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psnet.ahrq.gov/node/47206/psn-pdf
January 01, 2021 - Understanding the types and effects of clinical
interruptions and distractions recorded in a multihospital … Understanding the Types and Effects of Clinical Interruptions
and Distractions Recorded in a Multihospital … https://psnet.ahrq.gov/issue/understanding-types-and-effects-clinical-interruptions-and-distractions-
recorded … https://psnet.ahrq.gov/issue/understanding-types-and-effects-clinical-interruptions-and-distractions-recorded … https://psnet.ahrq.gov/issue/understanding-types-and-effects-clinical-interruptions-and-distractions-recorded
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psnet.ahrq.gov/node/40789/psn-pdf
February 10, 2012 - Routinely recorded patient safety events in primary care:
a literature review. … Routinely recorded patient safety events in primary care: a literature review. … https://psnet.ahrq.gov/issue/routinely-recorded-patient-safety-events-primary-care-literature-review … https://psnet.ahrq.gov/issue/routinely-recorded-patient-safety-events-primary-care-literature-review
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psnet.ahrq.gov/issue/routinely-recorded-patient-safety-events-primary-care-literature-review
April 18, 2012 - Review
Routinely recorded patient safety events in primary care: a literature review … Routinely recorded patient safety events in primary care: a literature review. … Routinely recorded patient safety events in primary care: a literature review.
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psnet.ahrq.gov/issue/understanding-types-and-effects-clinical-interruptions-and-distractions-recorded
February 22, 2019 - Understanding the types and effects of clinical interruptions and distractions recorded … Understanding the Types and Effects of Clinical Interruptions and Distractions Recorded in a Multihospital … Understanding the Types and Effects of Clinical Interruptions and Distractions Recorded in a Multihospital
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psnet.ahrq.gov/node/49790/psn-pdf
April 01, 2017 - Diagnosis of true drug allergy is challenging and
patients have often had adverse drug reactions recorded … Even in systems where specific codes are not used, implicit details need to be
recorded in order to … suggestive of an immunoglobulin
E–mediated mechanism and should have been considered allergic and recorded … should expect and anticipate that both adverse drug reactions and allergies to drugs are
appropriately recorded … Drug allergy status should be recorded on all written communication regarding the patient between
health
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psnet.ahrq.gov/node/44427/psn-pdf
October 13, 2015 - Using the test case example of a diabetes
diagnosis for any patient that had a recorded hemoglobin A1c … A prior AHRQ WebM&M commentary illustrates a patient care
issue that arose due to an inaccurately recorded
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psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
August 21, 2005 - a drug is prescribed, dispensed, or administered.( 1 ) Wherever possible, drug allergies should be recorded … Diagnosis of true drug allergy is challenging and patients have often had adverse drug reactions recorded … Even in systems where specific codes are not used, implicit details need to be recorded in order to allow … is suggestive of an immunoglobulin E–mediated mechanism and should have been considered allergic and recorded … Drug allergy status should be recorded on all written communication regarding the patient between health
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psnet.ahrq.gov/node/36393/psn-pdf
May 20, 2024 - Medication
errors were the highest recorded sentinel event in the latest period.
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psnet.ahrq.gov/training-catalog/medical-mistakes-and-what-doctors-can-learn-pilots
July 21, 2025 - American Academy of Ophthalmology
Event Description: Previously-recorded
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psnet.ahrq.gov/node/72557/psn-pdf
December 09, 2020 - The researchers analyzed over 250 video recorded medical visits to characterize such
communication.
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psnet.ahrq.gov/issue/text-mining-approach-categorize-patient-safety-event-reports-medication-error-type
December 07, 2022 - 2024
Understanding the types and effects of clinical interruptions and distractions recorded … 2019
Understanding the types and effects of clinical interruptions and distractions recorded
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psnet.ahrq.gov/node/38582/psn-pdf
May 22, 2023 - The 2022
numbers document an increase in serious reportable events recorded in acute care hospitals,
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psnet.ahrq.gov/node/867758/psn-pdf
March 12, 2025 - potential weaknesses in large administrative databases –
weaknesses inherent in data submitted to, and recorded
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psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success
April 29, 2018 - Using the test case example of a diabetes diagnosis for any patient that had a recorded hemoglobin A1c … A prior AHRQ WebM&M commentary illustrates a patient care issue that arose due to an inaccurately recorded
-
psnet.ahrq.gov/node/61124/psn-pdf
November 11, 2020 - This news story discusses an examination of
public use of a patient-complaint hashtag that recorded
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psnet.ahrq.gov/node/37591/psn-pdf
November 10, 2011 - commentary-sentinel-serious-events-reported-district-health-boards-200607
This report releases information about serious medical errors and preventable deaths recorded
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psnet.ahrq.gov/node/853251/psn-pdf
July 19, 2024 - The July 2024 report summarized data collected from over 25,000
cases recorded.
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psnet.ahrq.gov/node/74104/psn-pdf
November 24, 2021 - Using natural language processing, researchers analyzed ten audio-recorded change of
shift handoffs
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psnet.ahrq.gov/node/37642/psn-pdf
March 26, 2008 - patients attending a family medicine clinic reported a medication allergy history different
from that recorded
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psnet.ahrq.gov/node/35430/psn-pdf
September 24, 2016 - interruptive-communication-patterns-intensive-care-unit-ward-round
The investigators observed intensive care staff and recorded