-
psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - Although sensitivity of up to 100% has been reported for CT scans of the appendix (6), in typical practice … On hospital day #13, she was discharged to home with a plan to follow-up for
elective appendectomy.
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psnet.ahrq.gov/node/33575/psn-pdf
March 15, 2025 - program and 20 Tips to Help Prevent Medical Errors fact
sheet, as well as The Joint Commission's Speak Up
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psnet.ahrq.gov/node/853981/psn-pdf
September 27, 2023 - immediately, been placed under an additional
involuntary psychiatric hold, and received a full delirium work-up
-
psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - inappropriate application of her usual practice (giving VTE prophylaxis),
and distractions set her up … Users tend to follow all elements of an order set or checklist due to an intrinsic bias to accept the
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - students feel when they witness an error and struggle with the questions of whether and how to bring up … early 1980s, encourage this kind of cross talk, focusing in part on
encouraging everyone to speak up … This is certainly the message
this student received from the first attending when he finally spoke up … and gently critiqued had the attending simply said, “I really appreciate you
bringing this concern up … About five hands
went up. We have a long way to go.
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - more than reading—it also includes the ability to write; fill out forms; listen, ask questions, and follow … patient and their family or caregiver skills such as how to monitor and respond to symptoms, develop and follow … up personal action plans in response to worsening symptoms, as well as problem-solving and decision-making
-
psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - more than reading—it also
includes the ability to write; fill out forms; listen, ask questions, and follow … patient and their family or caregiver skills such as
how to monitor and respond to symptoms, develop and follow … up personal action plans in response to
worsening symptoms, as well as problem-solving and decision-making
-
psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - The cross-covering overnight resident was following up on the studies and placed an order for a brain … The cross-covering resident mixed up the two patients and placed the MRI order in the wrong chart. … Regulatory modification or additional guidance could help open up greater re-use of clinical information … a format that the provider can produce and that helps the patient to better manage care, could open up … to consider include: Review your HIPAA and state medical privacy law policies to ensure they are up-to-date
-
psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - 73-year-old man with a long-standing cardiac arrhythmia came to the ambulatory clinic for a routine
follow-up … Virtually all pharmacies have
access to drug information with online information being more up-to-date … Drug names that look alike are
easily confused, and a mix-up between Rythmol and Synthroid is plausible
-
psnet.ahrq.gov/issue/us-emergency-department-visits-acute-harms-over-counter-cough-and-cold-medications-2017-2019
March 24, 2021 - Resources From the Same Author(s)
Outpatient insulin-related adverse events due to mix-up
-
psnet.ahrq.gov/issue/physicians-failed-write-flawless-prescriptions-when-computerized-physician-order-entry-system
January 21, 2015 - The authors suggest implementation of standalone electronic prescription software so that back-up computerized
-
psnet.ahrq.gov/issue/description-role-pharmacist-independent-double-checks-during-cognitive-order-verification
March 10, 2021 - April 7, 2021
Outpatient insulin-related adverse events due to mix-up errors: findings
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psnet.ahrq.gov/issue/review-medication-errors-and-second-victim-pediatric-pharmacy
January 27, 2019 - January 26, 2022
Pediatric trainees' speaking up about unprofessional behavior and traditional
-
psnet.ahrq.gov/issue/error-disclosure-neonatal-intensive-care-multicentre-prospective-observational-study
November 29, 2023 - Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up
-
psnet.ahrq.gov/issue/home-health-agency-patient-experience-measures-and-their-relationship-joint-commission
July 10, 2024 - June 26, 2019
Scaling-up a pharmacist-led information technology intervention (PINCER
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psnet.ahrq.gov/issue/risk-covid-19-related-bullying-harassment-and-stigma-among-healthcare-workers-analytical
April 25, 2016 - June 16, 2021
View More
Related Resources
Speaking up during the
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psnet.ahrq.gov/issue/predictors-serious-opioid-related-adverse-drug-events-hospitalized-patients
March 10, 2021 - August 11, 2021
Outpatient insulin-related adverse events due to mix-up errors: findings
-
psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
August 24, 2022 - February 2, 2022
Speaking up about traditional and professionalism-related patient safety
-
psnet.ahrq.gov/issue/managing-competing-demands-through-task-switching-and-multitasking-multi-setting
December 19, 2018 - clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up
-
psnet.ahrq.gov/issue/clinical-information-technologies-and-inpatient-outcomes-multiple-hospital-study
October 14, 2009 - clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up