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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - This
treatment did not bring about improvement in his condition. … Health Aff (Millwood). 2007;6:w687-w696. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - Learning from errors is a fundamental component of health professions education. … Learning from errors is a fundamental component of health professions education. … J Health Serv Res Policy . 2025; 30 (1) :31-39 . … Health Expect . 2024; 27 (6) :e70092 . … Despite treatment with diuretics and antihypertensives, her condition deteriorated, leading to intubation
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … present case, the patient required intravenous immunoglobulin (IVIG) to treat her underlying neurologic condition … Health Technol Assess. 2008;12:1-154. [go to PubMed]
16. Crnich CJ, Maki DG. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - To Err Is Human: Building a Safer Health System. … Patients want detailed data on every type of condition and every type of operation and want to know how … their hospital and surgeon do at that specific condition. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
August 01, 2005 - A nurse practitioner and expert in public health practice, policy, and primary care, Ms. … Blakeney is on leave from the Boston Public Health Commission, where she has been director of health … However, I think this issue pervades all of health care—this stagnation. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
August 25, 2021 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Helminthiases: a neglected cause for reproductive ill-health and social stigma. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/adverse-events-0
September 20, 2011 - provides access to investigations of the impact of healthcare-related harm events in Department of Health … and Human Services (HHS) programs and across the United States health system. … November 29, 2023
Inadequate Outpatient Mental Health Triage and Care of a Patient at … Louis Health Care System in Missouri. … December 12, 2023
Home Health Agencies Failed To Report Over Half of Falls With Major
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Earlier diagnosis of this condition would have allowed for more prompt interventions with lower procedural … Department of Health and Human Services. … Department of Health and Human Services. … Care Providers
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Nephrology
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psnet.ahrq.gov/web-mm/misleading-complaint
December 01, 2009 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … a brief history, visual inspection, and vital signs, and is asked to concisely convey the patient's condition … Adv Health Sci Educ Theory Pract. 2009;14(suppl 1):37-49. [go to PubMed] 7. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/keeping-patients-safe-transforming-work-environment-nurses
July 05, 2016 - Page A; Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services … July 5, 2008
Health Literacy: A Prescription to End Confusion. … June 15, 2011
Improving Diagnosis in Health Care. … September 23, 2015
How Can Health Care Organizations Become More Health Literate? … August 15, 2012
Implications of Health Literacy for Public Health: Workshop Summary.
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - depending on the severity of the mental illness/episode or developmental delay, a patient may not be in a condition … After presenting information about a patient’s condition and care choices, a provider should check the … Washington (DC): National Academies Press (US); 2004. 10, Health Care. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/dosing-errors-made-paramedics-during-pediatric-patient-simulations-after-implementation-state
August 25, 2021 - September 9, 2010
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Patient Transport
Health
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psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality
June 22, 2022 - Related Resources
Nurse staffing and inpatient mortality in the English National Health
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psnet.ahrq.gov/issue/nurse-staffing-levels-and-quality-care-hospitals
June 25, 2010 - February 16, 2022
Selecting indicators for patient safety at the health system level … The effect of staff nurses' shift length and fatigue on patient safety and nurses' health
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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … This treatment did not bring about improvement in his condition. … Health Aff (Millwood). 2007;6:w687-w696. [go to PubMed] 3. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - Improving Diagnosis in Health Care. Committee on Diagnostic Error in Health Care. … They don't really examine your ability to differentiate one condition from another to generate a differential … If I'm sick, I want to see somebody who's really good at whatever condition I have but who also knows … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
May 01, 2019 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … This condition can be prevented by screening all potential recipients of chemotherapy with hepatitis … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
September 01, 2017 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Previous research suggests that women with PSVT are more likely to be misdiagnosed with mental health … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/case-patient-flow-management
February 23, 2019 - resident had been given a brief sign-out by the outgoing resident that included this patient's tenuous condition … to the Massachusetts Department of Public Health; 2002. … Health Affairs Blog. February 22, 2011. [Available at] 18. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error
August 02, 2015 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … In the morning, 10 hours after admission, her condition began to deteriorate. … University Health System Consortium Web site. June 2003. Accessed February 9, 2004.
13. … Department of Health and Human Services. … Department of Health and Human Services.