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psnet.ahrq.gov/issue/errors-diagnosis-spinal-epidural-abscesses-era-electronic-health-records
April 24, 2018 - Diagnostic error is increasingly recognized as a major source of patient harm.
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psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
February 01, 2017 - High-alert medications are a recognized focus of efforts to improve medication safety.
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psnet.ahrq.gov/issue/potentially-dangerous-confusion-between-bloxiverz-neostigmine-injection-and-vazculep
July 08, 2015 - March 23, 2015
Misunderstanding prescription drug labels is a recognized source of errors in
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psnet.ahrq.gov/issue/hard-talk-dealing-disruptive-physician
April 24, 2018 - Disruptive behavior is a recognized threat to patient safety.
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psnet.ahrq.gov/issue/johns-hopkins-hospital-identifying-and-addressing-risks-and-safety-issues
January 06, 2017 - Johns Hopkins has been recognized for their efforts toward transparency, innovation, and successful engagement
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psnet.ahrq.gov/issue/measuring-nursing-error-psychometrics-misscare-and-practice-and-professional-issues-items
October 17, 2012 - Missed nursing care is recognized as an emerging patient safety issue.
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2013
February 25, 2013 - Top Performers are recognized by meeting three 95% performance thresholds; 1099 hospitals were identified
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psnet.ahrq.gov/node/41458/psn-pdf
June 19, 2012 - Furthermore, in these cases nearly 70% of providers recognized that the
criteria were met and 76% were
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psnet.ahrq.gov/node/37387/psn-pdf
January 10, 2017 - Their efforts at Beth Israel Deaconess Medical Center
were recognized as the organization received one
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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
https://psnet.ahrq.gov//#5
https://psnet.ahrq.gov
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/intimate-partner-violence-and-abuse-of-elderly-and-vulnerable-adults-screening-october-2018
August 25, 2016 - The population of interest is specified as adults and adolescents without recognized signs or symptoms … The population of interest is specified as older and vulnerable adults without recognized signs or symptoms … male and female, including older and vulnerable adults) presenting for primary care services without recognized … years) and vulnerable a adult (age ≥18 years) populations presenting for primary care services without recognized
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psnet.ahrq.gov/issue/listen-me-i-really-am-sick-patient-and-family-narratives-clinical-deterioration-and-during
June 25, 2018 - emergency teams (METs) are activated before clinical deterioration, or as soon as deterioration is recognized
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - time, the right documentation, for the
right reason and the right response.4-7 The nurse should have recognized … The nurse should also have recognized that this
dose of lorazepam is inappropriate for anxiety, which … night nurse did not consistently assess the
patient’s response to the medication, or they would have recognized
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digital.ahrq.gov/2005-annual-conference
January 01, 2005 - Leavitt is widely recognized as a health care innovator and welfare reformer. … A recognized expert in health care quality and efficiency, Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
January 01, 2004 - Introduction
In To Err Is Human, the Institute of Medicine (IOM) recognized that error-
reporting … Our first study, completed in January 2001, taught us that physicians
recognized many errors and were … This study was an early
foray into describing the spectrum of errors recognized by physicians in primary … The aim was to describe testing process errors recognized by
family physicians and their office staffs … The IOM recognized the
tension between the public’s demand for transparency and the health system’s
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
April 14, 2008 - postmarketing safety surveillance system utilizing electronic
health care data systems.1 The FDA has recognized … Because of the recognized chance of certain medications to
increase the risk of injurious falls in the … Recently, the Centers for Medicare & Medicaid Services (CMS) also recognized the usefulness
of large-scale … Recent patient safety initiatives have recognized the importance of patient
medication assessments in … This is a
recognized limitation of the current FDA drug approval process, noted in a recent IOM report
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - Patient safety pioneers recognized early that communication and culture were key to creating safer, error-free … lapse, or mistake
At-risk behavior—Choosing to behave in a way that increases risk, where risk is not recognized … become integrated into routine daily and weekly workflows, the process of improving safety will become a recognized
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psnet.ahrq.gov/issue/how-can-criminal-law-support-provision-quality-healthcare
December 19, 2018 - examines how principles from English criminal and civil law can be applied to health care situations where recognized
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psnet.ahrq.gov/issue/innovative-use-electronic-health-record-support-harm-reduction-efforts
July 31, 2013 - Services no longer reimburses hospitals for certain hospital-acquired conditions —an increasingly recognized
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psnet.ahrq.gov/issue/framing-clinical-information-affects-physicians-diagnostic-accuracy
November 02, 2011 - Cognitive biases are widely recognized as playing an important role in diagnostic error .