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psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - "
referring to actions committed at the "sharp end" by individuals, and "latent conditions," which represent … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/865698/psn-pdf
April 24, 2024 - Using agency nurses and nurses that float between departments is not new; such nurses typically
represent … In addition, travel nurses
represent, on average, about 3–4% of hospitals’ overall nurse staffing.8
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psnet.ahrq.gov/web-mm/central-not-epidural
August 28, 2024 - Although independent double checks may represent a big disruption to an already stressed work force, … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - In this construct, slips represent failures of schematic behaviors, or lapses in concentration, and occur … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - In many cases, these workarounds represent reasonable adaptations due to problems with the design and … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - Unfortunately, however, analgesics also represent a frequent cause of adverse drug events (ADEs).( 2,3 … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/49824/psn-pdf
March 01, 2018 - These changes likely represent a response to treatment
provided by EMS, such as rest, oxygen, aspirin … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/mark-my-tooth
June 01, 2014 - frequent form of active failure in wrong-site tooth extractions, whereas communication and training represent … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - Take-Home Points
Wrong-site errors are considered never events and represent a core patient safety problem … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - These data suggest that office-based surgery does not
represent a substantial hazard to patients, and … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/49443/psn-pdf
May 01, 2004 - Cancelling surgery would inconvenience the patient's family and represent a potential
revenue loss for … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - Background
Rapid response teams represent an intuitively simple concept: When a patient demonstrates
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psnet.ahrq.gov/node/866812/psn-pdf
September 25, 2024 - Patient perspectives on adverse event investigations in
health care.
September 25, 2024
Dijkstra-Eijkemans RI, Knap LJ, Elbers NA, et al. Patient perspectives on adverse event investigations in
health care. BMC Health Serv Res. 2024;24(1):1044. doi:10.1186/s12913-024-11522-x.
https://psnet.ahrq.gov/issue/patient-p…
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - referring to actions committed at the "sharp end" by individuals, and " latent conditions ," which represent … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/x-ray-flip
August 10, 2019 - has stated that between 70%-80% of errors result from human factors.( 8,9 ) Human factors, however, represent … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/840255/psn-pdf
November 16, 2022 - Recognizing that the patient and care partner represent the constant elements of the patient journey, … processes in which optimal
patient safety is at the forefront, especially during care transitions, which represent
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psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - Take-Home Points Wrong-site errors are considered never events and represent a core patient safety … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
September 27, 2023 - recent study of malpractice claims suggests that infections, and particularly those resulting in sepsis, represent … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/primer/detection-safety-hazards
March 30, 2022 - (In the emergency department, naloxone use would more likely represent treatment of a self-inflicted … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/860049/psn-pdf
January 04, 2024 - Commentary
By Zachary Chaffin, MD
Background
Children and youth with special healthcare needs (CYSHCN) represent … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent