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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/gantt-chart
January 01, 2023 - If there is an event that needs to happen at a specific date and time, draw a diamond (solely its outline
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digital.ahrq.gov/2020-year-review/research-summary/it-is-not-just-sci-fi-using-artificial-intelligence-identify-kidney-disease
January 01, 2020 - There is a protein product that builds up in the blood and it can be measured, but that doesn't happen
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digital.ahrq.gov/program-overview/research-stories/safer-inter-hospital-transfers-improving-access-health
January 01, 2023 - Stephanie Mueller and her team at Brigham and Women's Hospital recognize the vulnerabilities that can happen
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
January 01, 2019 - occur is a necessary and significant starting point, the next step is
to understand why these errors happen … analyze
recorded video of clinical EHR use in order to understand how EHR-related safety hazards happen … Wrong Side
Wrong sided surgeries are a never event in modern healthcare yet they continue to happen … of patient harm but nonetheless
could help better understand why issues of wrong sided procedures happen … error occurs is a
powerful tool for change that is amplified when the same error is demonstrated to happen
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-fac-guide.html
July 01, 2023 - plan is through briefings and team management, being aware of what is going on and what is likely to happen … other delegated staff speaks to patient and partner regarding the urgency of the situation and what may happen
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psnet.ahrq.gov/issue/bias-warp-speed-how-ai-may-contribute-disparities-gap-time-covid-19
July 22, 2020 - September 9, 2020
When bad things happen: training medical students to anticipate the
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digital.ahrq.gov/organization/medstar-research-institute
January 01, 2023 - Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen
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digital.ahrq.gov/location/usa-md-hyattsville
January 01, 2023 - Context is Critical: Understanding When and Why Electronic Health Record-Related Safety Hazards Happen
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psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems
January 12, 2022 - April 6, 2022
When bad things happen: training medical students to anticipate the aftermath
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psnet.ahrq.gov/issue/open-disclosure-among-general-practitioners-second-victim-patient-safety-incident-cross
February 15, 2023 - McDonald, MD, JD
April 1, 2019
When mistakes happen.
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psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant
December 15, 2021 - July 14, 2021
When bad things happen: training medical students to anticipate the aftermath
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psnet.ahrq.gov/issue/covid-19-peer-support-and-crisis-communication-strategies-promote-institutional-resilience
February 03, 2021 - May 11, 2022
When bad things happen: training medical students to anticipate the aftermath
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psnet.ahrq.gov/issue/differential-diagnosis-checklists-reduce-diagnostic-error-differentially-randomised
September 23, 2020 - February 22, 2023
Bad things can happen: are medical students aware of patient centered
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psnet.ahrq.gov/issue/direct-observation-depression-screening-identifying-diagnostic-error-and-improving-accuracy
December 08, 2021 - May 12, 2021
Bad things can happen: are medical students aware of patient centered care
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psnet.ahrq.gov/issue/trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model
November 24, 2021 - June 28, 2023
Bad things can happen: are medical students aware of patient centered care
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psnet.ahrq.gov/issue/im-concerned-multi-site-assessment-emergency-medicine-resident-speaking-behaviors
December 02, 2020 - May 17, 2023
Bad things can happen: are medical students aware of patient centered care
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psnet.ahrq.gov/issue/racial-bias-pain-assessment-and-treatment-recommendations-and-false-beliefs-about-biological
July 20, 2022 - May 17, 2023
Bad things can happen: are medical students aware of patient centered care
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - And how can we make sure this doesn't happen again? … And that often doesn't happen, or it happens in a flurry of white coats being led around without getting
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psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1
November 18, 2015 - June 19, 2019
Hospitals look to computers to predict patient emergencies before they happen
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psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
June 10, 2018 - June 10, 2018
Fatal PCA adverse events continue to happen...better patient monitoring