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psnet.ahrq.gov/node/33784/psn-pdf
April 01, 2015 - conversation-withatul-gawande-md-ma-mph
mandated either the use of surgical safety checklists, or at least reporting
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psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
February 26, 2025 - So a reporting system is then used by lower levels in the hierarchy to strong-arm higher levels in the
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psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - Contact the person reporting the event to gather a more complete representation of the what, when,
and
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psnet.ahrq.gov/node/33706/psn-pdf
February 01, 2011 - But this was in the era before public reporting and
pay-for-performance.
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psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - This starts with someone recognizing the error, reporting it, and then the health
system acting upon
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - Safety Risks Associated with Medication Errors
The National Coordinating Council for Medication Error Reporting
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psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
June 01, 2017 - 2023
Use of an audit with feedback implementation strategy to promote medication error reporting
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - could include support and further development of state registries for cataloguing POLST forms, public reporting
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - prospective payment system and consolidated billing for skilled nursing facilities; updates
to the quality reporting
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - (ii) More accurate reporting of the patient's voiding history was needed.
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - Table 3), unbound phenytoin concentrations more closely correlate with clinical status.( 8 ) Thus, reporting
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - Sustaining This Innovation
Continue monitoring, reporting on program impact: To sustain support,
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - has "enabled the functionality for drug–drug and drug–allergy interaction checks for the entire EHR reporting
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psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - Clinical Safety and Effectiveness Course
February 1, 2011
Mobile physician reporting
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psnet.ahrq.gov/web-mm/ebola-are-we-ready
July 01, 2012 - June 1, 2011
Associations between hospital characteristics, measure reporting, and the
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psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
January 23, 2017 - report all errors associated with PN internally and externally (through the ISMP Medication Errors Reporting
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psnet.ahrq.gov/web-mm/hypoxic-gas-supply-cross-connected-pipelines
February 05, 2020 - February 5, 2020
Barriers and facilitators to incident reporting in mental healthcare
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - message would include key information as follows: “This patient with borderline personality disorder is reporting
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - Nurses' perception of medication administration errors and factors associated with their reporting