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psnet.ahrq.gov/node/44180/psn-pdf
June 21, 2015 - Ken Kizer, former CEO of the National Quality Forum (NQF), the term was
originally intended to refer … the term originated
with the NQF, there are now several different organizations that use the term to refer
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psnet.ahrq.gov/issue/preventing-accidents-and-injuries-mri-suite
July 18, 2024 - Please refer to the information link below for further details.
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psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
June 01, 2016 - Ken Kizer, former CEO of the National Quality Forum (NQF), the term was originally intended to refer … the term originated with the NQF, there are now several different organizations that use the term to refer
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psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system-failures
July 31, 2023 - Please refer to the full-text link below for further information.
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psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
May 27, 2020 - Please refer to the information link below for further details.
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psnet.ahrq.gov/issue/using-medication-reconciliation-prevent-errors
March 27, 2024 - Please refer to the information link below for further details.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
January 01, 2020 - screening neurologic exam in primary care
Discuss the need in primary care to have a low threshold to refer … posture, turning)
Tandem gait
21
Referral to Neurology
Creating clear guidelines for when a PCP should refer … neurologic conditions and their varied presentations is challenging
PCPs should have a low threshold to refer … medicine clinics may help to overcome errors in diagnosis
PCPs should have a relatively low threshold to refer
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psnet.ahrq.gov/issue/preventing-vincristine-administration-errors
June 16, 2019 - Please refer to the information link below for further details.
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psnet.ahrq.gov/issue/patient-controlled-analgesia-proxy
March 20, 2019 - Please refer to the information link below for further details.
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psnet.ahrq.gov/node/47843/psn-pdf
March 06, 2019 - The authors refer to this type of
harm as "structural iatrogenesis."
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psnet.ahrq.gov/glossary/latent-error-or-latent-condition
September 13, 2021 - Latent errors (or latent conditions) refer to less apparent failures of organization or design that contributed
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psnet.ahrq.gov/node/34851/psn-pdf
December 23, 2016 - Please refer to the information link below for further details.
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psnet.ahrq.gov/node/50795/psn-pdf
January 15, 2020 - that
contributed to the diagnostic errors: insufficient assessment (e.g., failure to order imaging or refer
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psnet.ahrq.gov/node/37573/psn-pdf
December 23, 2016 - Please refer to the information link below for further details.
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psnet.ahrq.gov/node/35202/psn-pdf
December 23, 2016 - Please
refer to the information link below for further details.
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psnet.ahrq.gov/node/35686/psn-pdf
December 23, 2016 - Please refer to the information link below for further
details.
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psnet.ahrq.gov/issue/follow-report-preventing-suicide-focus-medicalsurgical-units-and-emergency-department
March 25, 2025 - Please refer to the information link below for further details.
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psnet.ahrq.gov/issue/detecting-and-treating-suicide-ideation-all-settings
March 25, 2025 - Please refer to the information link below for further details.
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psnet.ahrq.gov/glossary/active-error-or-active-failure
September 13, 2021 - Latent errors (or latent conditions), in contrast, refer to less apparent failures of organization or
-
psnet.ahrq.gov/node/34128/psn-pdf
December 23, 2016 - Please refer to the information link below for
further details.