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psnet.ahrq.gov/node/38285/psn-pdf
December 10, 2008 - practices-ambulatory-care
This AHRQ grantee announcement lists 13 projects funded to demonstrate effective strategies in
identifying
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psnet.ahrq.gov/node/34975/psn-pdf
June 14, 2011 - She cautions against “stopping short” by only identifying problems but not supporting initiatives to
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psnet.ahrq.gov/node/34105/psn-pdf
December 24, 2008 - barcode-technology-its-role-increasing-safety-blood-transfusion
https://psnet.ahrq.gov/issue/improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication
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psnet.ahrq.gov/node/38041/psn-pdf
July 02, 2009 - serious-errors-2007
https://psnet.ahrq.gov/issue/utah-tenth-anniversary-2001-2011-patient-safety-report-identifying-opportunities-improvement
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psnet.ahrq.gov/node/36703/psn-pdf
March 28, 2011 - assessing-system-failures-operating-rooms-and-intensive-care-units
The authors describe an instrument for identifying
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psnet.ahrq.gov/node/43437/psn-pdf
August 13, 2014 - issue/diagnostic-error-untapped-potential-improving-patient-safety
Highlighting how uncertainty around identifying
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psnet.ahrq.gov/node/35120/psn-pdf
November 03, 2015 - They conclude that this strategy is effective for identifying preventable adverse events.
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psnet.ahrq.gov/node/39804/psn-pdf
October 13, 2010 - patient-misidentifications-caused-errors-standard-barcode-technology
https://psnet.ahrq.gov/issue/improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication
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psnet.ahrq.gov/node/49580/psn-pdf
March 21, 2009 - Medication Reconciliation Victory After an Avoidable
Error
March 21, 2009
Cutler TW. Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
The Case
A 91-year-old woman, previously active and indepen…
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - Retained Surgical Items: Causation and Prevention
February 26, 2025
Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
Background
A retained surgical item (RSI) is a surgical patient safety pro…
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psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
July 21, 2020 - December 14, 2022
Perspective
Identifying Adverse
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psnet.ahrq.gov/issue/quality-and-safety-0
August 03, 2016 - Special or Theme Issue
Quality and Safety.
Citation Text:
Quality and Safety. Albarran J, Scholes J, eds. Nurs Crit Care. 2015;20(4):167-220.
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Link…
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psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - where diagnosis is “safe,
effective, patient-centered, timely, efficient, and equitable.”3 This means identifying
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psnet.ahrq.gov/node/33834/psn-pdf
May 22, 2017 - Identifying and treating those with opioid use disorders must also be a priority.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
December 01, 2013 - order an anticoagulant in a patient with an epidural catheter
Institutions should be proactive about
Identifying
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psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
March 01, 2017 - are often the responsibility of managers, but frontline clinicians can also play a critical role by identifying
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
September 01, 2007 - defined by the Institute for Healthcare Improvement (IHI):
Medication reconciliation is a process of identifying
-
psnet.ahrq.gov/node/841493/psn-pdf
December 14, 2022 - such as COVID-19, at-
home daily assessments of pulse oximetry and home monitoring were effective in identifying
-
psnet.ahrq.gov/node/60547/psn-pdf
May 28, 2020 - However, this passive approach to identifying device error relies on several assumptions: 1) that all
-
psnet.ahrq.gov/node/33621/psn-pdf
November 01, 2005 - world have identified Rapid Response Teams (RRTs) as a
powerful intervention aimed at saving lives by identifying