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psnet.ahrq.gov/issue/improving-communication-and-response-clinical-deterioration-increase-patient-safety-intensive
December 09, 2020 - Hospital nurses and physicians' experiences practicing patient safety work to recognize
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psnet.ahrq.gov/issue/reducing-failure-rescue-rates-paediatric-patient-setting-9-year-quality-improvement-study
January 18, 2023 - 2025
Hospital nurses and physicians' experiences practicing patient safety work to recognize
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psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency
April 06, 2022 - November 24, 2021
Handshake antimicrobial stewardship as a model to recognize and prevent
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psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care-and-safety
July 06, 2022 - July 6, 2022
Handshake antimicrobial stewardship as a model to recognize and prevent
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psnet.ahrq.gov/node/862155/psn-pdf
February 07, 2024 - Society of Critical Care Medicine Guidelines on
Recognizing and Responding to Clinical Deterioration
Outside the ICU: 2023.
February 7, 2024
Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine Guidelines on Recognizing and
Responding to Clinical Deterioration Outside the ICU: 2023. Crit Care M…
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psnet.ahrq.gov/node/866636/psn-pdf
January 01, 2025 - Hospital commitments to address diagnostic errors: an
assessment of 95 US hospitals.
September 4, 2024
Campione Russo A, Tilly J?L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an
assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13485.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/48099/psn-pdf
July 24, 2019 - Consumers' perspectives on their involvement in
recognizing and responding to patient
deterioration—developing a model for consumer
reporting.
July 24, 2019
King L, Peacock G, Crotty M, et al. Consumers' perspectives on their involvement in recognizing and
responding to patient deterioration-Developing a model fo…
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psnet.ahrq.gov/node/33826/psn-pdf
February 01, 2017 - didn't try very hard and that person needs to be reprimanded or better motivated, leaders have to
recognize … AE: Most people are capable of changing and adopting new behaviors once they recognize the mismatch. … Meanwhile, one concurrent trend is equally important to recognize. … Most people recognize that everything they
do—online for example—is essentially living online forever
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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/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/node/837808/psn-pdf
August 05, 2024 - Recognizing Excellence in Diagnosis: Recommended
Practices for Hospitals.
August 5, 2024
Washington, DC: Leapfrog Group; July 2024.
https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
Diagnostic safety is beginning to be established as a systemic, rather than solely an ind…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
December 01, 2007 - presence of a hospital ID bracelet and hospital gown; additionally, the hospital computer system failed to recognize … Additionally, the hospital computer system failed to recognize that the same patient had been admitted
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psnet.ahrq.gov/node/49511/psn-pdf
May 01, 2006 - What systems are available to the nurse
and others who administer medications to recognize acceptable … Thoughtful speculation on the reasons that this, or any other, pharmacist failed to recognize the differences
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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/web-mm/electrocardiogram-results-read-me
May 01, 2019 - Nurse's aides need not know how to recognize these entities on the ECG, but they must recognize the
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
December 23, 2020 - We recognize that mistakes will happen and that it is our responsibility to recognize them quickly, mitigate
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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/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…