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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - Sometimes safety improvements are generated when bad things happen to good people. … The average size of a Tenet Hospital is about 150 beds, so these things happen infrequently. … then there would be, for example, the four things you or your unit can do, to make sure this doesn't happen … randomized controlled trial evidence that a particular safety intervention works just isn't going to happen
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meps.ahrq.gov/communication/participants/faq_gen_mpc.shtml
What will happen to the data collected in this study?
7. … What will happen to the data collected in this study?
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meps.ahrq.gov/communication/participants/faq_gen_pharm.shtml
What will happen to the data collected in this
study?
7. … What will happen to the data collected in
this study?
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/dHBxfHscnw-SSdmjgNQYC3
July 01, 2015 - Speech and language delays happen when a child develops speech and
language at a slower-than-normal … Delays are different from speech and language disorders, which happen when
a child’s speech and language
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
July 01, 2023 - Timeliness—which measures how long it took for something to happen (e.g., time to incision).
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digital.ahrq.gov/sites/default/files/docs/medicaid/contracting-guidelines-for-ehr-vendors.pdf
June 16, 2021 - Contracting Guidelines
Doctors’ Office Quality - Information Technology (DOQ-IT) Project
Contracting Guidelines with EHR Vendors
In general, if a contract is presented to your group from a software company, it will be written from
the perspective of the software company. You can request language changes t…
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psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
May 31, 2023 - You have this great EHR, you should be harnessing it for safety, but these transcription errors still happen
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psnet.ahrq.gov/issue/recognizing-excellence-diagnosis
November 03, 2023 - Multi-use Website
Recognizing Excellence in Diagnosis.
Citation Text:
Recognizing Excellence in Diagnosis. The Leapfrog Group.
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psnet.ahrq.gov/issue/wrong-goodbye
October 05, 2022 - Newspaper/Magazine Article
The wrong goodbye.
Citation Text:
The wrong goodbye. Sexton J, Schweber N. ProPublica. October 31, 2019.
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psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis
May 13, 2020 - Audiovisual
Uncovering the shocking dangers of misdiagnosis.
Citation Text:
Uncovering the shocking dangers of misdiagnosis. Graedon T. People’s Pharmacy. Show 1355. September 8, 2023.
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digital.ahrq.gov/principal-investigator/nahm-eun-shim
January 01, 2023 - Nahm, Eun-Shim
A Theory-Based Patient Portal eLearning Program for Older Adults With Chronic Illnesses - Final Report
Citation
Nahm E. A Theory-Based Patient Portal eLearning Program for Older Adults With Chronic Illnesses - Final Report. (Prepared by the University of Marylan…
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psnet.ahrq.gov/node/33849/psn-pdf
January 01, 2018 - We are testifying to things
that didn't actually happen, physical exam findings that we didn't do, or
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psnet.ahrq.gov/node/33877/psn-pdf
April 01, 2019 - It has
moved to include supporting physicians when mistakes happen but way beyond that.
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - have
this great EHR, you should be harnessing it for safety, but these transcription errors still happen
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - Every patient
is different and things happen in the hospitalization, so to get the acute situation under
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psnet.ahrq.gov/issue/when-surgeon-too-old-operate
February 12, 2016 - Newspaper/Magazine Article
When is the surgeon too old to operate?
Citation Text:
When is the surgeon too old to operate? Span P. New York Times. February 1, 2019.
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psnet.ahrq.gov/issue/mistaking-error
July 06, 2011 - Book/Report
Mistaking error.
Citation Text:
Mistaking error. Cook RI, Woods DD. Chapter in: Youngberg BJ, Hatlie, MJ, ed. Patient Safety Handbook, Sudbury, MA: Jones and Bartlett; 2004.
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psnet.ahrq.gov/issue/patient-safety-article-collection
December 19, 2012 - Multi-use Website
Patient Safety Article Collection.
Citation Text:
Patient Safety Article Collection. American Patient Rights Association. 2012-2022.
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - Frankly, it's easy for that to happen
because the insurer has a different mission from that of the hospital
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psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
Editor's note: Dr. David Urbach is Professor of Surgery and Health Policy, Management, and Evaluation
at the University…