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psnet.ahrq.gov/issue/intervention-study-reduction-medication-errors-elderly-trauma-patients
December 18, 2019 - The Multidisciplinary Hospital Safety Group proposed improvement measures that intend to involve pharmacists
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psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-improve-safety
June 15, 2022 - October 21, 2020
Taking a closer look at medication errors that involve oxytocin.
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psnet.ahrq.gov/issue/patient-centered-care-improvement-guide
June 10, 2020 - June 10, 2018
Patients as Partners: How to Involve Patients and Families in Their Own
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psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups
June 24, 2020 - February 9, 2022
Taking a closer look at medication errors that involve oxytocin.
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/resources/qapi-leadership-rounding-guide-centers-for-medicare.pdf
June 02, 2025 - Conduct follow-up to show responsiveness to the issues raised (note: this may involve following up with
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pso.ahrq.gov/sites/default/files/wysiwyg/PSO_Disclosure.pdf
September 30, 2024 - noting the specific aspects
of the obligation(s) that reflect contractual or financial relationships, involve … Because a single arrangement between a PSO and a provider may involve multiple relationships that require
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - Some cases involve actions they fail to take, while others involve actions clinicians or healthcare systems … Patient experiences that involve diagnostic problems crossing clinical settings and organizational boundaries … Many hybrids involve some combination of tracking experiences and asking retrospective questions.
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psnet.ahrq.gov/issue/speak-video-series
November 27, 2018 - November 28, 2016
Patients as Partners: How to Involve Patients and Families in Their
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psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors
May 02, 2018 - View More
Related Resources
Taking a closer look at medication errors that involve
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psnet.ahrq.gov/issue/better-surgeons-notes-performance
February 06, 2018 - September 6, 2017
Patients as Partners: How to Involve Patients and Families in Their
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psnet.ahrq.gov/issue/patients-families-take-cause-hospital-safety
August 17, 2016 - November 23, 2016
Patients as Partners: How to Involve Patients and Families in Their
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digital.ahrq.gov/2018-year-review/research-summary/when-costly-and-potentially-harmful-ct-scans-are-not-necessary
January 01, 2018 - with the patient to assure they understand and are comfortable with a treatment plan that does not involve
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psnet.ahrq.gov/issue/safety-information-patients-and-families
February 05, 2014 - November 23, 2016
Patients as Partners: How to Involve Patients and Families in Their
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psnet.ahrq.gov/issue/medical-mystery-alcoholism-didnt-cause-mans-diabetes-and-cirrhosis
July 06, 2011 - November 28, 2016
Patients as Partners: How to Involve Patients and Families in Their
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effectivehealthcare.ahrq.gov/sites/default/files/lavallee-text.pdf
October 13, 2011 - patients, consumers and researchers
§ Identify and learn from other organizations who successfully involve
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effectivehealthcare.ahrq.gov/sites/default/files/cf_intro_ehc_cf_overview_1012.pdf
October 13, 2011 - patients,
consumers and researchers
Identify and learn from other organizations who
successfully involve
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psnet.ahrq.gov/node/49527/psn-pdf
December 01, 2006 - Although
most of these would involve minimal harm, a few cases annually are likely to be associated … Delta checking procedures vary but usually involve repeating the test and investigating
for misidentification … In addition, delta limits are
imperfect since they involve the inherent tradeoff between false positive … Intermediate and stronger interventions involve strategies such as
standardization, automation, matching
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psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient
December 16, 2020 - Because the majority of MDO involve several contributing factors, interventions, including policy changes
-
www.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
March 01, 2024 - that urgent change was needed to address diagnostic errors that persist throughout all care settings, involve
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psnet.ahrq.gov/issue/missed-diagnosis-cancer-primary-care-insights-malpractice-claims-data
March 15, 2017 - Malpractice risk in the outpatient setting is significant and claims often involve missed and delayed