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psnet.ahrq.gov/node/33888/psn-pdf
January 06, 2025 - ismp-cheers-awards
The Institute for Safe Medication Practices sponsors the annual Cheers Awards to recognize
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - Failure-to-Rescue Previous research has described three critical stages that lead to FTR – failure to recognize … A 2022 systematic review described this paradigm as the 3Rs (recognize, relay and react) underpinning … authors identified six types of interventions that can improve FTR rates within healthcare organizations: Recognize … Editor's Picks
Exploration of ward-based nurses' perspectives on their preparedness to recognize … 2025
Hospital nurses and physicians' experiences practicing patient safety work to recognize
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psnet.ahrq.gov/issue/surgeons-difficulty-exploration-differences-assistance-seeking-behaviors-between-male-and
December 21, 2014 - Patient Safety Innovations
Handshake antimicrobial stewardship as a model to recognize … errors
September 29, 2021
Handshake antimicrobial stewardship as a model to recognize
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psnet.ahrq.gov/node/837344/psn-pdf
June 08, 2022 - shares concerns about surgeon biases toward patients who are overweight and calls for clinicians to
recognize
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psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - The sonographer did not recognize that the patient was in her third trimester based on a review of the … The sonographic images were reviewed remotely, and the radiologist also failed to recognize that the … Thus, she did not recognize how advanced her pregnancy was. … Patient engagement is seen as a potential intervention for error prevention, since patients can recognize … factors are common categories of diagnostic errors, all three of which played a role in the failure to recognize
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psnet.ahrq.gov/node/36730/psn-pdf
April 27, 2009 - April 27, 2009
SureScripts
https://psnet.ahrq.gov/issue/safe-rx-awards
These annual awards recognize
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psnet.ahrq.gov/issue/how-effective-teamwork-really-relationship-between-teamwork-and-performance-healthcare-teams
February 14, 2017 - Patient Safety Innovations
Handshake antimicrobial stewardship as a model to recognize … errors
September 29, 2021
Handshake antimicrobial stewardship as a model to recognize
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psnet.ahrq.gov/node/45550/psn-pdf
August 01, 2023 - This annual
award was established to recognize individuals and organizations that focus on developing
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psnet.ahrq.gov/node/74165/psn-pdf
December 08, 2021 - psnet.ahrq.gov/issue/diagnostic-excellence-through-lens-patient-centeredness
Efforts to improve diagnosis recognize
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psnet.ahrq.gov/node/866567/psn-pdf
August 21, 2024 - High-reliability organizations are built on elements that reduce hierarchy, improve communication, and
recognize
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psnet.ahrq.gov/node/851455/psn-pdf
July 19, 2023 - Findings highlight the importance of giving purposeful
feedback and allowing students the opportunity to recognize
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psnet.ahrq.gov/node/854264/psn-pdf
October 04, 2023 - when a colonoscopy preparation product was switched with a dialysis fluid, a
barcoding system didn’t recognize
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psnet.ahrq.gov/node/39416/psn-pdf
May 26, 2017 - website provides tools, resources, research, and educational modules to help health care
professionals recognize
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psnet.ahrq.gov/node/35626/psn-pdf
May 25, 2011 - https://psnet.ahrq.gov/issue/patient-safety-dialysis-facility
The author offers a 5-point plan to help recognize
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psnet.ahrq.gov/node/844757/psn-pdf
September 11, 2019 - The authors provide indications of pain and other behaviors
clinicians should recognize to help with
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - MPH
2
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
Understand treatment … Several errors led to the poor outcome, stemming from an initial failure to recognize pseudohyperkalemia … 18
Unwinding the Case (2)
There are several potential explanations for why the physician did not recognize … response and guide subsequent therapy.
26
26
Take Home Points
27
Take-Home Points
28
Failure to recognize
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psnet.ahrq.gov/node/40862/psn-pdf
October 19, 2011 - as anchoring error, availability bias, and confirmation bias, this piece describes
tactics to help recognize
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psnet.ahrq.gov/node/837973/psn-pdf
August 31, 2022 - single-site study found that while most
clinicians perceived that patients and families are able to recognize
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psnet.ahrq.gov/node/36353/psn-pdf
October 27, 2010 - psnet.ahrq.gov/issue/ways-avert-potential-patient-care-disasters
This article discusses clinician failure to recognize
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psnet.ahrq.gov/node/47860/psn-pdf
June 30, 2019 - The author calls for clinician autonomy to
recognize when standardization is not appropriate and how