increasing from 29% to 55%, an absolute change of 26%.( 9 ) Building on features
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - pediatric inpatients during a prolonged hospital stay.( 6 ) Notwithstanding all these attractive features
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psnet.ahrq.gov/node/33583/psn-pdf
March 01, 2023 - on feelings of humiliation, lack of safety, and embarrassment.18 According to
another review, key features
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psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
November 15, 2023 - Clinical decision support features in the EHR can also help to alert medical staff to high-risk patients
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psnet.ahrq.gov/node/73455/psn-pdf
June 30, 2021 - There is significant overlap in the clinical features of both conditions.
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - medications, ensure storage safety, and provide inventory tracking.( 7 ) Many safeguards are lost by using features
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psnet.ahrq.gov/sites/default/files/2023-03/challenging_case_of_multiple_suicide_attempts_in_a_complex_patient_with_psychiatric_comorbidities.pdf
January 01, 2023 - • In contrast, bipolar disorder features prolonged and sustained episodes (i.e., at
least several
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psnet.ahrq.gov/node/49513/psn-pdf
July 01, 2006 - web-mm/moving-pains
Case Objectives
Appreciate the risk posed by intrahospital transport
Identify key features
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psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - internal identifier for amiodarone was changed in an
external system.(14)
Specific health IT safety features
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psnet.ahrq.gov/node/33738/psn-pdf
December 01, 2012 - We used this matrix exercise to try to get a series of
design features at the front end. … You need to decide what the best
features are that will match the safety needs for the amount of capital
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psnet.ahrq.gov/youtube
Introducing Curated Libraries
Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field. Watch the video below to learn more about how this new feature works and how it can be of benefit to you.
Visit Curated Libraries
Audio-Described Version (…
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psnet.ahrq.gov/node/39271/psn-pdf
February 03, 2010 - The antidote to medical errors.
February 3, 2010
Price M.
https://psnet.ahrq.gov/issue/antidote-medical-errors
This feature article explains how cognitive errors contribute to medical mistakes and describes ways to
lessen their occurrence.
https://psnet.ahrq.gov/issue/antidote-medical-errors
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psnet.ahrq.gov/node/41263/psn-pdf
March 29, 2012 - Diagnosis: doubled over in pain.
March 29, 2012
Sanders L.
https://psnet.ahrq.gov/issue/diagnosis-doubled-over-pain
This interactive magazine feature takes readers through the decision-making process in a case involving
diagnostic error.
https://psnet.ahrq.gov/issue/diagnosis-doubled-over-pain
https://psnet.ahrq.…
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psnet.ahrq.gov/node/40505/psn-pdf
January 27, 2012 - AHRQ 2011 Annual Conference.
January 27, 2012
Agency for Healthcare Research and Quality. Bethesda, MD, September 18-19, 2011.
https://psnet.ahrq.gov/issue/ahrq-2011-annual-conference
This conference featured leading authorities in health care research and policy. Sessions focused on
addressing challenges in impr…
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psnet.ahrq.gov/node/37252/psn-pdf
August 06, 2016 - Safety and Ethics in Healthcare: A Guide to Getting it
Right.
August 6, 2016
Runciman B, Merry A, Walton M. London, UK: CRC Press; 2017. ISBN: 9781315607443.
https://psnet.ahrq.gov/issue/safety-and-ethics-healthcare-guide-getting-it-right
This book provides a four-part treatment on improving health care safety, fe…
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psnet.ahrq.gov/node/41874/psn-pdf
November 21, 2012 - Reducing Diagnostic Errors.
November 21, 2012
Boston, MA: National Patient Safety Foundation; 2011.
https://psnet.ahrq.gov/issue/reducing-diagnostic-errors
This online continuing education module will educate participants on diagnostic errors, including
contributing factors and prevention strategies. Dr. Mark Grab…
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psnet.ahrq.gov/node/39279/psn-pdf
February 10, 2010 - "I'm sorry": Why is that so hard for doctors to say?
February 10, 2010
O'Reilly KB.
https://psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
This feature article emphasizes efforts in health care to formalize disclosure following medical errors.
https://psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
ht…