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psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety-reporting-systems
December 29, 2014 - Study
The harm susceptibility model: a method to prioritise risks identified in patient … The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems … reporting data to identify work areas with safety problems and rank the severity of safety problems identified … The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems
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psnet.ahrq.gov/node/837589/psn-pdf
June 29, 2022 - Monitoring preventable adverse events and near misses:
number and type identified differ depending on … Monitoring preventable adverse events and near misses: number
and type identified differ depending on … https://psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-
identified-differ … Using each of the three methods, this study identified the number and types of near
misses and adverse … https://psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-identified-differ
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psnet.ahrq.gov/issue/laboratory-test-ordering-and-results-management-systems-qualitative-study-safety-risks
March 16, 2016 - Laboratory test ordering and results management systems: a qualitative study of safety risks identified … Laboratory test ordering and results management systems: a qualitative study of safety risks identified … In this qualitative study, outpatient practice administrators identified weaknesses in management of … Laboratory test ordering and results management systems: a qualitative study of safety risks identified
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psnet.ahrq.gov/issue/risk-controls-identified-action-plans-following-serious-incident-investigations-secondary
April 22, 2017 - Study
Risk controls identified in action plans following serious incident investigations … Risk controls identified in action plans following serious incident investigations in secondary care: … proposed patient safety actions generated from incident investigations aligned with contributing factors identified … Risk controls identified in action plans following serious incident investigations in secondary care:
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psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
March 07, 2012 - Review
The published literature on handoffs in hospitals: deficiencies identified … The published literature on handoffs in hospitals: deficiencies identified in an extensive review. … The published literature on handoffs in hospitals: deficiencies identified in an extensive review.
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psnet.ahrq.gov/issue/charting-diagnostic-safety-exploring-patient-provider-discordance-medical-record
April 13, 2022 - In this study, patients identified as at-risk for diagnostic errors were asked to review their most recent … In 467 patients, 51 identified a concern, typically related to communication issues, accuracy of the … Physician chart reviewers identified diagnostic concerns in 31 cases, of which only 11 were also identified
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psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
March 18, 2016 - Study
Patient and carer identified factors which contribute to safety incidents in … Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative … The investigators identified several unique themes related to safety, including difficulties in accessing … Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative
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psnet.ahrq.gov/node/844993/psn-pdf
February 22, 2023 - Prevalence of undiagnosed diabetes identified by a novel
electronic medical record diabetes screening … Prevalence of undiagnosed diabetes identified by a novel
electronic medical record diabetes screening … https://psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record … https://psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening … https://psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening
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psnet.ahrq.gov/node/860732/psn-pdf
April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes
Identified from a Review of NHS Serious Incident … https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs … https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident … https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
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psnet.ahrq.gov/issue/medication-administration-aged-care-facilities-mixed-methods-systematic-review
March 05, 2025 - This systematic review identified 128 studies focused on medication administration in long-term geriatric … Five overarching themes were identified, including staffing and resident rights. … The researchers identified two areas of high concern requiring additional research: classifying omissions
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psnet.ahrq.gov/node/866854/psn-pdf
January 01, 2025 - In this study, patients
identified as at-risk for diagnostic errors were asked to review their most … In 467 patients, 51 identified a concern, typically related to communication issues,
accuracy of the … Physician chart reviewers identified diagnostic concerns in
31 cases, of which only 11 were also identified
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psnet.ahrq.gov/node/61096/psn-pdf
November 04, 2020 - Wrong drug and wrong dose dispensing errors identified
in pharmacist professional liability claims. … https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-
professional-liability … https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability … https://psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability
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psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
February 21, 2024 - Book/Report
Retained Swabs Following Invasive Procedures: Themes Identified from … Citation Text:
Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS … Citation
Citation Text:
Retained Swabs Following Invasive Procedures: Themes Identified
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psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening
January 04, 2021 - Study
Prevalence of undiagnosed diabetes identified by a novel electronic medical … Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening … Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening
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psnet.ahrq.gov/issue/observational-study-how-patients-are-identified-medication-administrations-medical-and
June 24, 2020 - Study
An observational study of how patients are identified before medication administrations … An observational study of how patients are identified before medication administrations in medical and … An observational study of how patients are identified before medication administrations in medical and
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psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit
August 17, 2017 - Study
An analysis of near misses identified by anesthesia providers in the intensive … An analysis of near misses identified by anesthesia providers in the intensive care unit. … An analysis of near misses identified by anesthesia providers in the intensive care unit.
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psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-identified
February 01, 2017 - Clinician responses to disruptive intraoperative behaviour: patterns and norms identified … Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational … Clinician responses to disruptive intraoperative behaviour: patterns and norms identified from a multinational
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psnet.ahrq.gov/node/38797/psn-pdf
July 22, 2009 - Failure to recognize newly identified aortic dilations in a
health care system with an advanced electronic … Failure to recognize newly identified aortic dilations in a health
care system with an advanced electronic … https://psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system- … advanced-electronic
This study discovered that more than half of newly identified aortic dilations … https://psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic
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psnet.ahrq.gov/node/866400/psn-pdf
January 01, 2025 - This systematic review
identified 128 studies focused on medication administration in long-term geriatric … Five overarching themes were identified, including staffing and resident rights. … The
researchers identified two areas of high concern requiring additional research: classifying omissions
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psnet.ahrq.gov/node/42193/psn-pdf
May 08, 2013 - Priority patient safety issues identified by perioperative
nurses. … Priority patient safety issues identified by perioperative
nurses. … https://psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
Perioperative … nurses identified wrong-site surgery and medication errors as the most pressing patient
safety concerns … https://psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
https://psnet.ahrq.gov