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psnet.ahrq.gov/issue/when-theres-harm-hospital-can-transparency-replace-deny-and-defend
April 02, 2014 - report provides the insights from a panel exploring the need for transparency after a medical mistake occurs
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psnet.ahrq.gov/node/44826/psn-pdf
February 14, 2017 - These results suggest
that unless further development and validation of administrative metrics occurs
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psnet.ahrq.gov/node/45483/psn-pdf
March 20, 2018 - Misdiagnosis or delayed diagnosis of common conditions, such as acute myocardial infarction (AMI),
occurs
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/hEz3hmuzj-qYPRWLxucuPc
childhood and adolescence increases risk of skin cancer later in life, especially when more
severe damage occurs
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psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population
March 13, 2024 - ethical , legal, and clinical reasons for health care to examine how to respond when such a situation occurs
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www.ahrq.gov/es/topics/index.html?page=1
January 01, 2012 - First
‹ previous
‹‹
1
2
Health Literacy Health literacy occurs
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-rev-team-confidentiality-form.pdf
September 01, 2018 - agreement; or until AHRQ sends the EPC written notice releasing them from this
Agreement, whichever occurs … agreement; or until AHRQ sends the EPC written notice releasing them from this Agreement, whichever occurs
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-o.html
October 01, 2015 - Interpreting CAUTI Data Trends
When a catheter-associated urinary tract infection (CAUTI) occurs
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psnet.ahrq.gov/issue/misdiagnosis-acute-myocardial-infarction-systematic-review-literature
July 28, 2021 - This systematic review found that misdiagnosis of acute myocardial infarction (AMI) occurs in approximately
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psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - procedure is not started if a member of the team has concerns.(2) In some
institutions, the time out occurs … If the time out occurs at the time of incision, the surgeon is already scrubbed in, leaving only
the … time out is
for the team to collectively discuss the case, but, given the requirements to ensure it occurs … With regard to timing, it seems
that the closer to actual incision time the time out occurs, the less
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/3SeKj9o-FNNwFokLKKzN3f
Grade: I (insufficient evidence)
Risk Assessment
Skin cancer occurs more commonly in men than
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psnet.ahrq.gov/issue/safety-outpatient-health-care-review-electronic-health-records
January 25, 2023 - Although most care occurs in outpatient settings, research into adverse events (AE) in this setting
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psnet.ahrq.gov/issue/fallacy-single-diagnosis
October 05, 2022 - Premature closure occurs when clinicians accept a diagnosis before it has been confirmed and alternative
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psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability
March 01, 2023 - The authors raise the question of whether reporting bias by race occurs in patient safety reporting and
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - When a
medical error or patient harm occurs, the first priority is to attend to the patient and family … errors and adverse events, along with support
that can be put in place to respond when such involvement occurs
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psnet.ahrq.gov/node/33561/psn-pdf
September 15, 2024 - reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
Patient death or serious injury associated with intravascular air embolism that occurs … serious injury of a patient or staff member resulting from a physical assault (i.e., battery)
that occurs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.pdf
June 02, 2025 - Evaluate once a week and whenever a change occurs in the wound. … As healing occurs in dark-skinned persons, the new skin is pink and may never darken.
10. … In full thickness wounds it occurs from the edges only.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/decision-tree
January 01, 2023 - When a situation occurs multiple times and requires a decision or solution.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/assessment.html
December 01, 2017 - Evaluate once a week and whenever a change occurs in the wound. … As healing occurs in dark-skinned persons, the new skin is pink and may never darken. … In full thickness wounds it occurs from the edges only.
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psnet.ahrq.gov/issue/workplace-training-senior-trainees-systematic-review-and-narrative-synthesis-current
February 07, 2024 - patient safety skills during clinical rotations, because most learning for postgraduate medical training occurs