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psnet.ahrq.gov/issue/recommendations-ensure-safety-ai-real-world-clinical-care
December 06, 2023 - Implementation of large-scale health information technologies requires a sociotechnical approach to … Ensuring sufficient patient notification efforts after a large-scale adverse event.
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psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based
June 15, 2011 - Study
Preventing medication errors in long-term care: results and evaluation of a large … Preventing medication errors in long-term care: results and evaluation of a large scale web-based error … Preventing medication errors in long-term care: results and evaluation of a large scale web-based error
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psnet.ahrq.gov/issue/multidisciplinary-multifaceted-improvement-initiative-eliminate-mislabelled-laboratory
December 24, 2008 - multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large … multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large … multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large
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psnet.ahrq.gov/issue/relationship-between-safety-culture-and-voluntary-event-reporting-large-regional-ambulatory
November 26, 2014 - Study
The relationship between safety culture and voluntary event reporting in a large … The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory … The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory
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psnet.ahrq.gov/issue/pilot-testing-model-insurer-driven-large-scale-multicenter-simulation-training-operating-room
July 25, 2011 - Study
Pilot testing of a model for insurer-driven, large-scale multicenter simulation … Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating … Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating
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psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach
November 03, 2015 - Study
Building a resilient patient safety culture: a large healthcare organization's … Building a resilient patient safety culture: a large healthcare organization's approach to systematically … Building a resilient patient safety culture: a large healthcare organization's approach to systematically
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psnet.ahrq.gov/issue/leveraging-continuum-novel-approach-meeting-quality-improvement-and-patient-safety-competency
August 02, 2015 - a novel approach to meeting quality improvement and patient safety competency requirements across a large … A Novel Approach to Meeting Quality Improvement and Patient Safety Competency Requirements Across a Large … A Novel Approach to Meeting Quality Improvement and Patient Safety Competency Requirements Across a Large
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psnet.ahrq.gov/issue/wrong-site-nerve-blocks-10-yr-experience-large-multihospital-health-care-system
January 14, 2011 - Study
Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care … Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. … Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system.
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psnet.ahrq.gov/issue/use-nondisclosure-agreements-medical-malpractice-settlements-large-academic-health-care
December 19, 2018 - Study
Use of nondisclosure agreements in medical malpractice settlements by a large … Use of Nondisclosure Agreements in Medical Malpractice Settlements by a Large Academic Health Care System … Use of Nondisclosure Agreements in Medical Malpractice Settlements by a Large Academic Health Care System
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psnet.ahrq.gov/issue/implementation-high-reliability-organization-framework-large-integrated-health-care-system
July 14, 2018 - Study
Implementation of a high-reliability organization framework in a large integrated … Implementation of a high-reliability organization framework in a large integrated health care system: … Implementation of a high-reliability organization framework in a large integrated health care system:
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psnet.ahrq.gov/issue/extent-nature-and-consequences-adverse-events-results-retrospective-casenote-review-large-nhs
March 03, 2011 - Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large … Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large … Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large
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psnet.ahrq.gov/node/837417/psn-pdf
June 15, 2022 - for
Medicare and Medicaid Services mandated
anesthesiology oversight for procedural sedation in a
large … for
Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large … , lays out a
framework for implementing this role, and describes challenges of implementation in a large
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psnet.ahrq.gov/node/34893/psn-pdf
February 26, 2009 - The incidence of adverse drug events in two large
academic long-term care facilities. … The incidence of adverse drug events in two large academic long-term
care facilities. … https://psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities … https://psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities
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psnet.ahrq.gov/node/38033/psn-pdf
September 24, 2010 - Implementing online medication reconciliation at a large
academic medical center. … Implementing online medication reconciliation at a large academic medical
center. … https://psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center … https://psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
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psnet.ahrq.gov/node/50576/psn-pdf
October 23, 2019 - patient-provider encounter are a
frequent source of diagnostic error among ischemic
stroke cases included in a large … patient-provider encounter are a
frequent source of diagnostic error among ischemic stroke cases included in a large … Using a large medical malpractice claims database,
this study found that nearly half of all malpractice
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psnet.ahrq.gov/node/50792/psn-pdf
January 15, 2020 - Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large … Lessons learned implementing a complex and innovative
patient safety learning laboratory project in a large … This research paper discusses the experiences of 12 inpatient units at one large tertiary
care center
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psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response
May 20, 2016 - June 15, 2022
From implementation to sustainment: a large-scale adverse event disclosure … August 18, 2021
Intended and unintended effects of large-scale adverse event disclosure … : a controlled before-after analysis of five large-scale notifications. … November 3, 2015
Improving healthcare systems' disclosures of large-scale adverse events … Ensuring sufficient patient notification efforts after a large-scale adverse event.
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psnet.ahrq.gov/node/845631/psn-pdf
March 08, 2023 - on opioid
prescribing and patient pain in opioid-naive patients
undergoing elective surgery in a large … exposure on opioid
prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large … alerts, and limits on
postoperative opioid supply – implemented by one opioid stewardship program in a large
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psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise
October 07, 2020 - commitment as the central activation lever necessary to achieve collective, coordinated effort and motivate large-scale … Ensuring sufficient patient notification efforts after a large-scale adverse event.
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psnet.ahrq.gov/issue/underdiagnosis-hypertension-using-electronic-health-records
November 16, 2022 - New cases of hypertension were frequently not diagnosed in a large ambulatory health care system, despite … July 3, 2016
Large language model influence on diagnostic reasoning: a randomized clinical