-
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.
-
psnet.ahrq.gov/issue/petty-dangerous-disruptive-doctors-watch-out
March 07, 2018 - Disruptive behavior among clinicians is a recognized problem that can hinder teamwork and detract
-
psnet.ahrq.gov/node/46493/psn-pdf
January 24, 2019 - four-states-robust-prescription-drug-monitoring-programs-reduced-opioid-
dosages
The opioid epidemic is a well-recognized
-
psnet.ahrq.gov/node/42693/psn-pdf
December 23, 2016 - Despite being
long recognized as a critical—and preventable—error, RFOs continue to occur, with nearly
-
psnet.ahrq.gov/node/46491/psn-pdf
August 20, 2018 - Hierarchy and poor communication are well-recognized barriers that prevent team members from speaking
-
psnet.ahrq.gov/node/40562/psn-pdf
July 03, 2014 - an
accompanying editorial [see link below] highlights how malpractice risk is increasing and under-recognized
-
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
-
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
-
www.ahrq.gov/patient-safety/resources/simulation-issue-brief4.html
July 01, 2024 - always reported, and sometimes the compensatory activities become so normalized that they are not even recognized
-
digital.ahrq.gov/ahrq-funded-projects/improving-laboratory-monitoring-community-practices-randomized-trial/annual-summary/2010
January 01, 2010 - therapy and the timely management of abnormal results of laboratory testing have been increasingly recognized … Physicians in community practices recognized the potential of computerized alerts to enhance their monitoring
-
psnet.ahrq.gov/node/42039/psn-pdf
December 31, 2014 - unintended consequences have also emerged, and the potential
for health IT to cause harm is now well recognized
-
psnet.ahrq.gov/node/43987/psn-pdf
March 25, 2015 - patient engagement could improve
safety, as failure to appropriately follow up on test results is a recognized
-
psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - – Indeed, infection has recently been described “as a common, though under-recognized,
precipitating … (3)
• Early recognition continues to be important for survival of patients with sepsis.10,11
• If recognized … not in lieu
of those data.
23
Failure to Identify and Target Early Sepsis (4)
• If sepsis is recognized … • 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
-
psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
January 25, 2023 - Despite being long recognized as a critical—and preventable—error, RFOs continue to occur, with nearly
-
psnet.ahrq.gov/issue/getting-diagnosis-wrong
January 20, 2021 - December 2, 2015
Once easily recognized, signs of measles now elude young doctors.
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology7.html
April 01, 2025 - Since a diagnosis cannot be missed unless at some point it is recognized, the term implies that the diagnosis … that is generally hazardous but is not related to a specific patient is a latent safety threat, or, if recognized
-
www.ahrq.gov/ncepcr/reports/grants-transform/key-characteristics.html
March 01, 2017 - Recognized as a NCQA PCMH Level 3 in 2010. … and technology; and changes to physician reimbursements
In 2007, four primary care practices were recognized … by the NCQA as Level 3 PCMHs, five were recognized as Level 2, and four did not seek recognition.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/pa-spread-impact.pptx
September 01, 2014 - Residency FQHC/RHC Other Missing 296 175 32 20 19 14
Provider Survey Demographics
Practice Size
NCQA Recognized … Yes No Missing 107 418 31
Sales Yes No Missing 194 334 28
Provider Survey Results
Plans to Be PCMH Recognized … Differences
No statistical difference in needs/wants based on:
Practice size
Practice type
Non-PCMH recognized
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/appa.html
October 01, 2015 - Recognized as a NCQA PCMH Level 3 in 2010. … and technology; and changes to physician reimbursements
In 2007, four primary care practices were recognized … by the NCQA as Level 3 PCMHs, five were recognized as Level 2, and four did not seek recognition.
-
integrationacademy.ahrq.gov/about/academy-team
February 01, 2025 - their knowledge of and shared commitment to behavioral health integration, the NIAC is now nationally recognized