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Showing results for "incidents".

9101. Costs and consequences associated with misdiagnosed lower extremity cellulitis. | PSNet
      psnet.ahrq.gov/issue/costs-and-consequences-associated-misdiagnosed-lower-extremity-cellulitis
      November 12, 2014 - Study Costs and consequences associated with misdiagnosed lower extremity cellulitis. Citation Text: Weng QY, Raff AB, Cohen JM, et al. Costs and Consequences Associated With Misdiagnosed Lower Extremity Cellulitis. JAMA Dermatol. 2016;153(2). doi:10.1001/jamadermatol.2016.3816. Copy C…

9102. Improving diagnosis: adding context to cognition. | PSNet
      psnet.ahrq.gov/issue/improving-diagnosis-adding-context-cognition
      July 12, 2023 - Commentary Improving diagnosis: adding context to cognition. Citation Text: Linzer M, Sullivan EE, Olson APJ, et al. Improving diagnosis: adding context to cognition. Diagnosis (Berl). 2023;10(1):4-8. doi:10.1515/dx-2022-0058. Copy Citation Format: DOI Google Scholar BibTeX…

9103. Measurement of ambulatory medication errors in children: a scoping review. | PSNet
      psnet.ahrq.gov/issue/measurement-ambulatory-medication-errors-children-scoping-review
      February 07, 2024 - Review Measurement of ambulatory medication errors in children: a scoping review. Citation Text: Rickey L, Auger K, Britto MT, et al. Measurement of ambulatory medication errors in children: a scoping review. Pediatrics. 2023;152(6):e2023061281. doi:10.1542/peds.2023-061281. Copy Citat…

9104. Wrong site surgery near misses and actual occurrences. | PSNet
      psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences
      November 30, 2012 - Study Wrong site surgery near misses and actual occurrences. Citation Text: Blanco M, Clarke JR, Martindell D. Wrong site surgery near misses and actual occurrences. AORN J. 2009;90(2):215-8, 221-2. doi:10.1016/j.aorn.2009.07.010. Copy Citation Format: DOI Google Scholar …

9105. Information distortion in physicians' diagnostic judgments. | PSNet
      psnet.ahrq.gov/issue/information-distortion-physicians-diagnostic-judgments
      April 07, 2021 - Study Information distortion in physicians' diagnostic judgments. Citation Text: Kostopoulou O, Russo E, Keenan G, et al. Information distortion in physicians' diagnostic judgments. Med Decis Making. 2012;32(6):831-9. doi:10.1177/0272989X12447241. Copy Citation Format: DO…

9106. Quality improvement and safety in pediatric emergency medicine. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-and-safety-pediatric-emergency-medicine
      March 12, 2025 - Review Quality improvement and safety in pediatric emergency medicine. Citation Text: Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010. Copy Citation Format: …

9107. Finding blunders in thyroid testing: experience in newborns. | PSNet
      psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
      March 04, 2020 - Study Finding blunders in thyroid testing: experience in newborns. Citation Text: Zilka LJ, Lott JA, Baker LC, et al. Finding blunders in thyroid testing: experience in newborns. J Clin Lab Anal. 2008;22(4):254-6. doi:10.1002/jcla.20247. Copy Citation Format: DOI Google S…

9108. Cognitive errors in diagnosis: instantiation, classification, and consequences. | PSNet
      psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
      June 21, 2016 - Study Classic Cognitive errors in diagnosis: instantiation, classification, and consequences. Citation Text: Kassirer JP, Kopelman RI. Cognitive errors in diagnosis: instantiation, classification, and consequences. Am J Med. 1989;86(4):433-41. Copy Citation …

9109. Disclosing medical errors: prioritising the needs of patients and families. | PSNet
      psnet.ahrq.gov/issue/disclosing-medical-errors-prioritising-needs-patients-and-families
      November 11, 2020 - Commentary Disclosing medical errors: prioritising the needs of patients and families. Citation Text: Gallagher TH, Hemmelgarn C, Benjamin EM. Disclosing medical errors: prioritising the needs of patients and families. BMJ Qual Saf. 2023;32(10):557-561. doi:10.1136/bmjqs-2022-015880. C…

9110. Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders. | PSNet
      psnet.ahrq.gov/issue/power-saying-i-dont-know-psychological-safety-and-participatory-strategies-healthcare-leaders
      August 31, 2011 - Commentary Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders. Citation Text: Hunt DF. Power of saying ‘I Don’t Know’: psychological safety and participatory strategies for healthcare leaders. BMJ Lead. 2024;Epub Jan 17. doi:10.1136/l…

9111. A safety maturity model for technology-induced errors. | PSNet
      psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
      June 15, 2022 - Review A safety maturity model for technology-induced errors. Citation Text: Borycki EM, Kushniruk AW. A safety maturity model for technology-induced errors. Stud Health Technol Inform. 2022;289:447-451. doi:10.3233/shti210954. Copy Citation Format: DOI Google Scholar BibTe…

9112. 2. How will we manage change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 2. How will we manage change? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure …

9113. 2. How will we manage change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 2. How will we manage change? Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index 1. Are we ready for this change? 2. How will we manage change? 3. What are the best practices in pressure …

9114. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
      October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Chapter 4. Choose the Model To Assess VTE and Bleeding Risk Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Anal…

9115. Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community Health Centers – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs026172-obrien-final-report-2022.pdf
      January 01, 2022 - Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community Health Centers – Final Report TITLE: Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community Health Centers PRINCIPAL INVESTIGATOR AND TEAM MEMBERS: Matthew J. O’Brien1,2; Maria C. Vargas1,2; Rona…

9116. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/neumiller.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home Previous Page   Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commentary …

9117. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
      October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism Chapter 4. Choose the Model To Assess VTE and Bleeding Risk Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Anal…

9118. Archived: Final Research Plan: Genital Herpes Infection: Serologic Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/genital-herpes-screening-november-2016
      August 06, 2015 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Research Plan Genital Herpes Infection: Serologic Screening August 06, 2015 Recommendations made by the USPSTF are independent of the U.S. government. They sh…

9119. Archived: Brief Evidence Summary: Bladder Cancer in Adults: Screening, 2004 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/brief-evidence-summary/bladder-cancer-screening-2004
      June 07, 2004 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Brief Evidence Summary Bladder Cancer in Adults: Screening, 2004 June 07, 2004 Recommendations made by the USPSTF are independent of the U.S. government. They sho…

9120. Utilizing Health Information Technology to Improve Health Care Quality | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/utilizing-health-information-technology-improve-health-care-quality
      January 01, 2023 - Utilizing Health Information Technology to Improve Health Care Quality Project Final Report ( PDF , 395.03 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent t…