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psnet.ahrq.gov/issue/attitude-everything-impact-workload-safety-climate-and-safety-tools-medical-errors-study
March 11, 2020 - Production pressures are a recognized contributor to errors in the operating room.
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psnet.ahrq.gov/issue/safe-patient-flow-initiative-collaborative-quality-improvement-journey-yale-new-haven
June 07, 2023 - times in the emergency department and boarding of patients on inappropriate units—both of which are recognized
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psnet.ahrq.gov/issue/epidemiology-patterns-care-and-mortality-patients-acute-respiratory-distress-syndrome
August 04, 2021 - This prospective observational study found that acute respiratory distress syndrome remains under-recognized
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psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
February 01, 2023 - Pregnancy and childbirth are recognized as high-risk activities for both the pregnant person and infant
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psnet.ahrq.gov/issue/clinical-impact-and-economic-burden-hospital-acquired-conditions-following-common-surgical
October 21, 2020 - surgical site infection , followed by urinary tract infection and venous thromboembolism , all well-recognized
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-clinical-services-and-workforce-2021
September 30, 2020 - Findings suggest that more pharmacists have prescribing authority and are increasingly recognized for
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psnet.ahrq.gov/issue/predictors-serious-opioid-related-adverse-drug-events-hospitalized-patients
March 10, 2021 - Opioids are known to be high-risk medications, and their misuse is an increasingly recognized patient
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psnet.ahrq.gov/issue/duplicate-medication-order-errors-safety-gaps-and-recommendations-improvement
March 22, 2023 - This study examined the error type (same medication, therapeutic class, or order), when they were recognized
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psnet.ahrq.gov/issue/official-critical-care-societies-collaborative-statement-burnout-syndrome-critical-care
October 19, 2022 - Burnout in health care is a recognized issue that can diminish patient safety.
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psnet.ahrq.gov/issue/improving-safety-during-transitions-care-through-use-electronic-referral-loops-receive-and
October 19, 2022 - Reconciling medication lists at transitions of care is a widely recognized safety strategy; however,
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psnet.ahrq.gov/issue/inappropriate-preinjury-warfarin-use-trauma-patients-call-safety-initiative
August 04, 2021 - Warfarin is a recognized high-risk medication that accounts for many hospitalizations due to adverse
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psnet.ahrq.gov/issue/landscape-inappropriate-laboratory-testing-15-year-meta-analysis
February 12, 2020 - Overuse of diagnostic tests is an increasingly recognized patient safety hazard.
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psnet.ahrq.gov/issue/clinical-deterioration-nurse-sensitive-indicator-out-hospital-context-scoping-review
July 19, 2023 - the hospital setting, clinical deterioration as a nurse-sensitive outcome (NSO) measure is widely recognized
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psnet.ahrq.gov/issue/safe-clinical-practice-patients-hospitalised-mental-health-wards-during-suicidal-crisis
August 17, 2022 - study highlights three themes of perceived safe clinical care for patients in a suicidal crisis – being recognized
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psnet.ahrq.gov/issue/innovative-approach-reconstruct-bedside-handoff-using-simple-rules-complexity-science-promote
November 16, 2022 - Partnering with patients to build and implement safety initiatives has been recognized as an improvement
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psnet.ahrq.gov/issue/evaluating-effect-distractions-operating-room-clinical-decision-making-and-patient-safety
November 16, 2022 - Interruptions and distractions are well-recognized sources of error.
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psnet.ahrq.gov/issue/racism-health-services-adolescents-scoping-review
July 19, 2023 - Structural racism is increasingly recognized as a social determinant of health.
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psnet.ahrq.gov/issue/future-artificial-intelligence-applications-cancer-care-global-cross-sectional-survey
April 27, 2022 - Artificial intelligence (AI) is recognized as a critical tool to aid in many areas of cancer care such
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psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - Indeed, infection has recently been described “as a common, though under-recognized, precipitating factor … Early recognition continues to be important for survival of patients with sepsis. 10,11 If recognized … If sepsis is recognized early, providers can initiate early life-saving treatments and management. 12 … Once sepsis was recognized the patient in this case was transferred to the ICU and received guideline-directed … Infection as an under-recognized precipitant of acute heart failure: prognostic and therapeutic implications
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 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
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