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psnet.ahrq.gov/node/44245/psn-pdf
July 15, 2015 - According to
another recent study (not included in this review), more than 40% of patient-initiated
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psnet.ahrq.gov/node/46595/psn-pdf
November 01, 2017 - The tool
included a brief instructional video and a checklist.
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psnet.ahrq.gov/node/35783/psn-pdf
July 10, 2008 - Additional findings included observation of unexplained discrepancies between
preadmission and discharge
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psnet.ahrq.gov/node/44518/psn-pdf
January 22, 2016 - Trainees performed similarly on immediate
postcourse tests, but the group that included error training
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psnet.ahrq.gov/node/46294/psn-pdf
October 29, 2017 - an increase in reporting of perioperative adverse events through a multifaceted
intervention that included
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psnet.ahrq.gov/node/35762/psn-pdf
January 02, 2017 - These results included a decreased error rate in prescribing, an
increased use of preprinted order sets
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psnet.ahrq.gov/node/42449/psn-pdf
July 31, 2013 - infarction—were also found to be a main source of malpractice lawsuits in another recent study, which was
not included
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psnet.ahrq.gov/node/38662/psn-pdf
April 12, 2011 - Included among
mental errors are factors that have been linked to errors, such as low health literacy
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psnet.ahrq.gov/node/47191/psn-pdf
December 21, 2018 - Although there was support for the process among
staff, barriers included a low level of parent awareness
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psnet.ahrq.gov/node/44569/psn-pdf
October 21, 2015 - modules focusing on the importance of training and establishing a safety culture, and
the second course included
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psnet.ahrq.gov/node/44033/psn-pdf
April 22, 2015 - The initiative included
organizational measures, information technology interventions, quality improvement
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psnet.ahrq.gov/node/45962/psn-pdf
April 24, 2018 - Key responsibilities included clinical oversight, faculty development, and
educational innovation.
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psnet.ahrq.gov/node/46583/psn-pdf
December 18, 2017 - implementation-and
This Swedish pediatric surgery team employed crew resource management training, which included
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psnet.ahrq.gov/node/35934/psn-pdf
February 24, 2011 - These factors were grouped as topic
areas, which included awareness of error, factors influencing learner
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psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment
Citation Text:
Katznelson J. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
…
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psnet.ahrq.gov/node/49422/psn-pdf
November 01, 2003 - 40 of K
November 1, 2003
Lesar TS. 40 of K. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/40-k
The Case
An 81-year-old female maintained on warfarin for a history of chronic atrial fibrillation and mitral valve
replacement developed asymptomatic runs of ventricular tachycardia while hospitalized. The unit…
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psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
November 03, 2015 - Health Care Worker Presenteeism: A Challenge for Patient Safety
Julia E. Szymczak, PhD | October 1, 2017
View more articles from the same authors.
Citation Text:
Szymczak JE. Health Care Worker Presenteeism: A Challenge for Patient Safety. PSNet [internet]. Rockvi…
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psnet.ahrq.gov/node/50701/psn-pdf
November 26, 2019 - In Conversation With... Heidi Wald, MD
November 26, 2019
In Conversation With.. Heidi Wald, MD. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-heidi-wald-md
Editor’s note: Dr. Wald, MD, MSPH, is the Chief Quality and Safety Officer at SCL Health in Denver, CO.
She has previously served as …
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psnet.ahrq.gov/node/848125/psn-pdf
April 26, 2023 - Surveillance Monitoring to Improve Patient Safety in
Acute Hospital Care Units
April 26, 2023
McGrath S, Blike G, Gale B, et al. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care
Units. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-…
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psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
July 01, 2012 - "Superficial" Report Leads to "Deep" Problem
Citation Text:
Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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