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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
-
psnet.ahrq.gov/issue/assessing-national-electronic-injury-surveillance-system-cooperative-adverse-drug-event
February 27, 2019 - An editorial note suggests that this reporting system may represent an important, ongoing resource for
-
psnet.ahrq.gov/issue/content-analysis-nurses-reflections-medication-errors-regional-hospital
December 23, 2020 - , nature of the work, and physical environment factors were identified as contributing to MAE and represent
-
psnet.ahrq.gov/issue/interventions-improve-follow-laboratory-test-results-pending-discharge-systematic-review
May 19, 2021 - Test results pending at the time of hospital discharge can lead to a delay in diagnosis and represent
-
psnet.ahrq.gov/issue/development-and-validation-brief-culture-safety-survey
May 26, 2021 - participating healthcare organizations to evaluate their patient safety culture, but surveys can represent
-
psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
February 16, 2022 - Handoffs between inpatient care settings represent a vulnerable time for patients.
-
psnet.ahrq.gov/issue/ensuring-effective-care-transition-communication-implementation-electronic-medical-record
July 12, 2023 - Care transitions and handoffs represent a vulnerable time for patients, as failure to communicate important
-
psnet.ahrq.gov/issue/hospital-admissions-due-adverse-drug-reactions-report-boston-collaborative-drug-surveillance
March 01, 2023 - events from a single drug requiring hospitalization are uncommon, adverse drug reactions as a category represent
-
psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-validate-adverse
April 29, 2020 - offer an efficient method of identifying potential adverse events (AE) but only if they accurately represent
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psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey
November 13, 2024 - often missed, are largely based on autopsy studies and data from malpractice claims , which may over-represent
-
psnet.ahrq.gov/node/46435/psn-pdf
August 20, 2018 - The authors state that their findings represent opportunities to improve
communication-and-resolution
-
psnet.ahrq.gov/node/47452/psn-pdf
December 27, 2018 - preventable-proportion-healthcare-associated-infections-2005-2016-
systematic-review-and-meta
Health care–associated infections (HAIs) represent
-
psnet.ahrq.gov/node/45769/psn-pdf
December 21, 2016 - These
findings represent substantial progress and support the success of incentives designed to eliminate
-
psnet.ahrq.gov/node/45681/psn-pdf
January 25, 2017 - economic-evaluation-quality-improvement-interventions-bloodstream-
infections-related-central
Central line–associated bloodstream infections (CLABSIs) represent
-
psnet.ahrq.gov/node/46599/psn-pdf
August 20, 2018 - effect-standardized-handoff-curriculum-improved-clinician-preparedness-
intensive-care-unit
Handoffs represent
-
psnet.ahrq.gov/node/45483/psn-pdf
March 20, 2018 - impact-initial-hospital-diagnosis-mortality-acute-myocardial-infarction-national-
cohort-study
Although diagnostic errors represent
-
psnet.ahrq.gov/issue/medical-disrespect
September 27, 2023 - View More
Related Resources
Raising the index of suspicion: red flags that represent
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psnet.ahrq.gov/issue/getting-beyond-blame-your-practice
March 17, 2021 - December 3, 2018
Raising the index of suspicion: red flags that represent credible threats
-
psnet.ahrq.gov/node/45156/psn-pdf
June 22, 2017 - workarounds was associated with new potential safety risks, but the authors note that
workarounds often represent
-
psnet.ahrq.gov/node/44064/psn-pdf
November 03, 2015 - Hospital-acquired conditions, which represent
preventable complications, are likely a more sensitive