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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/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/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/…
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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - I recognized that we in hospital medicine were ideally positioned to lead in this space. … That was the state of
the science then, all of which ultimately changed as we recognized that these … insertion
risks may be lower, the thrombotic risk associated with PICCs was much higher than previously
recognized … Another thing we recognized when we published this paper (which was close to 50 pages long) was that
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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/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/60856/psn-pdf
August 26, 2020 - preplanned decision to
terminate the procedure if transfusion was needed.10
It appears the team recognized … causes a rise in
myocardial oxygen demand relative to supply; so-called ‘demand ischemia’ is a well-recognized … consultative visit (e.g., by cardiology) in the PACU.17 Given that severe aortic
stenosis has long been recognized
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psnet.ahrq.gov/node/837660/psn-pdf
July 08, 2022 - procedures.9
The temporomandibular joint (TMJ) dislocation experienced by this patient is a rare, but well-recognized … prior to extubation
In retrospect, the persistent weakness of the patient in Case 1 should have been recognized … Persistent neuromuscular blockade can be recognized clinically by low tidal volume, fast
respiratory
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_latex_allergies-slides.pdf
January 01, 2022 - • The inadvertent use of a latex device insertion was rapidly
recognized, and the drain was replaced … • The team further recognized that despite a known diagnosis of latex
allergy, the devices used and … perioperative anaphylaxis
Background (2) – Natural Rubber Latex Science
12
Poinsettia - The most recognized
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psnet.ahrq.gov/node/49692/psn-pdf
September 01, 2013 - 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
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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/web-mm/lap-burn
March 01, 2018 - patient suffered only a minor burn and had no long-term sequelae; fortunately, the burning drapes were recognized … The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has recognized the risk of
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psnet.ahrq.gov/node/863002/psn-pdf
February 21, 2024 - Three quarters of preventable patient harm stems from
situation awareness breakdowns: recognizing and
addressing the core issue.
February 21, 2024
Tscholl DW, Hunn CA, Gasciauskaite G. APSF Newsletter. 2024;39:29–30.
https://psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-
b…
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psnet.ahrq.gov/issue/exploration-ward-based-nurses-perspectives-their-preparedness-recognize-clinical
December 14, 2022 - Review
Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.
Citation Text:
Mikhail J, King L. Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review.…
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psnet.ahrq.gov/node/33810/psn-pdf
June 01, 2016 - I chose to pursue the well-
recognized Certified Professional in Patient Safety (CPPS) certificate,
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psnet.ahrq.gov/node/50837/psn-pdf
January 29, 2020 - Better care for surgical patients: recognizing and
responding to the unexpected to save lives.
January 29, 2020
Ghaferi A. IHPI Brief. December 2019.
https://psnet.ahrq.gov/issue/better-care-surgical-patients-recognizing-and-responding-unexpected-save-
lives
Surgical compl…
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psnet.ahrq.gov/node/73149/psn-pdf
April 14, 2021 - Recognizing the importance of whistleblowers in
healthcare.
April 14, 2021
O'Neill N. Recognizing the importance of whistleblowers in healthcare. Nursing (Brux). 2021;51(4):54-56.
doi:10.1097/01.nurse.0000736912.14380.65.
https://psnet.ahrq.gov/issue/recognizing-importance-whistleblowers-healthcare
Individuals wh…
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psnet.ahrq.gov/node/40758/psn-pdf
September 07, 2011 - A review of educational strategies to improve nurses'
roles in recognizing and responding to deteriorating
patients.
September 7, 2011
Liaw SY, Scherpbier A, Klainin-Yobas P, et al. A review of educational strategies to improve nurses' roles
in recognizing and responding to deteriorating patients. Int Nurs Rev. 20…
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psnet.ahrq.gov/node/38797/psn-pdf
July 22, 2009 - Failure to recognize newly identified aortic dilations in a
health care system with an advanced electronic medical
record.
July 22, 2009
Gordon JRS, Wahls TL, Carlos RC, et al. Failure to recognize newly identified aortic dilations in a health
care system with an advanced electronic medical record. Ann Intern Med.…