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psnet.ahrq.gov/issue/why-it-so-hard-talk-about-overuse-pediatrics-and-why-it-matters
March 04, 2020 - Health care overuse has been recognized as a potential contributor to patient harm .
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psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery
September 11, 2019 - Learning from other organizations' errors is a recognized opportunity to engage in safety improvement
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psnet.ahrq.gov/issue/addressing-nursing-shortages-and-patient-safety-using-maslows-hierarchy-needs
April 26, 2023 - Nurse burnout and overwork are recognized motivators for nurse turnover.
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psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine
March 09, 2022 - Cognition has been recognized as a human factor that can contribute to medical error.
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psnet.ahrq.gov/issue/triggers-bundles-protocols-and-checklists-what-every-maternal-care-provider-needs-know
October 19, 2022 - Obstetric care is recognized as a high-risk activity both for the mother and the infant.
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psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-review
May 11, 2019 - Medical overuse is a well-recognized patient safety challenge.
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psnet.ahrq.gov/issue/patient-safety-public-health
July 19, 2023 - Medical error has been recognized as a serious problem in the United States.
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psnet.ahrq.gov/node/60746/psn-pdf
July 29, 2020 - their evaluation, including a pelvic
examination and repeated pelvic ultrasound at the bedside, they recognized … The sonographer recognized that the ultrasound
examination was technically suboptimal due to obesity … Another potentially serious error is misreporting, such as the failure to report a recognized finding
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psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - response
16
Causes of Medication Error and Adverse Outcomes (3)
• The night nurse should have
– Recognized … when given for seizures, especially in a
petite women with no recent history of benzodiazepine use
– Recognized … night nurse did not consistently assess the
patient’s response to the medication, or they would have
recognized
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psnet.ahrq.gov/node/41047/psn-pdf
November 26, 2014 - failure-follow-test-results-ambulatory-patients-systematic-review
Following up test results in a timely fashion is a recognized
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psnet.ahrq.gov/node/46197/psn-pdf
September 24, 2017 - implementation-and-evaluation-prototype-consumer-reporting-system-patient-
safety-events
Patient engagement is increasingly recognized
-
psnet.ahrq.gov/node/39873/psn-pdf
January 22, 2017 - proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-
same-name-physician
Although sound-alike medications are a well-recognized
-
psnet.ahrq.gov/node/40871/psn-pdf
October 26, 2011 - rethinking-resident-supervision-improve-safety-hierarchical-interprofessional-
models
Inadequate supervision of resident physicians has been recognized
-
psnet.ahrq.gov/node/45731/psn-pdf
September 29, 2017 - breast-cancer-screening-denmark-cohort-study-tumor-size-and-overdiagnosis
The overuse of medical care is increasingly recognized
-
psnet.ahrq.gov/node/40038/psn-pdf
December 23, 2016 - follow-report-preventing-suicide-focus-medicalsurgical-units-and-emergency-
department
Suicide among hospitalized patients remains an under-recognized
-
psnet.ahrq.gov/node/43140/psn-pdf
October 31, 2014 - frequency-diagnostic-errors-outpatient-care-estimations-three-large-
observational-studies
Diagnostic errors are increasingly recognized
-
psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - their evaluation, including a pelvic examination and repeated pelvic ultrasound at the bedside, they recognized … The sonographer recognized that the ultrasound examination was technically suboptimal due to obesity, … Another potentially serious error is misreporting, such as the failure to report a recognized finding
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psnet.ahrq.gov/issue/engineering-safety-practice-through-implementation-ehr-safer-guides
March 12, 2025 - Download Citation
Related Resources
Errors in the EMR: under-recognized
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psnet.ahrq.gov/issue/unintended-consequences-new-problems-and-new-solutions
June 27, 2018 - Unexpected effects associated with implementation and use of health information technology (IT) are a recognized
-
psnet.ahrq.gov/issue/next-wave-hospital-innovation-make-patients-safer
September 05, 2018 - Achieving high reliability is a recognized goal for health care organizations.