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psnet.ahrq.gov/issue/patients-diagnostic-collaborators-sharing-visit-notes-promote-accuracy-and-safety
April 15, 2020 - July 1, 2020
Electronic medicine can send you test results quickly. … Hospitals
Ambulatory Clinic or Office
Health Care Providers
Information Professionals
Medicine
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psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning
February 02, 2022 - their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine … View More
See More About The Topic
Hospitals
Physicians
Hospital Medicine
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psnet.ahrq.gov/node/49855/psn-pdf
March 01, 2019 - A nontunneled catheter goes
directly through the skin into a large central vein [e.g., internal jugular … In medicine, the error is identified through inspection and corrected before leading to further
harm … Successive checks in medicine can be supported by huddles, checklists, or individual consultations. … In medicine, such a system would have recognized the inappropriate order and
prevented it from being … Such systems exist in medicine but are generally available for simpler
binary decisions rather than
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - 8 The AABB (formerly American Association of Blood Banks), an international non-profit transfusion medicine … organization, sets standards for transfusion medicine 9 and these are incorporated into state law in … function checks; (5) assessment of test performance through testing of previously analyzed specimens, internal … Sarah Barnhard, MD Medical Director of Transfusion Services Department of Pathology and Laboratory Medicine … August 26, 2011
Patient misidentification in laboratory medicine: a qualitative analysis
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psnet.ahrq.gov/issue/josie-king-foundation
May 25, 2016 - April 27, 2005
Symposium on Simulation Science in Health and Medicine.
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psnet.ahrq.gov/issue/patient-safety-16
January 21, 2015 - , 2007
View More
See More About The Topic
Physicians
Educators
Medicine
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psnet.ahrq.gov/issue/shift-safety
May 22, 2019 - More
See More About The Topic
Hospitals
Health Care Providers
Patients
Medicine
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psnet.ahrq.gov/issue/high-reliability-health-care
May 06, 2015 - See More About The Topic
Hospitals
Health Care Executives and Administrators
Hospital Medicine
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psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
September 26, 2012 - amended results are inevitable, even though error rates are low (around 0.3%).( 1 ) As in other arenas of medicine … Vanitha Janakiraman Mohta, MD, MPH Maternal Fetal Medicine Kaiser Permanente Medical Group … Errors in laboratory medicine: practical lessons to improve patient safety. … Reducing the frequency of errors in medicine using information technology.
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psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
September 01, 2015 - effects, and environmental factors.( 1,2 ) Surveys reveal that as many as half of hospitalized general medicine … December 1, 2014
Education outcomes from a duty-hour flexibility trial in internal … medicine. … , 2021
WebM&M Cases
Suicidal Ideation in the Family Medicine
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psnet.ahrq.gov/node/49775/psn-pdf
November 01, 2016 - An internal investigation concluded that the transition to electronic order sets contributed
to mismanagement … McGreevey III, MD Assistant Professor of Clinical Medicine Perelman School of Medicine at the
University … Ten commandments for effective clinical decision support:
making the practice of evidence-based medicine
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psnet.ahrq.gov/node/49833/psn-pdf
June 01, 2018 - , Division of Vascular Neurology
Associate Professor of Neurology and Neurosurgery
Yale School of Medicine … Diagnostic error in internal medicine. Arch Intern Med.
2005;165:1493-1499. … Missed ischemic stroke
diagnosis in the emergency department by emergency medicine and neurology services
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psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Wetterneck, MD, MS Medical Director of Patient Safety, UW Health, Madison, WI Associate
Professor of Medicine … , University of Wisconsin School of Medicine and Public Health Researcher, Center
for Quality and Productivity … Washington, DC:
Institute of Medicine, National Academy of Engineering of the National Academies; July … Organizational performance
monitoring of use of
Glucommander and inpatient
glycemic control
Environment
(Internal
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - At the community hospital, a central
venous catheter was placed in the patient's right internal jugular … Program Director, Critical Care, Lung
Disease, Sleep Professor, University of Cincinnati College of Medicine … , Division of Pulmonary, Critical
Care, and Sleep Medicine
References
1. … Human Error
in Medicine. 2nd edition. Boca Raton, FL: CRC Press;1994. ISBN: 9780805813869.
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psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
January 01, 2009 - Gallagher, MD, is Associate Professor in the Department of Medicine and the Department of Medical History … It appears that internal medicine physicians approach disclosure differently from surgeons. … For example, internal medicine physicians are more likely to share information about the error and to … RW: Another challenge is that medicine is a team sport.
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psnet.ahrq.gov/node/73412/psn-pdf
August 01, 2022 - Contact the Innovator
Leigh.kimberg@ucsf.edu
Professor of Medicine, UCSF
Division of General Internal … Medicine, SFGH
Interpersonal Violence Prevention Coordinator, SFDPH
Director, ARISE
Date First Implemented
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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - procedures mitigate the risk of bleeding and pneumothorax compared with the typical subclavian vein or internal … Despite the potential advantages of peripheral cannulation, a central approach is often required, and the internal … In this case, a cutdown should have been used to access the internal jugular, facial, or external jugular … Quality Assurance Committee
UC Davis Health
Brian Goudy, MD
Assistant Professor, Critical Care Medicine
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psnet.ahrq.gov/issue/how-intervention-studies-measure-effectiveness-medication-safety-related-clinical-decision
December 14, 2022 - See More About The Topic
Long-Term Care
Ambulatory Clinic or Office
Family Medicine
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psnet.ahrq.gov/issue/engaging-patients-medication-reconciliation-patient-portal-following-hospital-discharge
February 03, 2011 - March 2, 2011
Medication reconciliation during internal hospital transfer and impact
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psnet.ahrq.gov/perspective/what-makes-good-checklist
October 01, 2010 - The field of medicine is no less complex. … Researchers and caregivers should welcome the advent of checklists in medicine, customizing the tools … The public doesn't really care whether we use a checklist or how we practice medicine. … I think regulations are too slow and too blunt to keep up with the science of medicine. … September 1, 2018
The impact of internal service quality on preventable adverse events