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psnet.ahrq.gov/issue/diagnostic-reasoning-endangered-competency-internal-medicine-training
September 04, 2019 - recommends a three-element approach to augment clinical education on diagnostic reasoning , which includes focusing
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psnet.ahrq.gov/issue/health-it-safe-practices-toolkit-safe-use-copy-and-paste
March 10, 2021 - Focusing on copying and pasting health data from one record to another as the first area of concern
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psnet.ahrq.gov/issue/prevented-harm-and-cost-avoidance-pharmacist-intervention-while-utilizing-discharge
October 19, 2022 - In resource-limited environments, focusing on the highest-cost classes could avoid significant cost and
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psnet.ahrq.gov/issue/optimizing-pediatric-patient-safety-emergency-care-setting
March 15, 2023 - It expands on the application of topics within a high-reliability framework focusing on leadership,
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psnet.ahrq.gov/issue/implementing-strategies-prevent-home-medication-administration-errors-children-medical
March 14, 2022 - This article describes a toolkit for pediatricians to support implementation focusing on four interventions
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psnet.ahrq.gov/issue/new-ahrq-surveys-patient-safety-culture-diagnostic-safety-supplemental-items-medical-offices
December 24, 2008 - Supplemental Item Set for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Medical Office Survey focusing
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psnet.ahrq.gov/node/39730/psn-pdf
December 21, 2014 - This study explored a less understood risk for wrong-site surgery by focusing on the
documentation transition
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psnet.ahrq.gov/issue/medication-safety-issue-brief-bar-code-implementation-strategies
June 17, 2014 - It is the second in a series of six briefs focusing on medication errors.
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psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
November 18, 2015 - This article presents a case scenario focusing on communication breakdowns that lead to errors, specifically
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psnet.ahrq.gov/issue/fighting-common-enemy-catalyst-close-intractable-safety-gaps
June 30, 2021 - patient safety efforts, including a focus on (1) high-reliability organizations and safety culture focusing
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psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study
March 04, 2020 - overemphasis of specific aspects of care), tunnel vision (missing important contextual information due to focusing
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psnet.ahrq.gov/issue/systemic-failures-health-care-oversight
July 05, 2006 - suggests a shift in the process of collecting data on clinician performance from a voluntary process focusing
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psnet.ahrq.gov/issue/perspective-beyond-counting-hours-importance-supervision-professionalism-transitions-care-and
September 20, 2011 - This commentary explains how focusing on the quality of resident duty hours , in addition to the quantity
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psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
October 08, 2016 - This commentary suggests that focusing on resilience and ensuring that actions go as planned (i.e.,
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psnet.ahrq.gov/issue/patient-safety-2030
April 13, 2016 - The authors suggest focusing on a systems approach , safety culture , patient partnership, and effective
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psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and
March 09, 2016 - newsletter article reviews risks associated with medication use and strategies to enhance safety, including focusing
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psnet.ahrq.gov/issue/implementation-preoperative-briefing-protocol-improves-accuracy-teamwork-assessment-operating
February 25, 2009 - Implementation of a preoperative checklist focusing on interdisciplinary teamwork resulted in an improvement
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psnet.ahrq.gov/issue/60-year-old-man-delayed-care-renal-mass
January 31, 2024 - The fact that JAMA chose a clinical scenario focusing on systems failures mirrors past efforts in the
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psnet.ahrq.gov/issue/surgeon-specific-mortality-data-disguise-wider-failings-delivery-safe-surgical-services
March 09, 2022 - review study found that most perioperative deaths were not due to surgical error and advocates for focusing
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psnet.ahrq.gov/issue/patient-safety-papers-0
April 26, 2012 - August 14, 2019
Some doctors are ditching the scale, saying focusing on weight drives