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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - contrast, the surgical pathology diagnosis is a synthesis of the individual pathologist’s observations, knowledge
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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - less than 50% of the time. 1 Barriers to recording and reading back verbal orders include lack of knowledge
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psnet.ahrq.gov/web-mm/e-prescribing-e-error
February 03, 2021 - Health information technology and physicians' knowledge of drug costs.
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psnet.ahrq.gov/node/865610/psn-pdf
April 24, 2024 - Following the
training, the team attended monthly coaching calls to ensure that they had consistent knowledge
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - We are not told if the phlebotomist's mislabeling error is due to lack of knowledge, or if it is noncognitive
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - The result is that we see few people percuss the chest, and fewer still do it with any confidence or knowledge
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - Families provide critical knowledge about patients' preferences, habits, and routines, as well as how
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psnet.ahrq.gov/web-mm/transfer-troubles
December 29, 2014 - managed much differently had they known more about the events at the referring hospital and that such knowledge
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - (2)
28
• Importantly, relatively few errors were found to be the result of
faulty or inadequate knowledge
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - than 2000 participating health care professionals self-reported that the program had improved learner
knowledge
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - How will ongoing education and competency evaluation of knowledge
and skills be provided for remote
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psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - In a recent survey
of 1900 US physicians, 17% had direct personal knowledge of a physician colleague
-
psnet.ahrq.gov/node/33879/psn-pdf
May 01, 2019 - And providing them with the tools and the knowledge to be able to identify those
out of the other 99%
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psnet.ahrq.gov/node/72835/psn-pdf
March 10, 2021 - But it requires special knowledge and expertise to know if healthcare was of
value, or high-quality.
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psnet.ahrq.gov/node/49744/psn-pdf
October 01, 2015 - Some records were obtained, but clearly the care providers had inadequate knowledge of the specifics
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - Mother's Milk, but Whose Mother?
Citation Text:
Dougherty D. Mother's Milk, but Whose Mother?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Format:
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psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - A Double “Never Event”: Wrong Patient and Wrong Side.
September 27, 2023
Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
The Case
A first-year orthopedic surgery resident was consulted…
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Annual Perspective
Impact of System Failures on Healthcare Workers
George Zangaro, PhD, RN, FAAN, Cindy Manaoat Van, MHSA, Sarah Mossburg, RN, PhD
| March 21, 2023
View more articles from the same authors.
Citation Text:
Zangaro G, Van CM, Mossburg S. Imp…
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care
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December 23, 2020
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psnet.ahrq.gov/node/846563/psn-pdf
March 21, 2023 - Impact of System Failures on Healthcare Workers
March 21, 2023
Zangaro G, Van CM, Mossburg S. Impact of System Failures on Healthcare Workers . PSNet [internet].
2023.
https://psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
Introduction
The March 2022 conviction of RaDonda Vaught, a former nu…