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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - or used on patients” and relevant financial relationships as “financial relationships in any amount occurring
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psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - Severe bleeding is uncommon, occurring in 1 to 2500 to 10,000 patients ( 6 ) undergoing biopsy to obtain
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psnet.ahrq.gov/node/49549/psn-pdf
December 06, 2007 - 17353756
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Wandering—defined as occurring
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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - focal segmental glomerulosclerosis.( 1 ) The most common renal toxicity from lithium is acquired NDI, occurring
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psnet.ahrq.gov/node/45113/psn-pdf
May 11, 2016 - Medical error—the third leading cause of death in the US.
May 11, 2016
Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139.
doi:10.1136/bmj.i2139.
https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
How many patients die each year due to preventabl…
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psnet.ahrq.gov/node/45360/psn-pdf
July 27, 2016 - Communicating findings of delayed diagnostic evaluation
to primary care providers.
July 27, 2016
Meyer AND, Murphy DR, Singh H. Communicating Findings of Delayed Diagnostic Evaluation to Primary
Care Providers. J Am Board Fam Med. 2016;29(4):469-73. doi:10.3122/jabfm.2016.04.150363.
https://psnet.ahrq.gov/issue/co…
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psnet.ahrq.gov/issue/multimodal-system-designed-reduce-errors-recording-and-administration-drugs-anaesthesia
September 26, 2012 - March 23, 2011
Medication errors occurring with the use of bar-code administration technology
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
December 01, 2004 - Adverse drug events occurring following hospital discharge [abstract]. … Adverse drug events occurring following hospital discharge [abstract].
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psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
July 01, 2016 - January 26, 2022
Analysis of risk factors for patient safety events occurring in the
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psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospitalized-patients
February 14, 2017 - October 30, 2010
Medication errors occurring with the use of bar-code administration
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psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
June 01, 1989 - April 22, 2015
Baccalaureate nursing students' accounts of medical mistakes occurring
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psnet.ahrq.gov/issue/improving-health-care-quality-and-patient-safety-through-peer-peer-assessment-demonstration
March 14, 2018 - September 29, 2021
Systematic evaluation of errors occurring during the preparation of
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psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
August 02, 2015 - April 12, 2019
Root cause analyses of reported adverse events occurring during gastrointestinal
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psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific
April 08, 2018 - March 19, 2019
Analysis of risk factors for patient safety events occurring in the emergency
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psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
October 24, 2018 - April 12, 2019
Root cause analyses of reported adverse events occurring during gastrointestinal
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psnet.ahrq.gov/node/49527/psn-pdf
December 01, 2006 - The Commentary
Background Errors in laboratory services encompass a number of problems occurring outside … physicians often attribute to errors inside the laboratory, are actually the result
of preanalytic problems occurring … Specific Errors in This Case The particular error in this case is a mislabeling error occurring outside
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - warrants close assessment and aggressive management by nursing staff to prevent serious breakdown from occurring … constitute nearly 10% of Medicare admissions to acute care, with nearly 40% of these hospitalizations occurring … taking high risk medications such as anticoagulants are monitored daily to assure no adverse events are occurring
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psnet.ahrq.gov/node/49830/psn-pdf
May 01, 2018 - In a recent study of adverse events occurring on
mental health units in the Veterans Health Administration … Adverse events occurring on VHA mental health units. Gen
Hosp Psychiatry. 2018;50:63-68.
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psnet.ahrq.gov/node/33687/psn-pdf
August 01, 2009 - downside of first-order problem solving is lack of
communication, which hinders real improvement from occurring … Even this meager form of second-order problem solving was rare,
occurring in only 7% of the situations
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psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - The most recent analysis described 46
deaths and 263 procedure-related complications occurring from … references
https://psnet.ahrq.gov//#references
Quality improvement strategies to prevent these events from occurring