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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
August 10, 2025 - Celeste Royce, MD | June 24, 2020
Endometriosis is a common clinical condition … two days later with a newly developed in-house test, and a third sample was sent to the state public health … The patient was discharged in stable clinical condition but was advised to quarantine for 14 days. … commentary discusses the challenges associated with SARS-CoV-2 testing, the unprecedented burden faced by health … Twitter
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Endometriosis is a common clinical condition
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psnet.ahrq.gov/issue/hospital-report-card-ontario-2009
December 17, 2014 - Studies in Health Care Policy. Fraser Institute. Calgary, Alberta, Canada; March 2009. … Studies in Health Care Policy. Fraser Institute. Calgary, Alberta, Canada; March 2009. … Using an interactive online tool, consumers can look up a particular condition or procedure and compare … Studies in Health Care Policy. Fraser Institute. Calgary, Alberta, Canada; March 2009. … June 20, 2014
Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed
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psnet.ahrq.gov/node/47587/psn-pdf
February 13, 2019 - Adv Health Sci Edu: Theory Pract. 2019;24(4):797-809.
doi:10.1007/s10459-018-9859-5. … uncertainty in medicine and suggests that
individual awareness of uncertainty is required to respond to the condition … The authors
advocate for educational and research strategies to further manage uncertainty in health
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psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism
November 16, 2022 - Venous thromboembolism (VTE) is a preventable condition that can contribute to maternal harm . … The authors discuss the importance of reporting mechanisms to help health care organizations learn … August 20, 2018
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … , 2020
Description and evaluation of an interprofessional patient safety course for health … May 1, 2003
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Hospitals
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psnet.ahrq.gov/node/45471/psn-pdf
September 21, 2016 - Vital signs: epidemiology of sepsis: prevalence of health
care factors and opportunities for prevention … Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care
Factors and Opportunities for Prevention … https://psnet.ahrq.gov/issue/vital-signs-epidemiology-sepsis-prevalence-health-care-factors-and-
opportunities-prevention … Investigators found that 72% of patients had exposure to at least one health care factor during the 30 … days
prior to being admitted for sepsis or a medical condition requiring frequent health care contact
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psnet.ahrq.gov/issue/hospitals-will-still-have-share-safety-data-publicly-cms-will-publish-scorecard-avoidable
March 27, 2024 - This article highlights a shift made to retain reporting requirements in the Hospital-Acquired Condition … October 3, 2017
Transparency and public reporting are essential for a safe health care
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psnet.ahrq.gov/issue/prisoner
March 29, 2023 - This story describes the care experience of an adolescent patient whose rare immune system condition … Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system?
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psnet.ahrq.gov/node/864368/psn-pdf
March 13, 2024 - medical-misadventures-errors-and-mistakes-and-motor-vehicular-accidents-disproportionate
https://psnet.ahrq.gov/issue/medicares-hospital-acquired-condition-reduction-program-and-community-diversity-united-states … https://psnet.ahrq.gov/issue/impact-racism-child-and-adolescent-health
https://psnet.ahrq.gov/web-mm
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psnet.ahrq.gov/issue/patient-surgeon-and-health-care-worker-safety-during-covid-19-pandemic
August 25, 2021 - Commentary
Patient, surgeon, and health care worker safety during the COVID-19 pandemic … Patient, surgeon, and health care worker safety during the COVID-19 pandemic. … Patient, surgeon, and health care worker safety during the COVID-19 pandemic. … August 25, 2021
Maternal and neonatal health care worker well-being and patient safety … Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition
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psnet.ahrq.gov/node/50427/psn-pdf
September 04, 2019 - correlation-between-hospital-finances-and-quality-and-safety-patient-care
https://psnet.ahrq.gov/issue/hospital-financial-condition-and-quality-patient-care … doing-well-doing-good-evaluating-influence-patient-safety-performance-hospital-financial
https://psnet.ahrq.gov/issue/accurate-measurement-californias-safety-net-health-systems-has-gaps-and-barriers
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psnet.ahrq.gov/node/850342/psn-pdf
June 14, 2023 - CLABSI, leadership safety rounds, partnership with the vascular
access team, and hospital-acquired condition … eliminating-central-line-associated-bloodstream-infections-pediatric-oncology-patients
https://psnet.ahrq.gov/primer/health-care-associated-infections
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psnet.ahrq.gov/issue/healthcare-cost-and-utilization-project-hcup
December 24, 2008 - These databases enable research on a broad range of health policy issues, including cost and quality … of health services, medical practice patterns, access to health care programs, and outcomes of treatments … December 24, 2008
AHRQ Health Information Technology Research: 2018 Year in Review. … Patient Safety Result in 1.3 Million Fewer Patient Harms: Interim Update on 2013 Annual Hospital-Acquired Condition … Health Care System.
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psnet.ahrq.gov/issue/overlooked-danger-delirium-hospitals
June 22, 2011 - This magazine article discusses characteristics of the condition, contributing factors, challenges to … November 7, 2018
Wounded care: failure at one Indian Health Service hospital reveals … May 17, 2006
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Hospitals
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psnet.ahrq.gov/issue/half-hospitals-conn-del-hit-medicares-safety-penalties
December 12, 2018 - Kaiser Health News. January 5, 2018. … Kaiser Health News. January 5, 2018.
View more articles from the same authors. … The Hospital-Acquired Condition Reduction Program is an effort to hold hospitals accountable for … Kaiser Health News. January 5, 2018.
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psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
October 09, 2024 - Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. … Health Policy . 2024; 143 :105051 .
View more articles from the same authors. … Pay-for-performance (P4P) policies and programs (such as the Hospital-Acquired Condition [HAC] Reduction … Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. … Resources
Interview
In Conversation With...Amy Helwig about Health
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psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
November 16, 2022 - Missed diagnosis of a dangerous condition in utero, treatment errors , lack of response to concerns … Resources
Interview
In Conversation With...Amy Helwig about Health … Initiatives
July 10, 2024
Perspectives on Safety
Health … May 31, 2023
Examining the Status of VA’s Electronic Health Record Modernization Program
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psnet.ahrq.gov/issue/hospitals-look-computers-predict-patient-emergencies-they-happen
June 16, 2021 - hospitalized patients at the highest risk for heart failure to trigger emergency response teams when their condition … October 23, 2019
Health systems and hospitals in pursuit of high reliability. … October 7, 2008
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Hospitals
Health … Care Providers
Health Care Executives and Administrators
Information Professionals
Patients
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - broad differential diagnosis, as their thought process was not completely documented in the electronic health … Although this study was obtained at the second ED visit, by then the patient’s condition had deteriorated … The presence of ascites or free fluid in the absence of a known condition that causes ascites (e.g., … treatment with fluids, etc.) while also improving resource utilization and decreasing costs to the health … The impact of emergency department observation units on a health system.
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psnet.ahrq.gov/issue/defects-value-associated-hospital-acquired-conditions-how-improving-quality-could-save-us
October 30, 2024 - Despite considerable health system efforts and governmental financial penalties , hospital-acquired … November 15, 2023
Association of measured quality with financial health among U.S. hospitals … October 14, 2020
Unintended consequences of health care reform: impact of changes in … 7, 2020
Changes in hospital safety following penalties in the US Hospital Acquired Condition
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psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic-conditions
November 04, 2014 - Nearly half of the pediatric inpatients in this large national sample had at least one chronic medical condition … 12, 2008
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Children's Hospitals
Health