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psnet.ahrq.gov/node/42652/psn-pdf
October 31, 2014 - indicators into a
score comprised equally of process measures (e.g., barcode medication ordering), which recognize
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psnet.ahrq.gov/node/46547/psn-pdf
April 16, 2018 - In this position
statement, the American College of Physicians recommends that educators recognize and
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - Learning Objectives At the conclusion of this educational activity, participants should be able to: Recognize … ECG manifestations of hypo- and hyperkalemia Recognize causes of in vitro hemolysis Describe treatment … Several errors led to the poor outcome, stemming from an initial failure to recognize pseudohyperkalemia … changing heart rate. 1 , 10 , 12 There are several potential explanations for why the physician did not recognize … Take-Home Points Failure to recognize lab values affected by hemolysis can lead to serious patient outcomes
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psnet.ahrq.gov/issue/service-members-are-left-dark-health-errors
July 09, 2014 - and their families from learning about what happened during their care and hinder opportunities to recognize
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psnet.ahrq.gov/issue/ways-avert-potential-patient-care-disasters
March 01, 2007 - This article discusses clinician failure to recognize patient deterioration and provides recommendations
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psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality-and-safety
March 09, 2016 - Patient safety leaders have noted the need to recognize the complexity of health care systems in order
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psnet.ahrq.gov/issue/leape-ahead-award
September 29, 2017 - This annual award was established to recognize individuals and organizations that focus on developing
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psnet.ahrq.gov/issue/healthcare-quality-and-patient-safety-award
May 24, 2015 - This award seeks to recognize health care organizations and professionals that have exhibited leadership
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psnet.ahrq.gov/issue/2014-john-m-eisenberg-patient-safety-and-quality-awards
November 30, 2016 - The awards recognize a leader in diagnostic error prevention, a program designed to collect national
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psnet.ahrq.gov/issue/best-practices-safe-medication-administration-during-anesthesia-care
July 05, 2016 - This award will recognize organizations that have focused on improving anesthesiology medication delivery
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psnet.ahrq.gov/issue/patient-safety-dialysis-facility
May 27, 2015 - The author offers a 5-point plan to help recognize and prevent errors in dialysis facilities.
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psnet.ahrq.gov/node/43447/psn-pdf
November 20, 2015 - Some
manager respondents did not seem to recognize the significance of perceived management support
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psnet.ahrq.gov/issue/patients-role-diagnostic-safety-and-excellence-passive-reception-towards-co-design
April 10, 2019 - The brief advocates for structures that engage individuals, recognize patient expertise, and build trust
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psnet.ahrq.gov/issue/incorporating-nursing-complexity-reimbursement-coding-systems-potential-impact-missed-care
September 28, 2022 - commentary describes strategies to address these errors of omission , including changing mental models to recognize
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psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
December 02, 2020 - The organization applied high reliability concepts to identify, recognize, and support projects at
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psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism
November 16, 2022 - This expert commentary introduces a four-part strategy that focuses on standardization to help recognize
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psnet.ahrq.gov/issue/recognition-adverse-drug-events-older-hospitalized-medical-patients
August 10, 2022 - Medical teams were generally able to recognize serious adverse drug events (ADEs) in hospitalized patients
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psnet.ahrq.gov/issue/developing-tools-enhance-adaptive-capacity-safety-ii-health-care-providers-childrens-hospital
July 22, 2020 - A US children’s hospital developed three tools for frontline clinicians to recognize, mitigate, and
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psnet.ahrq.gov/issue/all-consumer-medication-information-not-created-equal-implications-medication-safety
June 15, 2022 - Medication management in outpatient settings requires patients to recognize adverse medication effects
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psnet.ahrq.gov/issue/strategies-flipping-script-opioid-overprescribing
May 29, 2019 - This commentary advocates for physicians who recognize that their patients are misusing opioids to carefully