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psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
October 15, 2014 - This prospective study recorded the rate and potential for harm caused by errant medication orders at
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psnet.ahrq.gov/issue/claiming-behaviour-no-fault-system-medical-injury-descriptive-analysis-claimants-and-non
March 28, 2011 - patient injury compensation data in New Zealand and found that few patients sought compensation for the recorded
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psnet.ahrq.gov/issue/medical-errors-disclosure-styles-interpersonal-forgiveness-and-outcomes
June 14, 2017 - Using video-recorded vignettes with professional actors, this study found patients were more likely to
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psnet.ahrq.gov/issue/measuring-team-hierarchy-during-high-stakes-clinical-decision-making-development-and
April 05, 2023 - In this study, teams of first-year residents and nurses participating in a training session were recorded
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psnet.ahrq.gov/issue/safety-patients-isolated-infection-control
January 15, 2020 - Examples of the reported differences in care quality included absence of accurately recorded vital signs
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psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
July 07, 2021 - Using natural language processing, researchers analyzed ten audio-recorded change of shift handoffs to
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psnet.ahrq.gov/issue/hospital-admissions-due-adverse-drug-reactions-report-boston-collaborative-drug-surveillance
March 01, 2023 - the concern for the impact of adverse drug reactions on hospital morbidity and costs, this study recorded
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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - might include paper-based reporting, online reporting, email reporting, and
even phone calls to a recorded … To derive benefit from a close call, such as the one in this case, it must be recorded or identified, … They
represent a common, readily recorded, and relatively painless way to detect hazards. … To derive benefit from a close call, it must be recorded, analyzed, something must be done about it,
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psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
April 24, 2024 - Upon further review it was determined that the EKG recorded was from a patient in the medical intensive … care unit (MICU) but had been recorded in the wrong patient chart. … issue all involved errors in patient identification entry, which resulted in mismatches between the recorded
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psnet.ahrq.gov/issue/development-infusion-pump-safety-score
January 06, 2017 - how a large health care system developed a scoring system to analyze the appropriateness of alerts recorded
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psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room
July 25, 2012 - The observational team carefully followed and recorded events from 10 general surgery cases.
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psnet.ahrq.gov/issue/experimental-study-nurse-physician-relationships
July 14, 2010 - Nurses' responses were recorded, and, subsequently, the nurses were interviewed regarding their perception
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psnet.ahrq.gov/issue/adverse-events-experienced-while-transferring-critically-ill-patient-emergency-department
November 13, 2024 - prospective observation with retrospective chart review to characterize the type and nature of events recorded
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psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-practices
August 14, 2019 - 2018
Understanding the types and effects of clinical interruptions and distractions recorded
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psnet.ahrq.gov/issue/connecting-dots-leveraging-visual-analytics-make-sense-patient-safety-event-reports
May 29, 2024 - 2024
Understanding the types and effects of clinical interruptions and distractions recorded
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psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals
July 23, 2014 - 2019
Understanding the types and effects of clinical interruptions and distractions recorded
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psnet.ahrq.gov/issue/patient-safety-risk-management-playbook
February 17, 2016 - 2022
Understanding the types and effects of clinical interruptions and distractions recorded
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psnet.ahrq.gov/issue/influence-doctor-patient-conversations-behaviours-patients-presenting-primary-care-new-or
February 17, 2021 - This qualitative study recorded videos of patient–physician interactions and found that 31% of the time
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psnet.ahrq.gov/issue/evaluation-communication-and-safety-behaviors-during-hospital-wide-code-response-simulation
February 23, 2022 - team communication behavior, clinicians at this institution participated in interprofessional video-recorded
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psnet.ahrq.gov/issue/focused-team-engagements-enhance-interprofessional-collaboration-and-safety-behaviors-among
March 02, 2022 - Sessions consisted of a pre-recorded scenario of a safety event resulting in a patient's death followed