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psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse
September 04, 2016 - The authors refer to this type of harm as "structural iatrogenesis."
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psnet.ahrq.gov/issue/communication-between-primary-and-secondary-care-deficits-and-danger
September 23, 2020 - Clear communication between primary care physicians and the providers to whom they refer patients has
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psnet.ahrq.gov/issue/safe-use-opioids-hospitals
February 28, 2018 - Please refer to the information link below for further details.
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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - The terms adverse events, near misses, and medical errors are used in patient safety to refer
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psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
April 01, 2008 - State the need in primary care to have a low threshold to refer for neurologic consultation. … It is challenging to create clear concrete guidelines for when a PCP should refer to a neurologist given … Overall, PCPs should have a low threshold to refer a patient for neurologic consultation especially when … PCPs should have a relatively low threshold to refer to a neurologist and improved communication and
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psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating-voice-about
June 16, 2021 - based on a general feeling that something might be wrong rather than hard evidence—what the authors refer
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psnet.ahrq.gov/issue/err-human-building-safer-health-system
July 08, 2016 - Institute of Medicine (IOM) on the quality of health care in the United States, is that one can still refer
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
February 01, 2011 - *
Case: One Toxic Drug (2)
Prior to therapy, the physician did not refer the patient for a liver … director instructed the clinic staff to discontinue the Interferon and insisted that the physician refer
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psnet.ahrq.gov/issue/silence-power-and-communication-operating-room
June 08, 2011 - a mediating factor in such failures, and this ethnographic study aimed to describe what the authors refer
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.263_slideshow.ppt
March 01, 2012 - Algorithm
*
Nurse Initiated Follow-up Call
Contact clinical pharmacist
Confirm prescription pick up
Refer … case manager / social worker if necessary
Questions regarding symptoms
Emergency: call 911
Urgent: refer
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psnet.ahrq.gov/node/33690/psn-pdf
December 01, 2009 - The
phenomenon of disruptive conduct, however, affects all medical team members and what I refer to … This is what
we refer to as the question of implicit versus explicit culture. … I also worry about what I refer to as premature disclosure and apology in circumstances where there is
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psnet.ahrq.gov/node/846563/psn-pdf
March 21, 2023 - Editor’s Note: Many resources refer to healthcare workers involved in a medical error as the “second … Because of this disagreement, we avoid the use of the term and refer to the
traumatic effects that are
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psnet.ahrq.gov/node/838222/psn-pdf
September 28, 2022 - neighborhoods related
to education, employment, transportation, and housing, those issues that we refer … a patient in the exam room and I have a nice checklist of all the quality metrics they need I can refer … Primary care needs to lead the proactive sharing of information when
we transition patients and refer
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
October 01, 2009 - contact, throwing equipment,
very threatening language
Depending on provider’s past action, might
refer
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - Summary
In summary, adverse events refer to harm from medical care rather than an underlying disease
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Editor’s Note: Many resources refer to healthcare workers involved in a medical error as the “second … Because of this disagreement, we avoid the use of the term and refer to the traumatic effects that are
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psnet.ahrq.gov/perspective/conversation-christine-cassel-md
February 26, 2025 - endorsement, which is the process that individual measurements and composite measures goes through—what you refer … That led to the decision to refer to them now as serious reportable events.
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psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - endorsement, which is the process that individual measurements and
composite measures goes through—what you refer … That led to the decision to refer to them now as
serious reportable events.
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psnet.ahrq.gov/node/33590/psn-pdf
September 15, 2024 - Although the concept of leadership has traditionally been used to refer to the top rungs of an organization
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.72_slideshow.ppt
September 01, 2004 - 10x/year
Withdrawal of life support 5x/year
Refer patients to hospice 5x/year
Christakis NA, Iwashyna