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psnet.ahrq.gov/node/35129/psn-pdf
June 22, 2009 - aftermath-adverse-event-supporting-health-care-professionals-meet-patient-
expectations
The authors explain elements of successful disclosure, including
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psnet.ahrq.gov/node/41641/psn-pdf
August 29, 2012 - patient-safety-and-quality-improvement-overview-qi
This commentary describes strategies to improve quality and safety in health care systems, including
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psnet.ahrq.gov/node/45544/psn-pdf
December 19, 2016 - a 12- year
period, this article recommends strategies to reduce risks associated with prescribing, including
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psnet.ahrq.gov/node/43434/psn-pdf
August 06, 2014 - maryland-hospitals-arent-reporting-all-errors-and-complications-experts-say
This news article reports weaknesses in a Maryland reporting program, including
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psnet.ahrq.gov/node/34718/psn-pdf
August 05, 2008 - factors approach to medical errors and tells the stories of several victims of tragic
medical errors, including
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psnet.ahrq.gov/node/43454/psn-pdf
November 20, 2015 - commentary offers information about educational opportunities for patient safety and quality
improvement, including
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psnet.ahrq.gov/node/35438/psn-pdf
September 15, 2009 - Patient Safety (NCPS), reviews elements of a successful
Veterans Health Administration safety program, including
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psnet.ahrq.gov/node/39995/psn-pdf
November 10, 2010 - The articles highlight work related to topics including critical occurrence
review, hand hygiene compliance
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psnet.ahrq.gov/node/45134/psn-pdf
August 10, 2016 - patient-safety-exploring-quality-care-us
This website provides resources exploring patient safety challenges from various perspectives, including
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psnet.ahrq.gov/node/39609/psn-pdf
June 27, 2010 - identification-and-prevention-common-adverse-drug-events-intensive-care-unit
This supplement focuses on strategies to enhance medication safety in the intensive care unit, including
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psnet.ahrq.gov/node/42370/psn-pdf
June 19, 2013 - publication outlines quality and safety improvement projects from one hospital's residency program,
including
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psnet.ahrq.gov/node/43538/psn-pdf
September 17, 2014 - This review explores medication errors, including common causes, incidence rates, factors that
can increase
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psnet.ahrq.gov/node/36855/psn-pdf
August 29, 2011 - environment
The authors summarize the uses of video in patient safety and discuss issues with its use, including
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psnet.ahrq.gov/node/43586/psn-pdf
October 22, 2014 - prescribing
errors using the critical incident technique, researchers identified several underlying causes, including
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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - Elective oophorectomy is performed for many reasons including elimination of ovarian cancer risk. … At that time, the radiologists involved, including me, recognized that the installation could be opening … radiology department in person, where they engaged in an in-person consultation with the radiologist, including … record preliminary impressions, provide an audit of messages exchanged among health care providers (including … that adapts the many tools available to vastly improve communication and follow-up among providers, including
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - Including the patient in patient safety. … influence patient safety, we must find ways to include the
patient in this work.(18) We should be including … There are other ways including the patient in patient safety, such as assessing
and mitigating the effects … interventions to promote metacognition, for example), or more specific symptom-directed
interventions including … This is not to mention the
effects of time on non-diagnostic errors in medicine, including medication
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - The patient underwent a non-accidental trauma evaluation including a comprehensive metabolic panel, lipase … Background Child maltreatment, including neglect, endangerment, and physical and or sexual abuse, is … Without obvious external signs of trauma, recognizing NAT, including milder forms of AHT, can be especially … A consensus statement supported by multiple international professional societies including the American … Take-Home Points NAT, including neglect, endangerment, and physical or sexual abuse, is widespread and
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psnet.ahrq.gov/node/33800/psn-pdf
January 01, 2015 - The observed physicians were volunteers from institutions representing 11 different CPOE
systems, including … Cost is also a barrier to CPOE implementation, with implementation costs (including software, consultants … directions in CPOE research should include more data on usability and errors from real-world
settings, including
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
July 01, 2003 - .): Code Status Confusion
The resident had discussed the case briefly with the intern (including her … Case (cont.): Code Status Confusion
The patient did receive cardiopulmonary resuscitation, including … Standardize the DNR order sheet
Separate authorization for CPR, intubation, and vasopressors
Consider including
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psnet.ahrq.gov/node/33802/psn-pdf
February 01, 2016 - professional satisfaction
among physicians.(1-3)
First, better professional satisfaction in any field (including … Proponents of this idea, including me, believe that when a group of physicians is
dissatisfied, stressed … interfaces, lack of
health information exchange, and degradation of the quality of clinical documentation (including