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  1. Psn-Pdf (pdf file)

    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
  2. 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
  3. 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
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43463/psn-pdf
    October 06, 2016 - administration demonstrated that adherence to safe practices such as minimizing interruptions, checking two forms
  9. Psn-Pdf (pdf file)

    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…
  10. 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
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42419/psn-pdf
    July 17, 2013 - hazards, encouraging reporting to Patient Safety Organizations, supporting the use of standardized forms
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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
  18. 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
  19. 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
  20. 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

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