-
psnet.ahrq.gov/node/838307/psn-pdf
October 12, 2022 - Misdiagnosis of thoracic aortic emergencies occurs
frequently among transfers to aortic referral centers … Misdiagnosis of thoracic aortic emergencies occurs
frequently among transfers to aortic referral centers … https://psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers … https://psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers-aortic-referral … https://psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers-aortic-referral
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psnet.ahrq.gov/node/47711/psn-pdf
June 14, 2019 - Type 1 diabetes defined by severe insulin deficiency
occurs after 30 years of age and is commonly treated … Type 1 diabetes defined by severe insulin deficiency occurs after
30 years of age and is commonly treated … https://psnet.ahrq.gov/issue/type-1-diabetes-defined-severe-insulin-deficiency-occurs-after-30-years-age … https://psnet.ahrq.gov/issue/type-1-diabetes-defined-severe-insulin-deficiency-occurs-after-30-years-age-and-commonly … https://psnet.ahrq.gov/issue/type-1-diabetes-defined-severe-insulin-deficiency-occurs-after-30-years-age-and-commonly
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psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers-aortic-referral
October 28, 2020 - Study
Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers … Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers … Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers
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psnet.ahrq.gov/issue/type-1-diabetes-defined-severe-insulin-deficiency-occurs-after-30-years-age-and-commonly
October 19, 2022 - Study
Type 1 diabetes defined by severe insulin deficiency occurs after 30 years … Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated … Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated
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psnet.ahrq.gov/node/34758/psn-pdf
January 29, 2019 - The degree of complexity
Perrow has in mind occurs when no single operator can immediately foresee the … Tight coupling occurs when processes are intrinsically time-dependent: once a
process has been set in
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psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies
March 06, 2005 - The degree of complexity Perrow has in mind occurs when no single operator can immediately foresee the … Tight coupling occurs when processes are intrinsically time-dependent: once a process has been set in
-
psnet.ahrq.gov/node/39829/psn-pdf
January 09, 2025 - analysis discusses the importance of transparency to motivate progress after a patient safety incident
occurs
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psnet.ahrq.gov/node/865588/psn-pdf
April 17, 2024 - https://psnet.ahrq.gov/issue/inattentional-blindness-medicine
Inattentional blindness occurs when a
-
psnet.ahrq.gov/node/60165/psn-pdf
March 25, 2020 - /issue/threat-within-mitigating-risk-medical-error
Despite efforts to protect patients, harm still occurs
-
psnet.ahrq.gov/node/60563/psn-pdf
June 03, 2020 - last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
Post-mortem examination is an important tool for determining if misdiagnosis occurs
-
psnet.ahrq.gov/node/73552/psn-pdf
August 04, 2021 - related actions that aid in rebuilding trust between clinicians, patients, and
families when error occurs
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psnet.ahrq.gov/node/859352/psn-pdf
December 20, 2023 - clinicians, health system leaders, and
improvement experts to discuss actions after medical error occurs
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psnet.ahrq.gov/node/48182/psn-pdf
August 21, 2019 - organizational learning in hospitals, including contextual factors that affect it, how such learning occurs
-
psnet.ahrq.gov/node/867683/psn-pdf
March 05, 2025 - ambulatory-medication-errors-and-adverse-events-involved-medicine-related-
malpractice-cases
Most medication safety research occurs
-
psnet.ahrq.gov/node/866591/psn-pdf
August 28, 2024 - sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-
boundaries
Normalization of deviance occurs
-
psnet.ahrq.gov/node/73245/psn-pdf
May 12, 2021 - just-culture-foundation-staff-safety-perioperative-environment
A just culture balances organizational and individual accountability when a medical error occurs
-
psnet.ahrq.gov/node/850929/psn-pdf
June 21, 2023 - “just culture” balances organizational responsibility and individual accountability after an error occurs
-
psnet.ahrq.gov/node/838031/psn-pdf
September 13, 2022 - needed to ensure that patients can trust the health care system to
hold those accountable when error occurs
-
psnet.ahrq.gov/node/865880/psn-pdf
May 15, 2024 - ethnically marginalized patients, such as antiracism education and
addressing harm promptly when it occurs
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psnet.ahrq.gov/node/42242/psn-pdf
September 06, 2018 - World Sepsis Day occurs yearly on September 13th.