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psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
October 23, 2024 - There is a recognized challenge in developing true opportunities for improvement with incident reporting
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psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
October 31, 2023 - Disruptive behavior is a recognized deterrent to safe communication, sharing of concerns and teamwork
-
psnet.ahrq.gov/node/33829/psn-pdf
March 01, 2017 - On the
one hand, the importance of safety culture is widely recognized and acknowledged; on the other … The coalition's approach recognized the importance of broad engagement in order to build
on the strengths … to develop strategies for improving safety in the
emergency and surgery departments, the coalition recognized
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psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
January 01, 2024 - There was also prolongation of the QT interval, flattened T waves, and small U waves that were not recognized … The lab sample was reported as hemolyzed, but this finding was not recognized by the treating physician … For example, prolongation of the QT interval is not always recognized by the ECG machine, might only … be recognized after careful manual scrutiny, and is an important clinical finding associated with increased
-
psnet.ahrq.gov/node/41726/psn-pdf
September 26, 2012 - "Top Performers" are recognized by meeting two
95% performance thresholds; 620 hospitals were identified
-
psnet.ahrq.gov/node/41030/psn-pdf
March 04, 2015 - difficulty of accurately identifying and classifying inpatient adverse drug events (ADEs) was first
recognized
-
psnet.ahrq.gov/node/45345/psn-pdf
July 27, 2016 - official-critical-care-societies-collaborative-statement-burnout-syndrome-
critical-care
Burnout in health care is a recognized
-
psnet.ahrq.gov/node/46450/psn-pdf
August 20, 2018 - psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
Although diagnostic error is a well-recognized
-
psnet.ahrq.gov/node/46064/psn-pdf
April 19, 2017 - prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study
Missed and delayed diagnoses are an increasingly recognized
-
psnet.ahrq.gov/node/39444/psn-pdf
June 28, 2010 - relationship-between-organizational-leadership-safety-and-learning-patient-
safety-events
The role of organizational leadership in ensuring patient safety has been recognized
-
psnet.ahrq.gov/node/43363/psn-pdf
September 12, 2016 - study examined escalation of care, the process by which a patient's deteriorating clinical
status is recognized
-
psnet.ahrq.gov/node/44433/psn-pdf
June 21, 2016 - ambulance-diversion-associated-reduced-access-cardiac-technology-and-
increased-one-year
Overcrowding in emergency departments is a recognized
-
psnet.ahrq.gov/node/39456/psn-pdf
May 04, 2010 - accuracy-computer-generated-spanish-language-medicine-labels
Misunderstanding prescription drug labels is a recognized
-
psnet.ahrq.gov/issue/agency-information-collection-activities-proposed-collection-comment-request-hospital-survey
December 21, 2022 - Surveys are recognized tools to inform hospitals of the current status of their safety culture .
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psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
December 02, 2020 - Alarm fatigue is a recognized safety concern in health care.
-
psnet.ahrq.gov/issue/ambiguous-abbreviations-audit-abbreviations-paediatric-note-keeping
November 16, 2022 - non-standard abbreviations to describe medications and clinical conditions, many of which were not recognized
-
psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
July 19, 2023 - Advocate is a learning organization recognized for its commitment to quality and safety across multiple
-
psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-safety-effectiveness-and-efficiency-web-based-virtual
September 13, 2023 - The hospitals recognized were Abington Memorial Hospital (PA), William Beaumont Hospital (MI), University
-
psnet.ahrq.gov/issue/handbook-perioperative-and-procedural-patient-safety
December 01, 2021 - Surgical care is recognized as a complex activity .
-
psnet.ahrq.gov/node/45033/psn-pdf
July 16, 2019 - Given that alert fatigue is an increasingly
recognized patient safety hazard, creating tailored alerts