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psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - A Postpartum Woman with an Erroneous SARS-CoV-2 Test
Citation Text:
Martin SA, Kanjilal S, Schiff G. A Postpartum Woman with an Erroneous SARS-CoV-2 Test. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - SPOTLIGHT CASE
A Stroke of Error
Citation Text:
Barrett KM. A Stroke of Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - Human Factors Engineering Can Teach You How to Be Surprised Again
John Gosbee, MD, MS | November 1, 2006
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Aga…
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digital.ahrq.gov/sites/default/files/docs/citation/r13hs029275-final-report-gisondi-2023.pdf
January 01, 2023 - Precision Emergency Medicine: Setting a Research Agenda - Final Report
FINAL PROGRESS REPORT
1. TITLE PAGE
Grant Title
Precision Emergency Medicine: Setting a Research Agenda
Principal Investigator:
Michael A. Gisondi, MD
Co-Investigators:
Matthew Strehlow, MD
Holly Caretta-Weyer, MD, MHPE
Jody Vog…
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psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - Primary Care and Patient Safety: Opportunities at the
Interface
September 28, 2022
O’Malley P, McNellis B, Chew E, et al. Primary Care and Patient Safety: Opportunities at the Interface.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
Editor’s Not…
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psnet.ahrq.gov/node/836976/psn-pdf
April 27, 2022 - Intraosseous Line Extravasation in a Pediatric Trauma
Patient
April 27, 2022
Yoon J, Barnes DK. Intraosseous Line Extravasation in a Pediatric Trauma Patient. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
Disclosure of Relevant Financial Relationship…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
January 01, 2004 - decimal
point or a trailing zero.4–6 For example, a 1.0 mg dose may be misread as a 10 mg
dose and not recognized
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
January 01, 2004 - Introduction
There is no single internationally recognized taxonomy for coding ambulatory
medical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
January 01, 2004 - As a result, the Georgia
General Assembly recognized PHA’s Accountability and Health Safety (A&HS)
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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-Singh_69.pdf
April 04, 2008 - These processes are recognized to occur in a cyclical
fashion, as shown by the clockwise progression
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023613-choi-final-report-2017.pdf
January 01, 2017 - This
partnership is increasingly recognized as the optimal model for health care delivery, particularly
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/qi-strategies.html
July 01, 2021 - example from the VT Collaborative using the chart audit tool is described below:
The QI team recognized
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www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
January 01, 2024 - 5% of the time,23 despite findings of one study showing that over 70% of drug-
related problems were recognized
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psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - implementing stewardship programs, there are a number of challenges unique to dentistry that have to be recognized
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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - How important is it to have an internationally recognized champion to give these programs a face?
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psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
January 01, 2006 - And that person truly is part of the team but was never recognized that way before.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017150-lapane-final-report-2010.pdf
January 01, 2010 - physicians were not
specifically aware or knowledgeable of the term, Beers criteria drugs, although they recognized
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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - we made and developed over time with the CRM approach was very helpful in getting simulation to be recognized
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www.ahrq.gov/sites/default/files/publications2/files/takeheart-executive-summary.pdf
August 01, 2023 - TAKEheart established and led a 14-member Hybrid CR (HYCR) Workgroup of well-
respected nationally recognized … , just-in-time literature scan, and,
importantly, securing leadership of the group by a nationally recognized
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digital.ahrq.gov/sites/default/files/docs/lesson/10-0047-ef-rural.pdf
February 01, 2010 - challenges facing rural and underserved areas but highlights some key areas that are either
unique or recognized … Because many of the projects
were initiated before the introduction of nationally recognized interoperability