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psnet.ahrq.gov/node/49761/psn-pdf
May 01, 2016 - The Fluidity of Diagnostic "Wet Reads"
May 1, 2016
Lee CS, Hess CP. The Fluidity of Diagnostic "Wet Reads". PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
The Case
A 64-year-old man with heavy tobacco use presented to the emergency department (ED) with chest pain.
His electroc…
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - Finally, research into the impact of social determinants of health, such as housing and food security … Finally, I have heard countless stories from my own patients about how terribly they have been treated … Finally, our team makeup is also important. … Finally, over the last few years, we've seen the federal government speak much more openly in support
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psnet.ahrq.gov/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - Finally, I have heard countless stories from my own patients about how terribly they have been treated … Finally, our team makeup is also important. … Finally, over the last few years, we've seen the federal government speak much more openly in support … Finally, research into the impact of social determinants of health, such as housing and food security
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psnet.ahrq.gov/node/38048/psn-pdf
October 03, 2017 - Indiana Medical Error Reporting System.
October 3, 2017
Indianapolis, IN: Indiana State Department of Health.
https://psnet.ahrq.gov/issue/indiana-medical-error-reporting-system-final-report-2015
This website shares requirement for reporting never events to the Indiana Medical Error Reporting System.
The most comm…
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psnet.ahrq.gov/issue/patient-safety-public-hospitals
November 20, 2013 - Book/Report
Patient Safety in Public Hospitals.
Citation Text:
Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689.
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Save
Save to your library
P…
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psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
September 29, 2018 - Study
Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice.
Citation Text:
Lane AS, Roberts C. Developing open disclosure strategies to medical error using simulat…
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psnet.ahrq.gov/primer/duty-hours-and-patient-safety
June 15, 2024 - Finally, burnout and fatigue—known risk factors for poor job performance—remain common among residents
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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - Finally, most existing trigger tools have been used to identify adverse events in the inpatient setting
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psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-independent-review
July 29, 2015 - Government Resource
Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report.
Citation Text:
Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. Sturrock J. Edinburgh, Scotland: …
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx
Spotlight
The Dose Makes the Poison: Medication Error During
Procedural Sedation in the Pediatric Emergency
Department
Source and Credits
• This presentation is based on the April 2023 AH…
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psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
September 29, 2017 - Book/Report
Classic
Identification and Prioritization of Health IT Patient Safety Measures.
Citation Text:
Identification and Prioritization of Health IT Patient Safety Measures. Washington, DC: National Quality Forum; February 2016.
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…
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psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
October 28, 2020 - Finally, a 12-lead electrocardiogram should have been performed upon the patient's arrival to the ED, … Finally, clinicians have not reliably embraced these alerts.
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - Finally, the nursing documentation of ‘team aware’ implies unprofessionalism if the physician team continued … Finally, structured information can be reformatted into coherent clinical documentation.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
March 31, 2021 - Finally, another gastroenterologist covering for the patient’s primary gastroenterologist suggested the … Finally, nonocclusive ischemia can result from hypovolemia, poor cardiac function, and vasoconstrictive
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - radiologist had difficulty determining who to call because the x-ray requisition was incomplete
but finally
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psnet.ahrq.gov/node/50699/psn-pdf
November 26, 2019 - also at an increased likelihood of adverse events when not taking their medications as
prescribed.3 Finally
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psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
April 24, 2018 - The Fluidity of Diagnostic "Wet Reads"
Citation Text:
Lee CS, Hess CP. The Fluidity of Diagnostic "Wet Reads". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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Format:
Google Scholar BibTeX EndNote X3 …
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psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017
April 17, 2024 - Book/Report
Complaints to the Parliamentary and Health Service Ombudsman.
Citation Text:
Complaints to the Parliamentary and Health Service Ombudsman. Manchester, UK: Parliamentary and Health Service Ombudsman.
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Save
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Print
…
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psnet.ahrq.gov/node/37257/psn-pdf
April 19, 2011 - Validation of a diagnostic reminder system in emergency
medicine: a multi-centre study.
April 19, 2011
Ramnarayan P, Cronje N, Brown R, et al. Validation of a diagnostic reminder system in emergency
medicine: a multi-centre study. Emerg Med J. 2007;24(9):619-24.
https://psnet.ahrq.gov/issue/validation-diagnostic-r…
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - Finally, if the referring clinician or primary
care provider (PCP) is still unreachable, contacting