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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - Finally, if the referring clinician or primary care provider (PCP) is still unreachable, contacting the
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psnet.ahrq.gov/node/47392/psn-pdf
January 23, 2019 - Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results
of the MARQUIS study.
January 23, 2019
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results o…
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - Finally, prescribers were unable to use recommended universal
medication scheduling practices for instructing
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psnet.ahrq.gov/primer/responding-patient-safety-events
October 18, 2023 - Finally, health system leadership that prioritizes patient safety by setting data-informed safety goals
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psnet.ahrq.gov/issue/independent-neurology-inquiry
November 16, 2022 - Book/Report
Independent Neurology Inquiry.
Citation Text:
Independent Neurology Inquiry. Lockhart B, Mascie-Taylor H. Crown Copyright: London, England; June 2022. ISBN 9781912313631.
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psnet.ahrq.gov/issue/national-patient-safety-syllabus
March 04, 2020 - Book/Report
National Patient Safety Syllabus.
Citation Text:
National Patient Safety Syllabus. Spurgeon P, Cross S. London, UK; Academy of Medical Royal Colleges: May 2021.
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psnet.ahrq.gov/issue/prescribing-themed-issue
August 30, 2023 - Special or Theme Issue
Prescribing Themed Issue.
Citation Text:
Prescribing Themed Issue. Waller DG. Br J Clin Pharmacol. 2012;74:559-729.
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psnet.ahrq.gov/issue/patient-safety-project-2015-2017
April 15, 2005 - Measurement Tool/Indicator
Patient Safety Project 2015–2017.
Citation Text:
Patient Safety Project 2015–2017. National Quality Forum; NQF.
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psnet.ahrq.gov/issue/patient-safety-measures
September 06, 2011 - Multi-use Website
Patient Safety Measures.
Citation Text:
Patient Safety Measures. Washington, DC: National Quality Forum.
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psnet.ahrq.gov/issue/reducing-diagnostic-error-measurement-considerations
September 06, 2011 - Multi-use Website
Reducing Diagnostic Error: Measurement Considerations.
Citation Text:
Reducing Diagnostic Error: Measurement Considerations. National Quality Forum
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psnet.ahrq.gov/issue/cognitive-load-theory-and-its-impact-diagnostic-accuracy
August 07, 2024 - Book/Report
Cognitive Load Theory and its Impact on Diagnostic Accuracy.
Citation Text:
Cognitive Load Theory and its Impact on Diagnostic Accuracy. Knees M, Raffel KE, Kissler M, et al. Rockville, MD: Agency for Healthcare Research and Quality; May 2024. Publication No. 24-0010-2-EF.
…
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psnet.ahrq.gov/issue/making-healthcare-safer-iv-continuous-updating-patient-safety-harms-and-practices
December 10, 2024 - Book/Report
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices.
Citation Text:
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Rockville, MD: Agency for Healthcare Research and Quality: July 2023 - Jan 2025.
…
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - radiologist had difficulty determining who to call because the x-ray requisition was incomplete but finally
-
psnet.ahrq.gov/node/84413/psn-pdf
February 23, 2022 - Finally, a year after her initial evaluation for back pain, the patient’s family brought her to the emergency … Finally, all healthcare delivery systems should have systems in place to ensure that all patients receive
-
psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
August 01, 2006 - Finally, organizations that oversee inpatient care, such as The Joint Commission, have not specifically … structure that discourages an employee from communicating concern can be improved by team training.( 19 ) Finally
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - Finally, I would require
that he apologize to the nurse. … If the fair hearing panel agrees with the
Executive Medical Board decision, a corrective action can finally
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - Finally, the lack of sitters could be addressed in some instances by having family members sit with a … Finally, falls are necessarily linked with mobility.
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psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
January 10, 2024 - Book/Report
Healthcare Simulation Dictionary, Third Edition.
Citation Text:
Healthcare Simulation Dictionary, Third Edition. Lioce L, Lopreiato J, Anderson M, et al, eds and the Terminology and Concepts Working Group. Rockville, MD: Agency for Healthcare Research and Quality; January 202…
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psnet.ahrq.gov/issue/medicaid-program-payment-adjustment-provider-preventable-conditions-including-health-care
July 07, 2021 - Government Resource
Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions.
Citation Text:
Medicaid program; payment adjustment for provider-preventable conditions including health care–acquired conditions. Centers for Medic…
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psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems
November 09, 2022 - Book/Report
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems.
Citation Text:
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Glenview, IL: National Association of Healthcare Quality; October 2012.
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