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psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards
February 09, 2022 - January 14, 2021
Hidden medication loss when using a primary administration set for small-volume
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psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-authorization
July 01, 2020 - September 30, 2020
Hidden medication loss when using a primary administration set for
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psnet.ahrq.gov/issue/err-human-unless-you-are-healthcare-provider
March 22, 2023 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss
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psnet.ahrq.gov/issue/errors-associated-oxytocin-use-multi-organization-analysis-ismp-and-ismp-canada
February 23, 2022 - June 5, 2018
Hidden medication loss when using a primary administration set for small-volume
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psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts
November 18, 2020 - October 21, 2020
Hidden medication loss when using a primary administration set for small-volume
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psnet.ahrq.gov/issue/bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses
August 02, 2015 - event or error has a negative emotional impact on involved staff, including shame, depression, and loss
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psnet.ahrq.gov/issue/disclosing-and-reporting-practice-errors-nurses-residential-long-term-care-settings
April 02, 2015 - and understanding of error disclosure guidance, as well as fear of repercussions, litigation, and loss
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psnet.ahrq.gov/issue/interprofessional-staff-perspectives-adoption-or-black-box-technology-and-simulations-improve
May 21, 2009 - case review were seen as the greatest potential benefits, while decreased psychological safety and loss
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psnet.ahrq.gov/issue/burnout-and-satisfaction-work-life-balance-among-us-physicians-relative-general-us-population
February 23, 2018 - Professional burnout—cynicism and a loss of enthusiasm and sense of accomplishment at work—has been shown
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psnet.ahrq.gov/issue/impact-80-hour-work-week-appropriate-resident-case-coverage
June 18, 2008 - work hour regulations do not call for further reductions in duty hours, in part due to concerns about loss
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psnet.ahrq.gov/issue/focus-patient-safety
January 23, 2008 - January 28, 2015
Evidence-based Recommendations for Best Practices in Weight Loss Surgery
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psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
April 29, 2018 - June 10, 2018
Hidden medication loss when using a primary administration set for small-volume
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psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report
July 18, 2018 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss
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psnet.ahrq.gov/issue/patient-safety-curriculum
March 27, 2005 - January 5, 2014
Time to take hearing loss seriously.
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psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report
September 26, 2016 - January 5, 2014
Time to take hearing loss seriously.
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psnet.ahrq.gov/issue/what-hinders-uptake-computerized-decision-support-systems-hospitals-qualitative-study-and
February 07, 2024 - Through qualitative analysis, they identified a concern about loss of physicians' decision-making autonomy
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psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx
Spotlight
A Loss … pain-related stigma can compromise effective, timely care
for patients with chronic illness
3
A LOSS … hydrocodone/acetaminophen for an additional month and
continued to encourage exercise and weight loss … • She died of metastatic lung cancer 6 weeks after her enrollment in
hospice.
8
A LOSS OF TRUST
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psnet.ahrq.gov/issue/pulse-symposium-2023
October 08, 2023 - October 5, 2022
Addressing the Loss of Trust in Safety Culture.
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - ransomware attacks, which result in the encryption of data or networks that lead to the disruption and loss … In many cases, these outages—the loss of medical technology—after a ransomware attack can last 30 days … Organizations should prepare for the loss of communications as well and understand the protocol for documenting … During an attack, one of the first things I see is the loss of diagnostic technology—imaging, telemetry … There will be a loss of all this medical technology and operational technology.
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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - ransomware attacks, which result in the encryption of data or networks that lead to the disruption and loss … In many cases, these outages—the loss of medical technology—after a ransomware attack can last 30 days … Organizations should prepare for the loss of communications as well and understand the protocol for documenting … During an attack, one of the first things I see is the loss of diagnostic technology—imaging, telemetry … There will be a loss of all this medical technology and operational technology.