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psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
January 01, 2009 - At that time, the radiologists involved, including me, recognized that the installation could be opening
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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - The pharmacist reviewing this
order recognized that the higher concentration was atypical for inpatients
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psnet.ahrq.gov/node/49811/psn-pdf
November 01, 2017 - multiple hospitalizations and overall worsening clinical status, none of her
prior physicians had recognized
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psnet.ahrq.gov/node/33774/psn-pdf
December 01, 2014 - How important is it to have an internationally recognized
champion to give these programs a face?
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - as one of ten principles that should guide the redesign of the health care system.( 4 ) States have recognized
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psnet.ahrq.gov/web-mm/moving-pains
August 17, 2017 - Even in the absence of formal guidelines, most hospitals have recognized the risk of intrahospital transport
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psnet.ahrq.gov/node/49588/psn-pdf
August 01, 2009 - Labor Management Institute (15) and the National Database for Nursing Quality Indicators (16) are
both recognized
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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - Guideline panels have recognized the limited evidence and offer clinicians a range of clinical options
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - system, neither the intern nor resident reviewed the medication list for the next few days so no one recognized
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - Monica Donnelley, PharmD, Thomas Joseph Gintjee, PharmD, and James Go, PharmD
It is increasingly recognized
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psnet.ahrq.gov/node/33877/psn-pdf
April 01, 2019 - An internationally recognized patient safety
expert, he served as a lead architect for the Communication
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - more likely than all other patients who died to have received "care that departed from professionally recognized
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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/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/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/49756/psn-pdf
April 01, 2016 - The ward team recognized these clinical changes, yet they had no knowledge of the prior
radiograph findings … First, had the general surgery resident on call formally reviewed the case,
the team may have recognized
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psnet.ahrq.gov/node/49396/psn-pdf
April 01, 2003 - brought all of her pills to the visit, so when the
provider asked to see them, the error was immediately recognized … told that the prescription in this case was “not unduly
messy,” but illegible handwriting is a widely recognized
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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - could be avoided with interoperability, inadequate availability of patient information is a widely recognized … Inadequate availability of patient information is a widely recognized problem that results in patient
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psnet.ahrq.gov/node/33695/psn-pdf
April 01, 2010 - technical information to consumers
in a way that is easily understood ("evaluable") is slowly being recognized … time-
efficient consensus process, which will help NQF to achieve the goal of becoming the nationally recognized
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psnet.ahrq.gov/web-mm/picture-speaks-1000-words
July 16, 2015 - Tragically, the limitation of the workaround was only recognized when a single patient presented with … Take-Home Points Workarounds should be recognized as limited, and perhaps dangerous, processes people