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psnet.ahrq.gov/node/845642/psn-pdf
March 08, 2023 - Recognizing our biases, understanding the evidence, and
responding equitably: application of the socioecological
model to reduce racial disparities in the NICU.
March 8, 2023
McCarty DB. Recognizing our biases, understanding the evidence, and responding equitably: application of
the socioecological model to reduce…
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psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events
May 24, 2015 - Multi-use Website
Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events.
Citation Text:
Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events. Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration. Novembe…
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psnet.ahrq.gov/issue/reducing-preventable-medication-safety-events-recognizing-renal-risk
June 27, 2011 - Study
Reducing preventable medication safety events by recognizing renal risk.
Citation Text:
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…
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psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - It is important with this
dimension to recognize that even if a patient’s choice is not the one
recommended … with hospice”
meant “discontinue everything, except comfort focused
treatment,” the team did not recognize … that transferred this
patient out of the ICU once the DNR status was ordered.
— It is important to recognize
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psnet.ahrq.gov/issue/identifying-trigger-concepts-screen-emergency-department-visits-diagnostic-errors
March 12, 2025 - October 12, 2022
Handshake antimicrobial stewardship as a model to recognize and prevent
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psnet.ahrq.gov/node/72575/psn-pdf
January 01, 2021 - Missing the near miss: recognizing valuable learning
opportunities in radiation oncology.
December 16, 2020
Kundu P, Jung OS, Valle LF, et al. Missing the near miss: recognizing valuable learning opportunities in
radiation oncology. Pract Radiat Oncol. 2021;11(3):e256-e262. doi:10.1016/j.prro.2020.09.007.
https://…
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - Recognize that free intraperitoneal fluid identified on imaging without a history of ascites is abnormal … Simply put, there seems to have
been a failure to entertain a differential diagnosis and to recognize … Unfortunately, the clinician failed to
recognize that the results of the ultrasound did not explain … The Importance of Free Fluid
The initial clinician in this case failed to recognize that the ultrasound
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psnet.ahrq.gov/node/867758/psn-pdf
March 12, 2025 - Errors in the EMR: under-recognized hazard for AI in
healthcare.
March 12, 2025
Morreim EH. Errors in the EMR: under-recognized hazard for AI in healthcare. Hous J Health Law Policy.
2025;24:127-165.
https://psnet.ahrq.gov/issue/errors-emr-under-recognized-hazard-ai-healthcare
Artificial intelligence (AI) systems…
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psnet.ahrq.gov/node/60853/psn-pdf
August 26, 2020 - Medication dosing safety for pediatric patients:
recognizing gaps, safety threats, and best practices in the
emergency medical services setting. A position statement
and resource document from NAEMSP.
August 26, 2020
Cicero MX, Adelgais K, Hoyle JD, et al. Medication dosing safety for pediatric patients: recognizi…
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psnet.ahrq.gov/node/46279/psn-pdf
August 02, 2017 - Recognizing the ordinary as extraordinary: insight into
the "way we work" to improve patient safety outcomes.
August 2, 2017
Henneman EA. Recognizing the Ordinary as Extraordinary: Insight Into the "Way We Work" to Improve
Patient Safety Outcomes. Am J Crit Care. 2017;26(4):272-277. doi:10.4037/ajcc2017812.
https:…
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psnet.ahrq.gov/node/45172/psn-pdf
January 01, 2017 - Strategies for developing and recognizing faculty working
in quality improvement and patient safety.
December 30, 2016
Coleman DL, Wardrop RM, Levinson WS, et al. Strategies for Developing and Recognizing Faculty
Working in Quality Improvement and Patient Safety. Acad Med. 2017;92(1):52-57.
doi:10.1097/ACM.0000000…
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psnet.ahrq.gov/issue/professionalising-patient-safety-findings-mixed-methods-formative-evaluation-patient-safety
August 28, 2024 - November 16, 2022
Patient safety's missing link: using clinical expertise to recognize
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psnet.ahrq.gov/node/863002/psn-pdf
February 21, 2024 - Three quarters of preventable patient harm stems from
situation awareness breakdowns: recognizing and
addressing the core issue.
February 21, 2024
Tscholl DW, Hunn CA, Gasciauskaite G. APSF Newsletter. 2024;39:29–30.
https://psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-
b…
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psnet.ahrq.gov/issue/safe-and-appropriate-use-insulin-and-other-antihyperglycemic-agents-hospital
April 18, 2016 - February 14, 2017
Patient safety's missing link: using clinical expertise to recognize
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psnet.ahrq.gov/issue/effects-weekend-admission-and-hospital-teaching-status-hospital-mortality
September 12, 2011 - September 12, 2011
Failure to recognize newly identified aortic dilations in a health
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psnet.ahrq.gov/issue/what-every-health-lawyer-should-know-about-patient-safety-and-quality-improvement-act-2005
January 23, 2017 - Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize
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psnet.ahrq.gov/issue/patient-safety-and-medical-malpractice-case-study
May 20, 2015 - Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize
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psnet.ahrq.gov/issue/bedside-shift-shift-handoffs-systematic-review-literature
January 23, 2017 - January 23, 2017
Incoming interns recognize inadequate physical examination as a cause
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psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery
March 20, 2013 - Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize
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psnet.ahrq.gov/issue/facilitating-and-impeding-factors-physicians-error-disclosure-structured-literature-review
September 12, 2011 - February 22, 2012
Failure to recognize newly identified aortic dilations in a health