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psnet.ahrq.gov/issue/challenges-making-diagnosis-outpatient-setting-multi-site-survey-primary-care-physicians
March 11, 2020 - April 24, 2024
A virtual breakthrough series collaborative for missed test results: a … April 13, 2022
Charting diagnostic safety: exploring patient-provider discordance in medical … View More
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Improving reporting of outpatient pediatric medical
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psnet.ahrq.gov/issue/detecting-patient-deterioration-using-artificial-intelligence-rapid-response-system
October 21, 2020 - October 21, 2020
Closing the loop on test results to reduce communication failures: a … Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical … September 21, 2022
Medication-related medical emergency team activations: a case review
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psnet.ahrq.gov/issue/influence-professional-identity-how-receiver-receives-and-responds-speaking-message-cross
August 10, 2022 - August 18, 2021
Closing the loop on test results to reduce communication failures: a … November 25, 2020
A national study links nurses' physical and mental health to medical … March 29, 2023
Posttraumatic growth and second victim distress resulting from medical
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psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group
March 06, 2019 - Related Resources From the Same Author(s)
Diagnostic error as a result of drug-laboratory test … March 23, 2022
Reducing failures in daily medical practice: healthcare failure mode and … January 13, 2021
Diagnostic accuracy of physician-staffed emergency medical teams: a
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psnet.ahrq.gov/issue/patient-safety-culture-space-social-struggle-understanding-infection-prevention-practice-and
November 30, 2022 - Psychosocial working conditions as determinants of concerns to have made important medical … errors and possible intermediate factors of this association among medical assistants - a cohort study … May 19, 2021
Closing the loop on test results to reduce communication failures: a rapid
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psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
May 15, 2013 - October 17, 2018
Trends in medical and nonmedical use of prescription opioids among US … June 21, 2015
How context affects electronic health record–based test result follow-up … Results of the Harvard Medical Practice Study I.
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psnet.ahrq.gov/issue/ai-wrestling-replication-crisis
May 06, 2020 - February 21, 2024
Computer viruses are "rampant" on medical devices in hospitals. … August 26, 2020
Electronic medicine can send you test results quickly.
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psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph
September 01, 2007 - Robert Wachter, Editor, AHRQ WebM&M: You started Better with a story about the "eyeball test"a resident … So I think there has to be more than just the eyeball test. … There are plenty of patients or stories or cases that test whether the ideas are strong or weak. … New staff members may receive this packet when they join the medical center. … Internal bleeding: the truth behind America's terrifying epidemic of medical mistakes.
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psnet.ahrq.gov/issue/medication-errors-related-computerized-provider-order-entry-systems-hospitals-and-how-they
April 07, 2021 - Computerized provider order entry (CPOE) systems have been advocated as a strategy to reduce medical … July 29, 2020
Closing the loop on test results to reduce communication failures: a rapid
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psnet.ahrq.gov/node/72834/psn-pdf
March 10, 2021 - Open communication between the medical team and patients and families can broaden
perspectives, provide … their electronic health
record (EHR) can give them the ability to review and report errors in the medical … teams and lessen the risk of medical errors. … diagnostic information,
technical problems, data entry problems, and system failures with tracking test … is needed to better understand communication approaches applied during the COVID-19 pandemic and
test
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psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - Framing effects, anchoring, and overreliance on test results are potential sources of diagnostic error … As in this case, inpatients may be located in diverse areas of the hospital including general medical … Test with eyes open. In case of visual defect, ensure testing is done in intact visual field. … In case of blindness, test by having the patient touch nose from extended arm position. 0 = Absent. … Only sensory loss attributed to stroke is scored as abnormal and the examiner should test as many body
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psnet.ahrq.gov/web-mm/think-surgeon
December 04, 2024 - scan is frequently obtained to elucidate sources of intrabdominal infection, it is not a definitive test … cost, reproducibility, and adequate sensitivity and specificity, ultrasound is usually the first-line test … patients with biliary disease. 14,15 Patients with acute cholecystitis admitted to surgical rather than medical … Zara Cooper, MD, MSc
Associate Professor of Surgery
Harvard Medical School
Boston, MA
References
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psnet.ahrq.gov/issue/hospital-testing-effectiveness-co-designed-educational-materials-improve-patient-and-visitor
February 28, 2024 - user-applied safety labels on medication syringes reduce the incidence of medication errors during rapid medical … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … Parents' understanding of medication at discharge and potential harm in children with medical … View More
See More About The Topic
Hospitals
Hospital Medicine
Medical
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - Relevant Financial Relationships : As a provider accredited by the Accreditation Council for Continuing Medical … The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … related to this CME activity which has been mitigated through UC Davis Health, Office of Continuing Medical … Jonathan Trask, RN, PhD
Clinical Resource Nurse
Medical Surgical Intensive Care Unit
UC Davis Health … 2022
Improving resident and fellow engagement in patient safety through a graduate medical
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psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
November 27, 2018 - November 27, 2018
Disclosing Medical Errors: A Guide to an Effective Explanation and … April 24, 2007
Getting Results: Reliably Communicating and Acting on Critical Test Results
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - For
example, a strong action step would be to “add a flag to the EHR for similar test results so that … In contrast, a weak action step would be “update a policy on test result
communication.” … Root Cause Analysis and Medical Error Prevention.
StatPearls Publishing; 2024.
3. … Healing after harm: addressing the emotional toll of harmful medical events. … Beth
Israel Deaconess Medical Center. August 22, 2018. Accessed November 7, 2024.
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psnet.ahrq.gov/issue/rebecca-omalley-report
June 14, 2017 - April 1, 2009
View More
See More About The Topic
Hospitals
Medical … Oncology
Pathology and Laboratory Medicine
Clinical Misdiagnosis
Diagnostic Test Interpretation
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psnet.ahrq.gov/issue/encouraging-patients-speak-about-problems-cancer-care
March 11, 2013 - March 11, 2013
A systematic review of methods for medical record analysis to detect adverse … August 14, 2019
Understanding test results follow-up in the ambulatory setting: analysis … See More About The Topic
Ambulatory Clinic or Office
Quality and Safety Professionals
Medical
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psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-uptake-patient-safety-and-cost-control-functions
July 25, 2011 - February 3, 2011
Comparing patient-reported hospital adverse events with medical record … December 21, 2018
Examining medical office owners and clinicians perceptions on patient … May 2, 2018
Workarounds and test results follow-up in electronic health record–based
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psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds
January 02, 2017 - January 5, 2017
An initiative to improve the management of clinically significant test … March 21, 2017
Structured interdisciplinary rounds in a medical teaching unit: improving … August 10, 2011
Assessing and improving safety culture throughout an academic medical