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psnet.ahrq.gov/issue/computerized-triggers-big-data-detect-delays-follow-chest-imaging-results
March 19, 2018 - January 7, 2015
Laboratory medicine handoff gaps experienced by primary care practices
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psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
November 30, 2016 - Health Care Executives and Administrators
Geriatrics
Hospital Medicine
Discontinuities, Gaps
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psnet.ahrq.gov/issue/safety-implications-missed-test-results-hospitalised-patients-systematic-review
November 26, 2014 - December 27, 2014
Laboratory medicine handoff gaps experienced by primary care practices
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psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban
February 22, 2011 - October 4, 2017
Accurate measurement in California's safety-net health systems has gaps
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psnet.ahrq.gov/issue/implementing-situation-background-assessment-recommendation-anaesthetic-clinic-and-subsequent
December 30, 2014 - Room
Health Care Executives and Administrators
Anesthesiology
Surgery
Discontinuities, Gaps
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - Annual Perspective
Ensuring Patient and Workforce Safety Culture in Healthcare
John Murray, Joann Sorra, Bryan Gale, Sarah Mossburg
| March 27, 2024
View more articles from the same authors.
Citation Text:
Murray J, Sorra J, Gale B, et al. Ensuring Patient…
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psnet.ahrq.gov/node/867850/psn-pdf
February 26, 2025 - In Conversation with Timothy Vogus about High
Reliability Organization (HRO) Principles and Patient
Safety
February 26, 2025
Vogus T, Lee M, Mossburg SE. In Conversation with Timothy Vogus about High Reliability Organization
(HRO) Principles and Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/persp…
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - SPOTLIGHT CASE
Dying in the Hospital With Advanced Dementia
Citation Text:
Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Ci…
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - Hospitals
Health Care Providers
Facility and Group Administrators
Medicine
Discontinuities, Gaps
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psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
April 01, 2009 - pressure to fix the problems of medical errors and poor quality; on the other hand, there are often major gaps
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - Most errors are related to system gaps, not individual providers, so constant reassessment of the processes
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - provided by consultants to ensure that all available clinical data are considered. 26
Communication gaps
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psnet.ahrq.gov/perspective/safety-radiology
October 01, 2013 - Radiation exposure from CT scans: how to close our knowledge gaps, monitor and safeguard exposure—proceedings
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psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
September 01, 2007 - In Conversation with...Atul Gawande, MD, MA, MPH
September 1, 2007
Also Read an Essay
Citation Text:
In Conversation with..Atul Gawande, MD, MA, MPH. PSNet [internet]. 2007.In Conversation with...Atul Gawande, MD, MA, MPH. PSNet [internet]. Rockville (MD): Agency…
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Carole Stockmeier, Sarah Mossburg, Lee Merton | September 24, 2024
Also Read the Essay
View more articles from the same authors.
…
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psnet.ahrq.gov/node/49720/psn-pdf
December 01, 2014 - A Stroke of Error
December 1, 2014
Barrett KM. A Stroke of Error. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/stroke-error
Case Objectives
State the key clinical factors to assess in a patient with suspected stroke.
Appreciate the relationship between elevated blood pressure and stroke in the acute sett…
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - The lesson is that nurses should take the fall prevention knowledge test to identify gaps in their knowledge
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - The lesson is that nurses should take the fall prevention knowledge test to identify gaps in their knowledge
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - Hospitals
Health Care Providers
Facility and Group Administrators
Medicine
Discontinuities, Gaps
-
psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
November 01, 2018 - See More About The Topic
Hospitals
Physicians
Hospital Medicine
Discontinuities, Gaps