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psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency
August 31, 2022 - By reviewing video, audio, and patient physiologic data recorded during 24 laparoscopic surgeries,
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psnet.ahrq.gov/issue/helping-healthcare-teams-debrief-effectively-associations-debriefers-actions-and-participants
February 02, 2022 - Researchers analyzed 50 video-recorded debrief sessions to assess the interactions between debriefer
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psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample
November 04, 2020 - Of the nearly 145 million admissions recorded across 4 years, hospital-acquired conditions occurred in
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psnet.ahrq.gov/issue/detection-and-prevention-medication-misadventures-general-practice
May 13, 2020 - May 2, 2012
Routinely recorded patient safety events in primary care: a literature review
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psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
December 02, 2020 - April 18, 2012
Routinely recorded patient safety events in primary care: a literature
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psnet.ahrq.gov/issue/diagnostic-difficulty-and-error-primary-care-systematic-review
April 07, 2021 - July 31, 2013
Routinely recorded patient safety events in primary care: a literature
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - These 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/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs
June 27, 2011 - In this study, participants observed two video-recorded scenarios of a surgeon apologizing for an adverse
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psnet.ahrq.gov/issue/implementing-receiver-driven-handoffs-emergency-department-reduce-miscommunication
December 05, 2018 - Over a three-year period, this study audio-recorded handoffs of outpatient clinics to a pediatric emergency
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psnet.ahrq.gov/issue/promises-project
January 30, 2019 - The Web site provides various materials, including recorded lectures, case study videos, and tools to
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psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
April 08, 2008 - data into error types and frequency and also estimated the discrepancy rates with interpretation of recorded
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psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice
April 06, 2011 - reduce and manage errors, which entail adequate collection, organization, and analysis of reported and recorded
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psnet.ahrq.gov/issue/expressing-concern-and-writing-it-down-experimental-study-investigating-transfer-information
November 17, 2014 - In the recorded handovers, information was transferred either as a simple statement, as spoken information
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psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
June 03, 2020 - to prospectively detect adverse events in the hospital, regardless of whether they were subsequently recorded
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psnet.ahrq.gov/issue/what-causes-near-misses-and-how-are-they-mitigated
April 16, 2008 - 2021
Understanding the types and effects of clinical interruptions and distractions recorded
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psnet.ahrq.gov/issue/prospective-controlled-trial-electronic-hand-hygiene-reminder-system
April 07, 2021 - Overall hand hygiene compliance rates were quite low: recorded handwashing occurred in only about one-third
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psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
June 23, 2015 - A detailed table in the paper presents the number and types of events recorded.
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psnet.ahrq.gov/issue/effectiveness-community-collaborative-eliminating-use-high-risk-abbreviations-written
May 25, 2010 - 2022
Understanding the types and effects of clinical interruptions and distractions recorded
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psnet.ahrq.gov/issue/improving-pediatric-electronic-health-record-usability-and-safety-through-certification-seize
November 28, 2018 - 2022
Understanding the types and effects of clinical interruptions and distractions recorded
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psnet.ahrq.gov/issue/medication-dose-calculation-errors-and-other-numeracy-mishaps-hospitals-analysis-nature-and
May 11, 2022 - 2019
Understanding the types and effects of clinical interruptions and distractions recorded