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psnet.ahrq.gov/node/866905/psn-pdf
October 09, 2024 - Dual process models of clinical reasoning: the central
role of knowledge in diagnostic expertise.
October 9, 2024
Norman G, Pelaccia T, Wyer P, et al. Dual process models of clinical reasoning: the central role of
knowledge in diagnostic expertise. J Eval Clin Pract. 2024;30(5):788-796. doi:10.1111/jep.13998.
http…
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psnet.ahrq.gov/node/865869/psn-pdf
May 15, 2024 - The safety of outpatient health care: review of electronic
health records.
May 15, 2024
Levine DM, Syrowatka A, Salmasian H, et al. The safety of outpatient health care: review of electronic
health records. Ann Intern Med. 2024;177(6):738-748. doi:10.7326/m23-2063.
https://psnet.ahrq.gov/issue/safety-outpatient-he…
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psnet.ahrq.gov/node/45830/psn-pdf
June 27, 2018 - Performance of vascular exposure and fasciotomy among
surgical residents before and after training compared with
experts.
June 27, 2018
Mackenzie CF, Garofalo E, Puche A, et al. Performance of Vascular Exposure and Fasciotomy Among
Surgical Residents Before and After Training Compared With Experts. JAMA Surg. 2017…
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psnet.ahrq.gov/node/867234/psn-pdf
December 04, 2024 - Survey results reveal tubing misconnections are common
and underreported—Parts I and II.
December 4, 2024
Survey results reveal tubing misconnections are common and underreported—Parts I and II. ISMP
Medication Safety Alert! Acute Care. October 31, 2024;29(22 & 23):1-5;1-4.
https://psnet.ahrq.gov/issue/survey-resu…
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psnet.ahrq.gov/node/44104/psn-pdf
July 16, 2015 - Errors upstream and downstream to the Universal
Protocol associated with wrong surgery events in the
Veterans Health Administration.
July 16, 2015
Paull DE, Mazzia L, Neily J, et al. Errors upstream and downstream to the Universal Protocol associated
with wrong surgery events in the Veterans Health Administration.…
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hcup-us.ahrq.gov/reports/statbriefs/sb158.pdf
August 11, 2013 - can be
used to chart the frequency of in-hospital events and to report the frequency of community-occurring … The order of the list is from the most to least
frequently occurring cause overall. … Clostridium difficile infection was
the most common ADE cause, occurring at a rate of 95 per 10,000 … The next two most
frequently occurring ADE causes—antineoplastic drugs and steroids—each occurred at
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/hemorrhage-postpartum_clinician.pdf
July 01, 2016 - milliliters after vaginal birth or cesarean section.1 PPH is
often classified as primary/immediate/early (occurring … within 24 hours of birth) or secondary/delayed/late
(occurring from more than 24 hours postbirth to
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psnet.ahrq.gov/node/49425/psn-pdf
November 01, 2003 - Wrong drug errors are typically a smaller proportion of these, occurring in about
0.2% of all doses … increase the risk assessment carried out when naming medicinal
products, to minimize the risks of mix-ups occurring
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psnet.ahrq.gov/node/33617/psn-pdf
August 01, 2005 - Preoperative care is crucial as well—to make sure that
the operation is occurring on the right part … look at it from an interdisciplinary perspective, the more that system will help prevent errors
from occurring
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/suda-final-protocol.pdf
October 02, 2018 - research and experience with adults.”14 The
AACAP also recommended that psychiatrists consider co-occurring … health disorders,
since the majority of adolescents with substance use problems present with a co-occurring … of
pharmacotherapy for adolescent and young adult patients with severe opioid use disorders or co-
occurring … meet criteria for any of the above categories)
Integrated interventions for substance use and a co-occurring … a treatment approach that combines an intervention for substance use and
an intervention for a co-occurring
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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - references
https://psnet.ahrq.gov//#references
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/web-mm/buprenorphine-and-medically-ill-patient
August 20, 2018 - Opioid addiction is common in aging Americans who often have comorbid medical disorders and other co-occurring … First is the recognition that those with opioid dependence often have co-occurring illnesses that must … Those with co-occurring medical and mental disorders may benefit from being opioid maintained rather
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psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
September 24, 2016 - September 24, 2016
Medication errors occurring with the use of bar-code administration
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psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
July 13, 2010 - June 2, 2021
Analysis of risk factors for patient safety events occurring in the emergency
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psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
July 13, 2010 - October 30, 2010
Medication errors occurring with the use of bar-code administration
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psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
July 24, 2017 - October 16, 2024
Review of reported adverse events occurring among the homeless veteran
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psnet.ahrq.gov/issue/multifaceted-approach-safety-synergistic-detection-adverse-drug-events-adult-inpatients
April 11, 2011 - March 10, 2011
Medication errors occurring with the use of bar-code administration technology
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psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume-referral-center
January 11, 2017 - August 29, 2012
Classification of adverse events occurring in a surgical intensive care
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psnet.ahrq.gov/issue/finding-diagnostic-errors-children-admitted-picu
May 21, 2016 - May 18, 2022
Preventable harm occurring to critically ill children.
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psnet.ahrq.gov/issue/effect-visitation-restrictions-ed-error
July 01, 2016 - March 2, 2022
Analysis of risk factors for patient safety events occurring in the emergency