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psnet.ahrq.gov/issue/medication-safety-messages-patients-web-portal-medcheck-intervention
September 11, 2013 - Bridging leadership roles in quality and patient safety: experience of 6 US academic medical … framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical … February 18, 2011
The management of test results in primary care: does an electronic … medical record make a difference?
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psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items
July 10, 2024 - July 20, 2022
Factors affecting attitudes and barriers to a medical emergency team among … nurses and medical doctors: a multi-centre survey. … January 8, 2025
Electronic Test Result Communication in the Era of the 21st Century Cures … 2008
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Operating Room
Surgery
Medical
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psnet.ahrq.gov/issue/medication-reconciliation-handbook-2nd-edition
May 04, 2015 - July 22, 2020
Disclosing Medical Errors: A Guide to an Effective Explanation and Apology … April 24, 2007
Getting Results: Reliably Communicating and Acting on Critical Test Results … April 29, 2018
A medical resident–pharmacist collaboration improves the rate of medication
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psnet.ahrq.gov/issue/new-ahrq-sops-workplace-safety-supplemental-item-set-nursing-homes
December 10, 2024 - Background on the importance of workplace safety in nursing homes, results from a pilot test in 48 … New AHRQ Surveys on Patient Safety Culture Diagnostic Safety Supplemental Items for Medical
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - they have one diagnosis but actually have evidence of another), or delayed (patient had an abnormal test … patient communication and relationships, and tracking follow-up on certain types of high-risk abnormal test … We could start in medical school to ask students, how well do you think you're going to do on this test … October 6, 2011
Electronic Test Result Communication in the Era of the 21st Century Cures … July 24, 2024
A virtual breakthrough series collaborative for missed test results: a
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psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
October 31, 2014 - call to action for organizations best positioned to lead this charge, including the American Board of Medical … April 12, 2014
Communicating critical test results: safe practice recommendations. … Cancer
July 31, 2023
Creating a framework to integrate residency program and medical
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psnet.ahrq.gov/issue/role-cognition-generating-and-mitigating-clinical-errors
January 07, 2015 - Pat Croskerry explored the role of cognition in medical error. … October 28, 2020
Commissioning simulations to test new healthcare facilities: a proactive … September 9, 2015
Teaching medical error disclosure to residents using patient-centered
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psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy-studies
February 15, 2023 - This review identified 31 meta-analyses with 487 studies of test evaluation. … The role of bias in clinical decision-making of people with serious mental illness and medical
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psnet.ahrq.gov/issue/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine
July 18, 2018 - July 18, 2018
Medical Problem Solving: An Analysis of Clinical Reasoning. … March 21, 2016
The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient … November 1, 2012
Getting Results: Reliably Communicating and Acting on Critical Test … Related Resources
Factors associated with diagnostic error: an analysis of closed medical … Glowing" with Pain
February 1, 2010
Tort claims and adverse events in emergency medical
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psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility
May 20, 2015 - April 21, 2015
Who pays for medical errors? … February 4, 2015
Beyond negligence: avoidability and medical injury compensation. … January 4, 2012
Patient safety and medical malpractice: a case study. … June 23, 2009
The role of medical liability reform in federal health care reform. … December 24, 2014
Should patients get direct access to their laboratory test results?
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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - His past medical history was notable for a history of depression, a 40-
pack/year history of cigarette … if available) for a minimum of 6 hours longer and received an additional ECG and cardiac biomarker
test … The latter technology is a noninvasive test
with excellent test characteristics to exclude coronary … Polevoi, MD Clinical Professor of Emergency Medicine Medical Director, Emergency
Department Department … National Hospital Ambulatory Medical Case Survey: 2005 emergency
department summary.
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - Make STEADI part of your medical practice. Centers for Disease Control and Prevention. … We conducted clinical trials in three academic medical centers that demonstrated the effectiveness … There was no validated fall prevention knowledge test at that time, so we developed one. … Most nurses who take this fall knowledge test before training fail it. … We published our results in the Journal of the American Medical Association (JAMA).
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psnet.ahrq.gov/issue/culture-and-behaviour-english-national-health-service-overview-lessons-large-multimethod
May 01, 2015 - April 21, 2015
The friends and family test: a qualitative study of concerns that influence … October 31, 2014
The friends and family test: a qualitative study of concerns that influence … February 19, 2014
The medical student as a patient: attitudes towards involvement in
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psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
July 01, 2017 - Relevant Financial Relationships : As a provider accredited by the Accreditation Council for Continuing Medical … The Accreditation Council for Continuing Medical Education (ACCME) defines a commercial interest as “ … the recording and reporting of test results; (3) review of intermediate test results, quality control … direct observation of performance of instrument maintenance and function checks; (5) assessment of test … A follow-up study from US Veterans Health Administration medical centers.
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psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
July 06, 2022 - The most common event was Error Related to Procedure/Treatment/Test (32%). … October 6, 2021
Reporting incidents involving the use of advanced medical technologies … 2023
Development and interrater agreement of a novel classification system combining medical
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - Case Details
While awaiting test results, the ED physician ordered a “GI cocktail,” which provided no … Depending on the location of the pain, ultrasound may be a more useful test. … .19
Anchoring and premature closure are two of the most common cognitive biases that contribute to medical … National Hospital Ambulatory Medical Care Survey: 2018 emergency department summary tables. … Cognitive Bias Impact on Management of Postoperative Complications, Medical Error, and Standard of Care
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psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
July 25, 2018 - April 3, 2017
Wisdom in medicine: what helps physicians after a medical error? … April 3, 2019
Toward constructive change after making a medical error: recovery from … August 10, 2022
Emotion and coping in the aftermath of medical error: a cross-country … February 4, 2016
Peer review of medical practices: missed opportunities to learn. … November 8, 2013
Passing the "Yo' Mama" test.
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psnet.ahrq.gov/issue/combat-physician-burnout-and-improve-care-fix-electronic-health-record
November 14, 2018 - May 30, 2018
Electronic medicine can send you test results quickly. … April 11, 2018
Hazards tied to medical records rush. … July 30, 2014
Health-care providers want patients to read medical records, spot errors
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psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
November 27, 2018 - July 22, 2020
Disclosing Medical Errors: A Guide to an Effective Explanation and Apology … April 24, 2007
Getting Results: Reliably Communicating and Acting on Critical Test Results … Safety
March 1, 2007
VA Patient Safety Program: A Cultural Perspective at Four Medical
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - But the reality is I wanted to put myself to the test and learn those areas where I needed to do more … I can tell you that the certification process for me allowed me not only to test myself, but also to … The test is comprehensive and requires critical thinking. … The test is meant to be completed by professionals who interact with the areas of patient safety and … Problems in these two areas are the most cited reasons for medical errors.