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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - No one even understood what it was, how you recognized it at the bedside, what
patients were vulnerable … I was very concerned about that because delirium is not well recognized in the hospital right now. … the American Geriatrics Society, only about 3% to 5% of delirium present in the
hospital setting is recognized … We thought having it become a no pay
condition would be the absolute demise of delirium ever being recognized
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record
March 04, 2011 - unintended consequences have also emerged, and the potential for health IT to cause harm is now well recognized
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psnet.ahrq.gov/issue/qualitative-study-speaking-out-about-patient-safety-concerns-intensive-care-units
August 21, 2013 - Hierarchy and poor communication are well-recognized barriers that prevent team members from speaking
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psnet.ahrq.gov/issue/what-stops-hospital-clinical-staff-following-protocols-analysis-incidence-and-factors-behind
September 09, 2015 - Furthermore, in these cases nearly 70% of providers recognized that the criteria were met and 76% were
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psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
March 23, 2012 - Following up test results in a timely fashion is a recognized patient safety problem in primary care
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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/867339/psn-pdf
December 11, 2024 - Hospital nurses and physicians' experiences practicing
patient safety work to recognize deteriorating patients: a
qualitative study.
December 11, 2024
Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient
safety work to recognize deteriorating patients: a qualitative…
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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/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/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - Nonetheless, the most commonly recognized etiology for chronic pelvic pain is endometriosis, adenomyosis … a gynecologic condition (e.g., extraluminal endometriosis-induced tissue adherence) probably wasn’t recognized … It is commendable the general surgeon recognized endometriosis might be present; however, if the diagnosis … Surgical treatment of endometriosis by removal or ablation of recognized implants provides significant
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psnet.ahrq.gov/node/60693/psn-pdf
July 15, 2020 - Incoming interns recognize inadequate physical
examination as a cause of patient harm.
July 15, 2020
Russo S, Berg K, Davis JJ, et al. Incoming interns recognize inadequate physical examination as a cause
of patient harm. J Med Educ Curric Dev. 2020;7:238212052092899. doi:10.1177/2382120520928993.
https://psnet.ah…
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psnet.ahrq.gov/issue/consumers-perspectives-their-involvement-recognizing-and-responding-patient-deterioration
February 28, 2024 - Study
Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting.
Citation Text:
King L, Peacock G, Crotty M, et al. Consumers' perspectives on their involvement in recognizing and responding to patient de…
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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/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/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/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/node/73687/psn-pdf
September 08, 2021 - Handshake antimicrobial stewardship as a model to
recognize and prevent diagnostic errors.
September 8, 2021
Searns JB, Williams MC, MacBrayne CE, et al. Handshake antimicrobial stewardship as a model to
recognize and prevent diagnostic errors. Diagnosis (Berl). 2021;8(3):347-352. doi:10.1515/dx-2020-0032.
https:/…
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psnet.ahrq.gov/node/846753/psn-pdf
March 29, 2023 - Exploration of ward-based nurses' perspectives on their
preparedness to recognize clinical deterioration: a
scoping review.
March 29, 2023
Mikhail J, King L. Exploration of ward-based nurses' perspectives on their preparedness to recognize
clinical deterioration: a scoping review. J Patient Saf. 2023;19(2):99-109.…
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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/issue/incoming-interns-recognize-inadequate-physical-examination-cause-patient-harm
July 20, 2022 - Study
Incoming interns recognize inadequate physical examination as a cause of patient harm.
Citation Text:
Russo S, Berg K, Davis JJ, et al. Incoming interns recognize inadequate physical examination as a cause of patient harm. J Med Educ Curric Dev. 2020;7:238212052092899. doi:10.1177/…