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psnet.ahrq.gov/node/45214/psn-pdf
July 13, 2016 - Recognizing quality improvement and patient safety
activities in academic promotion in departments of
medicine: innovative language in promotion criteria.
July 13, 2016
Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in
Academic Promotion in Departments of Medici…
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psnet.ahrq.gov/node/42769/psn-pdf
November 27, 2013 - Sepsis: recognizing the next event.
November 27, 2013
Kilburn FL, Bailey P, Price D. Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6.
doi:10.1097/01.NURSE.0000434320.25397.53.
https://psnet.ahrq.gov/issue/sepsis-recognizing-next-event
This commentary describes the development and implementatio…
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psnet.ahrq.gov/node/37746/psn-pdf
May 14, 2008 - Reducing preventable medication safety events by
recognizing renal risk.
May 14, 2008
Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal
risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476.2f.
https://psnet.ahrq.gov/issue/red…
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psnet.ahrq.gov/node/42981/psn-pdf
March 19, 2014 - Recognizing and managing errors of cognitive
underspecification.
March 19, 2014
Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5.
doi:10.1097/PTS.0b013e3182a5f6e1.
https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
Inc…
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - Therefore, whenever an "event" is
reported, we recognize that there may be two sides to the story. … They recognize the tiered
intervention process. … All of us need to recognize that disclosure is neither an
event nor a moment in time but a process.
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psnet.ahrq.gov/node/41595/psn-pdf
May 28, 2019 - Luer Connector Misconnections: Under-Recognized but
Potentially Dangerous Events.
May 28, 2019
Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration. November 19,
2008.
https://psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events
This Web si…
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psnet.ahrq.gov/node/73617/psn-pdf
August 26, 2021 - Recognizing Unsafe Care: What It Is and How to Report It.
August 18, 2021
Patient Safety Foundation. August 26, 2021.
https://psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it
This webinar introduced medical error and harm as related concepts to identify unsafe care and enhance
response, engag…
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psnet.ahrq.gov/issue/recognizing-our-biases-understanding-evidence-and-responding-equitably-application
April 05, 2023 - Commentary
Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU.
Citation Text:
McCarty DB. Recognizing our biases, understanding the evidence, and responding equitably: application…
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psnet.ahrq.gov/web-mm/picture-speaks-1000-words
July 16, 2015 - The adverse event was not due to a resident's failure to recognize certain pathology or the risk that … this light, workarounds might be considered comparable to a "near miss," that is, an opportunity to recognize
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psnet.ahrq.gov/issue/once-easily-recognized-signs-measles-now-elude-young-doctors
May 04, 2011 - Newspaper/Magazine Article
Once easily recognized, signs of measles now elude young doctors.
Citation Text:
Once easily recognized, signs of measles now elude young doctors. Brown E, Lin RG II R, Xia R. Los Angeles Times. January 26, 2015.
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psnet.ahrq.gov/issue/better-care-surgical-patients-recognizing-and-responding-unexpected-save-lives
January 11, 2017 - Image/Poster
Better care for surgical patients: recognizing and responding to the unexpected to save lives.
Citation Text:
Better care for surgical patients: recognizing and responding to the unexpected to save lives. Ghaferi A. IHPI Brief. December 2019. &n…
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psnet.ahrq.gov/node/837813/psn-pdf
January 21, 2021 - Recognizing Excellence in Diagnosis.
January 21, 2021
The Leapfrog Group.
https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis
Examination of diagnostic failure and identification of reduction strategies require multidisciplinary expertise
to be successful. This collaborative initiative will initially dev…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
February 01, 2010 - Teen Pregnancy (2)
Teenagers are less likely to recognize or acknowledge pregnancy
In one hospital, … about local resources related to adolescent sexual health
Adolescents are less likely than adults to recognize
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psnet.ahrq.gov/node/49427/psn-pdf
January 01, 2004 - critical
issues before plowing forward with a planned procedure or therapy—lead clinicians to fail to recognize … Combating cognitive errors and supporting situation awareness
requires procedures and systems that recognize
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psnet.ahrq.gov/node/49734/psn-pdf
May 01, 2015 - The proceduralist opened a second kit, making it more difficult to assess for and recognize
missing … A second team member—and this need not be a physician—might have
helped recognize the implication of
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psnet.ahrq.gov/node/49484/psn-pdf
June 01, 2005 - did not automatically cancel the other, free-form
orders, a processing issue the intern failed to recognize … Although an expert physician may instantly recognize the danger of ordering this drug
combination, the
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psnet.ahrq.gov/node/49797/psn-pdf
June 01, 2017 - To overcome it,
providers must:
Recognize that it exists and can adversely impact their ability to … accurate history when caring for frequent ED users and those
with behavioral health diagnoses and to recognize
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psnet.ahrq.gov/web-mm/xl-or-smaller
September 13, 2017 - The pediatric intern had minimal experience dealing with hypertensive medications, and did not recognize … other checkpoints along the way (ie, the dispensing and administration of the drug) failed either to recognize
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psnet.ahrq.gov/node/45021/psn-pdf
April 06, 2016 - Scandal as a sentinel event—recognizing hidden
cost–quality trade-offs.
April 6, 2016
Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med.
2016;374(11):1001-3. doi:10.1056/NEJMp1502629.
https://psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-t…
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psnet.ahrq.gov/node/43900/psn-pdf
February 11, 2015 - Once easily recognized, signs of measles now elude
young doctors.
February 11, 2015
Brown E, Lin RG II R, Xia R. Los Angeles Times. January 26, 2015.
https://psnet.ahrq.gov/issue/once-easily-recognized-signs-measles-now-elude-young-doctors
In light of the recent outbreak of measles in California, this newspaper ar…