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psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues
November 06, 2019 - Congressional Testimony
Oversight Hearing on Recent Patient Safety Issues.
Citation Text:
Oversight Hearing on Recent Patient Safety Issues. U.S. Department of Veterans Affairs. Hearing before the Committee on Veterans’ Affairs, House of Representatives, Subcommittee on Oversight and…
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psnet.ahrq.gov/issue/prospective-study-evaluate-awareness-about-medication-errors-amongst-health-care-personnel
May 17, 2018 - Study
A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India.
Citation Text:
Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors amongst health-c…
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psnet.ahrq.gov/node/74267/psn-pdf
January 19, 2022 - Support opportunities for second victims lessons
learned: a qualitative study of the top 20 US News and
World Report Honor Roll Hospitals.
January 19, 2022
Marr R, Goyal A, Quinn M, et al. Support opportunities for second victims lessons learned: a qualitative
study of the top 20 US News and World Report Honor Rol…
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psnet.ahrq.gov/web-mm/feeling-no-pain
August 30, 2023 - The context of care categories are represented as concentric circles with the care providing systems
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psnet.ahrq.gov/node/33884/psn-pdf
July 01, 2019 - When the patient is not adequately represented by the data that
the machine learning system was trained
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psnet.ahrq.gov/node/72587/psn-pdf
December 23, 2020 - Although infants under six months of age represented only
7% of patients in the Wake-Up Safe database
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psnet.ahrq.gov/web-mm/crossing-borderline
June 01, 2022 - BPD, it seems far more likely that the patient’s expectation of a positive home visit on her birthday represented
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psnet.ahrq.gov/node/49818/psn-pdf
January 01, 2018 - Because the colonoscopy represented the second step in the colon cancer screening process after a
positive
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - This figure represented an underestimate of the true proportion, since it included residents
completing
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psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
December 23, 2012 - Congressional Testimony
Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm.
Citation Text:
Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. US House of Representatives Committee on Veterans Affairs Subco…
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psnet.ahrq.gov/web-mm/amphotericin-toxicity
April 01, 2014 - Thus, the administered dose represented a 5-fold overdose.
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psnet.ahrq.gov/node/46118/psn-pdf
December 20, 2017 - Predictors of in-hospital postoperative opioid overdose
after major elective operations: a nationally
representative cohort study.
December 20, 2017
Cauley CE, Anderson G, Haynes AB, et al. Predictors of In-hospital Postoperative Opioid Overdose After
Major Elective Operations: A Nationally Representative Cohort S…
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psnet.ahrq.gov/node/43085/psn-pdf
March 26, 2014 - A prospective study to evaluate awareness about
medication errors amongst health-care personnel
representing North, East, West Regions of India.
March 26, 2014
Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors
amongst health-care personnel representing North, E…
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - Because the colonoscopy represented the second step in the colon cancer screening process after a positive
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psnet.ahrq.gov/node/35742/psn-pdf
July 15, 2010 - Physician evaluation after medical errors: does having a
computer decision aid help or hurt in hindsight?
July 15, 2010
Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help
or hurt in hindsight? Med Decis Making. 2006;26(1):48-56.
https://psnet.ahrq.gov/issue/physi…
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - But it would have represented further overdiagnosis, and she may have received a stent and been started
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psnet.ahrq.gov/node/47760/psn-pdf
February 06, 2019 - AHRQ National Scorecard on Hospital-Acquired
Conditions Updated Baseline Rates and Preliminary
Results 2014–2017.
February 6, 2019
Rockville, MD: Agency for Healthcare Research and Quality; January 2019.
https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-
and-…
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psnet.ahrq.gov/web-mm/triage-time-bomb
September 01, 2008 - The decision of the charge nurse may have represented a failure of communication between the two nurses
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psnet.ahrq.gov/web-mm/forgotten-radiographic-read
June 07, 2016 - concluded that the delay in diagnosis of internal mesenteric artery dissection and bowel infarction represented
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psnet.ahrq.gov/node/49459/psn-pdf
September 01, 2004 - successful completion of
a previous step, or when the point at which to resume the task is not clearly represented