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psnet.ahrq.gov/issue/medical-errors-leave-devastating-impact-families-professionals
August 11, 2010 - Newspaper/Magazine Article
Medical errors leave devastating impact on families, professionals.
Citation Text:
Medical errors leave devastating impact on families, professionals. Bernhard B.
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psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management
July 12, 2017 - Multi-use Website
Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management.
Citation Text:
Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management. Institute for Healthcare Improvement.
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psnet.ahrq.gov/issue/dealing-medical-mistake-should-physicians-apologize-patients
February 17, 2016 - Newspaper/Magazine Article
Dealing with a medical mistake: should physicians apologize to patients?
Citation Text:
Dealing with a medical mistake: should physicians apologize to patients? Tabler NG Jr.
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psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process
September 26, 2012 - Book/Report
2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process.
Citation Text:
2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process. Hoffman J, ed. Cambridge, MA: CRICO Strategies; 2014.
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psnet.ahrq.gov/issue/socio-cultural-perspective-patient-safety
August 06, 2016 - Book/Report
A Socio-cultural Perspective on Patient Safety.
Citation Text:
A Socio-cultural Perspective on Patient Safety. Rowley E, Waring J, eds. Farnham Surrey, UK: Ashgate Publishing Limited; 2011. ISBN: 9781409408628.
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psnet.ahrq.gov/issue/survey-results-reveal-tubing-misconnections-are-common-and-underreported-parts-i-and-ii
December 18, 2024 - Newspaper/Magazine Article
Survey results reveal tubing misconnections are common and underreported—Parts I and II.
Citation Text:
Survey results reveal tubing misconnections are common and underreported—Parts I and II. ISMP Medication Safety Alert! Acute Care. October 31, 2024;29(22 & 2…
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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - Medicare patients admitted to the hospital undergo interhospital transfer ( 1 ), with greater frequency occurring
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psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
January 31, 2024 - They found that such deviations were common, occurring in 70% of reviewed cases.
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - started a national discussion on what nursing needed to do to address the multitude of errors that were occurring
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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - started a national discussion on what nursing needed to do to address the multitude of errors that were occurring
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - In-hospital deaths were rare, occurring in only 0.3% of admissions.( 1 ) However, brisk gastrointestinal
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psnet.ahrq.gov/web-mm/more-treatment-better-care
August 11, 2021 - rare disorder in which the body's immune system attacks part of the peripheral nervous system, usually occurring
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psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - abdominal esophagus. 4
Pain is the most frequent and sensitive finding in esophageal perforation, occurring
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psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
December 21, 2022 - smart, they would search for a different approach that accurately identifies when these incidents are occurring
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - generally concentrated their efforts on
hospitals, where the most devastating patient injuries are seen as occurring
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - deficits at
the time of hospital discharge are common, with direct communication between physicians occurring
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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
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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/web-mm/right-patient-wrong-sample
June 01, 2004 - The Commentary
Background Errors in laboratory services encompass a number of problems occurring outside … 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