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psnet.ahrq.gov/issue/origins-and-solutions-neonatal-medication-dispensing-errors
July 21, 2009 - March 10, 2021
Variation in quality of urgent health care provided during commercial
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psnet.ahrq.gov/issue/misadventures-health-care-inside-stories
July 06, 2011 - July 6, 2011
Impact of pharmacist interventions provided in the emergency department
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psnet.ahrq.gov/issue/rebecca-omalley-report
June 14, 2017 - Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided
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psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
December 14, 2010 - November 11, 2020
Impact of pharmacist interventions provided in the emergency department
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psnet.ahrq.gov/issue/national-training-survey-2013-concerns-about-patient-safety
July 15, 2015 - January 15, 2014
Review into the Quality of Care and Treatment Provided by 14 Hospital
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psnet.ahrq.gov/issue/teledx-how-telemedicine-working-and-not-working-support-diagnosis
November 08, 2017 - May 8, 2017
Variation in quality of urgent health care provided during commercial virtual
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psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
October 25, 2013 - January 15, 2014
Review into the Quality of Care and Treatment Provided by 14 Hospital
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psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety
June 09, 2011 - November 12, 2014
Review into the Quality of Care and Treatment Provided by 14 Hospital
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psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-4th-january-2001
September 10, 2014 - April 17, 2017
Review into the Quality of Care and Treatment Provided by 14 Hospital
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psnet.ahrq.gov/issue/color-coding-reduce-errors
June 22, 2009 - July 19, 2017
Pharmacist-led educational interventions provided to healthcare providers
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psnet.ahrq.gov/issue/team-communication-operating-room
January 28, 2009 - November 18, 2015
Variation in quality of urgent health care provided during commercial
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psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-knowledge-analytic
September 07, 2011 - July 29, 2020
Impact of pharmacist interventions provided in the emergency department
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psnet.ahrq.gov/issue/ehealth-safety-impact-ict-patient-safety-and-risk-management
June 18, 2013 - Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - considerations of training only one discipline at a time; and
Generic training on teamwork can be provided … should be built into training
Complex simulation scenarios provide this opportunity; guidance is provided … Timely feedback is critical to allow team members to adjust their knowledge
Feedback is provided
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psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - Second, they would have provided some continuity of care around this specific issue. … formal consultations.( 11 ) This discrepancy is largely due to the perception of incomplete information provided … The problem may have been compounded by the use of a curbside consultation, which provided the cardiology
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - systems-based approach grounded in a culture of safety to ensure that the highest value care is reliably provided … hospitalist services have agreed that the ED physician will be responsible for ensuring appropriate care is provided … volume can lead to delays in safe transitions from the ED to a setting where definitive therapy can be provided
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psnet.ahrq.gov/node/49594/psn-pdf
December 01, 2009 - "(3) In this case, the hospital team provided excellent diagnosis and treatment planning. … psnet.ahrq.gov//#references
In its ethical meaning, "standard of care" refers to the treatment that should be provided … United States has come to a widely shared consensus that informed consent determines what
should be provided
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - medication ordering systems to emphasize need for pharmacist counseling, use of patient education materials provided … In addition to addressing opioid-related harm, the 2016 CDC guidelines provided recommendations on the … Co-prescribing naloxone with opioids may result in patient harm if appropriate education isn’t provided
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psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
August 05, 2009 - surgeon due to the effects of anesthesia (no written instructions on the updated recovery plan were provided … effects; multiple activities at one time, such as electrocardiogram being done when information is provided … information about a medical condition and its management.( 11,12 ) In this case, the surgery team could have provided
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
May 01, 2011 - In fact, they were instructed not to comment on the care provided by the initial hospital in any way. … conjunction with risk management at both hospitals, providers should have an open conversation about the care provided