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psnet.ahrq.gov/issue/use-second-victim-experience-and-support-tool-svest-assess-impact-departmental-peer-support
December 23, 2020 - in patient safety incidents can experience adverse psychological and physiological outcomes, also referred
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psnet.ahrq.gov/issue/morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-immediate
May 19, 2021 - These events are referred to as “immediate jeopardy.”
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psnet.ahrq.gov/issue/evaluating-horizontal-violence-and-bullying-nursing-workforce-oncology-academic-medical
February 24, 2021 - researchers found a positive association between emotional, physical, verbal, and defiant behaviors—referred
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psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit
January 12, 2022 - The traditional approach to patient safety, frequently referred to as Safety-I , involved responding
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psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
March 30, 2022 - narrative review concluded that patients with AUD are frequently undiagnosed and not appropriately referred
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psnet.ahrq.gov/issue/clinical-and-financial-implications-second-opinion-surgical-pathology-review
August 04, 2021 - originating at the primary site, a comprehensive cancer center, and cases originating at affiliate sites and referred
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psnet.ahrq.gov/issue/impact-burnout-paediatric-nurses-attitudes-about-patient-safety-acute-hospital-setting
June 05, 2019 - Burnout is often referred to as a psychological syndrome, characterized by feelings of energy depletion
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psnet.ahrq.gov/issue/retrospective-cohort-study-wrong-patient-imaging-order-errors-how-many-reach-patient
February 22, 2023 - Near misses (also referred to as close calls) represent important opportunities for safety improvement
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psnet.ahrq.gov/issue/effect-race-and-sex-physicians-recommendations-cardiac-catheterization
July 15, 2020 - Analyses indicate that women and Black patients with chest pain were less likely to be referred for cardiac
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psnet.ahrq.gov/issue/medical-errors-during-training-how-do-residents-cope-descriptive-study
October 13, 2021 - providers who are involved in a medical error and feel guilt, remorse, shame, and anger are sometimes referred
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psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
October 16, 2019 - worse clinical outcomes for patients admitted to the hospital on weekends compared to weekdays—referred
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psnet.ahrq.gov/issue/interventions-support-nurses-second-victims-patient-safety-incidents-qualitative-study-nurse
November 24, 2021 - Clinicians require support (often referred to as the second victim phenomenon) after involvement in
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psnet.ahrq.gov/issue/deficiencies-care-care-coordination-and-facility-response-patient-who-died-suicide-memphis-va
December 16, 2020 - contributed to the suicide of a patient who presented at an emergency room, was screened there, and referred
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psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - The patient was then referred to a dermatologic surgeon to have his SCC excised. … The lesion excised was the one referred to as "left inferior orbit" rather than "left
cheek"—an error … However, most
patients referred from outside providers arrive with only a paper pathology report to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool8_cop_handout.docx
November 01, 2015 - All Patients
CMS has recommended that hospitals do the following to improve discharge planning, now referred
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/measures.html
June 01, 2018 - improve the efficiency of the health care delivery system by reducing use of unneeded services, often referred
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-6-attach-1.xlsx
June 01, 2012 - prescribing behavior therapy as first line treatment (eg, (eg patient with multiple psychiatric conditions referred
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapa.html
March 01, 2013 - Patients with a body mass index (BMI) of 30 kg/m2 or higher should be offered or referred to intensive
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psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
May 26, 2021 - menstrual symptoms and six years after the onset of her disabling abdominal pain and diarrhea, she was referred … The surgeon referred her to a gynecologist. … pericarditis. 16 Given this possibility of multi-organ involvement, patients with endometriosis are often referred … pain with no apparent cause (and sometimes earlier in their diagnostic journey), patients are commonly referred … systems including GI, genitourinary, peripheral nervous, and respiratory systems, patients are often referred
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psnet.ahrq.gov/issue/which-clinical-errors-lead-referral-uk-paediatricians-national-clinical-assessment-service
January 22, 2014 - that child protection cases and prescribing errors were the most common reasons pediatricians were referred