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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - Of course, some of these may represent patient safety issues if,
for example, a sedating medication
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psnet.ahrq.gov/primer/disclosure-errors
September 15, 2024 - solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/863762/psn-pdf
March 14, 2024 - Diagnostic Excellence: a Patient Safety Awareness Week
Webinar.
March 6, 2024
Institute for Healthcare Improvement. March 14, 2024.
https://psnet.ahrq.gov/issue/diagnostic-excellence-patient-safety-awareness-week-webinar
Diagnostic safety is core to care without harm. This webinar aligned with the 2024 Patient Saf…
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psnet.ahrq.gov/web-mm/or
August 22, 2013 - These represent common and recurrent elements in unanticipated adverse events.( 1 ) As a practicing anesthesiologist … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/dressed-failure
September 01, 2011 - These previous visits represent important missed opportunities to prevent this potentially life-threatening … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - provided by the AAP are based on expert opinion rather than good data that the treatment thresholds 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/reaction-dye
March 01, 2007 - Additionally, most adverse reactions to iodinated contrast material do not represent true allergic reactions … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/49547/psn-pdf
October 01, 2007 - Given this standard, it is likely that this case would
represent a sentinel event in the Joint Commission's … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/preventable-rash
October 01, 2012 - It is estimated that STD cases reported to CDC represent only 50%-80% of reportable STD infections in … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
May 01, 2017 - Nearly 50% of patients experience pneumoperitoneum, which does not usually represent an intra-abdominal … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/over-counter-oversight
March 21, 2009 - thrombosis, and the risks of postoperative cardiovascular complications, patients undergoing surgery 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/haste-makes-care-unsafe
January 07, 2015 - remaining was experienced enough to recognize the permanently wedged PA catheter is unknown, but this could 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/discontinued-medications-are-they-really-discontinued
January 05, 2017 - The Commentary Transitions of care represent a period of increased vulnerability for patients, 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/reconciling-doses
August 14, 2017 - Implementing a medication reconciliation process may represent a change in work flow, requiring more … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - These recommendations represent a common sense approach to preventing many wrong patient errors and have … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
January 31, 2011 - more than half of follow-up radiographs after insertion of a PEG tube ( 10 ), some of these cases do represent … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/49455/psn-pdf
July 01, 2004 - https://psnet.ahrq.gov//#table
and well-appearing patients with normal neurological examinations 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/infused-not-ingested
February 01, 2017 - mechanism to improve the quality and safety of care, practical aspects of nurse scheduling and competencies represent … solely responsible for this report’s contents, findings, and conclusions, which do not necessarily represent
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psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - However, optimal protocols regarding notification of "panic" values represent a complicated issue in … solely
responsible for this report’s contents, findings, and conclusions, which do not necessarily represent