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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - Patient Safety in Office-Based Care Settings
January 31, 2024
Ricciardi R, Lee M, Mossburg S. Patient Safety in Office-Based Care Settings. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
The Institute of Medicine’s 2000 publication To Err Is Human summarized res…
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psnet.ahrq.gov/node/50756/psn-pdf
December 18, 2019 - A Mistaken Dose of Naloxone?
December 18, 2019
Cutler E, Gunawardena D. A Mistaken Dose of Naloxone?. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
The Case
A 55-year-old man with widely metastatic gastric cancer presented to his oncologist's office for a follow-up
appointment. He h…
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psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - Discharged with IV antibiotics: When issues arise, who
manages the complications?
February 26, 2020
Donnelley M, Gintjee TJ, Go J. Discharged with IV antibiotics: When issues arise, who manages the
complications? PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-…
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psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
March 29, 2023 - Walking Out of a Hospital After Attempted Suicide
Citation Text:
Bourgeois JA, Xiong G. Walking Out of a Hospital After Attempted Suicide. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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Format:
Googl…
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - A Costly Colonoscopy Leads to a Delay in Diagnosis
Citation Text:
Moriates C. A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Format:
Google Scholar…
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - In Conversation With… Didier Pittet, MD, MS
May 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - available for individuals who have limited access to telemedicine to ensure they do not experience gaps … technical failures, such as limited internet access or a failure to connect to a video visit, do not create gaps
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - More About The Topic
Hospitals
Health Care Providers
Endocrinology
Discontinuities, Gaps
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - January 7, 2015
Bridging gaps in handoffs: a continuity of care based approach.
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psnet.ahrq.gov/web-mm/forgotten-turn
August 01, 2018 - Gaps still remain in protecting patients from pressure ulcers during patient transport, both to and from
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - accepted and propagated framework developed in 1978 after a plane crash in rural Nebraska laid bare the gaps
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psnet.ahrq.gov/node/49721/psn-pdf
December 01, 2014 - Unusual circumstances like Ebola may be very helpful to reveal unrecognized or underappreciated
gaps
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - https://psnet.ahrq.gov//#16
Mistakes are errors in planning and can be attributed to gaps in knowledge
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psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - contributed to this error.
33
Human Error (7)
• Mistakes are errors in planning and can be attributed to gaps
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psnet.ahrq.gov/node/861760/psn-pdf
January 31, 2024 - reliable approach for checking medications,
insufficient differentiation of packaging, and communication gaps
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psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - , below is a suggested list of
communications that should occur with direct admissions to mitigate gaps
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psnet.ahrq.gov/node/49737/psn-pdf
June 01, 2015 - sites annually validated IUC
insertion competency (47%).(10) These significant knowledge and practice gaps
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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - First, researchers hope to close several important knowledge gaps in understanding variation in failure
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psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - June 23, 2021
Medication dosing safety for pediatric patients: recognizing gaps, safety
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - About The Topic
Hospitals
Facility and Group Administrators
Medicine
Discontinuities, Gaps