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psnet.ahrq.gov/node/37294/psn-pdf
May 21, 2013 - This book offers health care organizations step-by-step instructions, sample forms, and insights to
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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - of the care team include ventricular tachycardia, atrial fibrillation, marked bradycardia, and any form … .( 2 ) Computer ECG interpretation is inaccurate approximately 20% of the time when performing wave form
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - Two forms of LAM have been described. … The sporadic form, which occurs in 3.3-7.7/million women, and the inherited form of LAM, which may occur … efforts, achieving more timely, reliable diagnoses for rare conditions will likely require innovative forms
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psnet.ahrq.gov/node/44361/psn-pdf
November 20, 2015 - Despite the emphasis on the implementation and use of health information technology, written
forms of
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psnet.ahrq.gov/node/45218/psn-pdf
June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS
guidance regarding patient safety work product and
providers' external obligations.
June 15, 2016
Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…
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psnet.ahrq.gov/node/47243/psn-pdf
August 08, 2018 - Challenges pharmacists face when
providing care for children include a lack of standard dosage forms
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psnet.ahrq.gov/node/42909/psn-pdf
December 12, 2014 - effect-bar-code-technology-safety-medication-administration
https://psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results
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psnet.ahrq.gov/node/43463/psn-pdf
October 06, 2016 - administration demonstrated that adherence to safe
practices such as minimizing interruptions, checking two forms
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psnet.ahrq.gov/node/44444/psn-pdf
September 02, 2015 - Clinical communities at Johns Hopkins Medicine: an
emerging approach to quality improvement.
September 2, 2015
Gould LJ, Wachter PA, Aboumatar HJ, et al. Clinical Communities at Johns Hopkins Medicine: An
Emerging Approach to Quality Improvement. Jt Comm J Qual Patient Saf. 2015;41(9):387-395.
https://psnet.ahrq.g…
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psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
September 09, 2020 - communicates the result to the case manager or cancer center navigator using a standardized follow-up request form
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psnet.ahrq.gov/node/49469/psn-pdf
December 01, 2004 - G consent forms and information to take home to her
husband. … Nonetheless, protection of patient autonomy for many forms of
genetic testing, or any procedure in which … For many forms of genetic testing, physicians must obtain written, informed consent from patients
and
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psnet.ahrq.gov/node/43309/psn-pdf
August 02, 2015 - clinicians often failed to perform a time out and did not correctly document laterality in
consent forms
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psnet.ahrq.gov/node/43651/psn-pdf
November 18, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and
effective use of electronic health records.
November 18, 2016
Upadhyay DK, Sittig DF, Singh H. Ebola US Patient Zero: lessons on misdiagnosis and effective use of
electronic health records. Diagnosis (Berl). 2014;1(4):283-287. doi:10.1515/dx-2014-0064.
https://psn…
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psnet.ahrq.gov/node/38010/psn-pdf
August 27, 2008 - Detection of adverse events in surgical patients using the
Trigger Tool approach.
August 27, 2008
Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach.
Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080.
https://psnet.ahrq.gov/issue/detection-…
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psnet.ahrq.gov/node/42419/psn-pdf
July 17, 2013 - hazards, encouraging reporting to Patient Safety Organizations, supporting the use of standardized forms
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psnet.ahrq.gov/node/37849/psn-pdf
March 23, 2011 - The incidence and nature of in-hospital adverse events: a
systematic review.
March 23, 2011
de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse
events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.2007.023622.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/49475/psn-pdf
March 01, 2005 - But
new technology is also a potent source of new forms of failure, especially when the human–computer … technology that
makes high-quality information available is simultaneously an unexpected source of new forms … The new forms of failure that result from IT use in health care share
common features (10): the failures … organization (19) stress the advantages of IT but do not
acknowledge that IT itself is generating new forms
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psnet.ahrq.gov/issue/wrong-site-and-wrong-patient-procedures-universal-protocol-era-analysis-prospective-database
October 13, 2010 - November 21, 2011
Use of an anatomic marking form as an alternative to the Universal
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psnet.ahrq.gov/issue/prevalence-copied-information-attendings-and-residents-critical-care-progress-notes
September 28, 2017 - October 24, 2018
Frequency of passive EHR alerts in the ICU: another form of alert fatigue
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psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room-follow-report
April 30, 2014 - June 15, 2011
Use of an anatomic marking form as an alternative to the Universal Protocol