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psnet.ahrq.gov/issue/patient-perspectives-adverse-event-investigations-health-care
December 18, 2024 - Study
Patient perspectives on adverse event investigations in health care.
Citation Text:
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.
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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
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psnet.ahrq.gov/node/49504/psn-pdf
March 01, 2006 - Such
hematomas represented nearly one-third of reported sequelae.
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - The Commentary
At first glance, the problem represented by this case seems trivially obvious.
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psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - About one-third of these errors led to an observed harm, and 24% represented labeling errors, the most
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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/node/43928/psn-pdf
April 08, 2018 - Missed diagnoses of acute myocardial infarction in the
emergency department: variation by patient and facility
characteristics.
April 8, 2018
Moy E, Barrett M, Coffey R, et al. Missed diagnoses of acute myocardial infarction in the emergency
department: variation by patient and facility characteristics. Diagnosis …
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psnet.ahrq.gov/node/47117/psn-pdf
November 16, 2018 - Using a pediatric trigger tool to estimate total harm
burden hospital-acquired conditions represent.
November 16, 2018
Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm
Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf. 2018;3(3):e081.
doi:10.1097/p…
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - stakeholder communities, and begins to rationalize both substantively and electronically
how things are represented
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psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-system-capability
September 30, 2020 - Commentary
From HRO to HERO: making health equity a core system capability.
Citation Text:
Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability. Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020.
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psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary-0
October 23, 2019 - Book/Report
AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017.
Citation Text:
AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Rockville, MD: Agency for Healthc…
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psnet.ahrq.gov/perspective/emerging-safety-issues-artificial-intelligence
February 20, 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/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
May 27, 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/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - Her lack of prenatal care represented a missed opportunity to get an early ultrasound for pregnancy dating
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psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top-20-us-news-and
May 19, 2021 - Study
Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals.
Citation Text:
Marr R, Goyal A, Quinn M, et al. Support opportunities for second victims lessons learned: a qualitative study of the top 20 US …
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psnet.ahrq.gov/issue/physician-evaluation-after-medical-errors-does-having-computer-decision-aid-help-or-hurt
May 19, 2021 - Study
Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight?
Citation Text:
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…
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psnet.ahrq.gov/node/34135/psn-pdf
February 28, 2024 - Hand Hygiene in Healthcare Settings.
February 28, 2024
Centers for Disease Control and Prevention
https://psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings
The hand hygiene guidelines represent part of a U.S. Centers for Disease Control and Prevention (CDC)
strategy to promote patient safety by reducing infect…
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psnet.ahrq.gov/node/35318/psn-pdf
September 20, 2024 - AHRQ Quality Indicators.
September 20, 2024
Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/ahrq-quality-indicators
The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) represent quality
measures that make use of a hospital's available administrative data to inform…
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psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
December 24, 2008 - Book/Report
National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer.
Citation Text:
National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health C…