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psnet.ahrq.gov/node/43928/psn-pdf
April 08, 2018 - This study represents a promising approach for identifying missed
diagnosis for other common conditions
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psnet.ahrq.gov/issue/accident-analysis-large-scale-technological-disasters-applied-anaesthetic-complication
November 16, 2022 - The second, latent failures , represents flaws in the systems of care.
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psnet.ahrq.gov/issue/economic-measurement-medical-errors
March 23, 2022 - Nonetheless, this study represents a significant step forward in defining the epidemiology of error in
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psnet.ahrq.gov/issue/coordinating-care-across-diseases-settings-and-clinicians-key-role-generalist-practice
July 01, 2020 - the value of care coordination in improving health outcomes; a belief that a generalist’s practice represents
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
October 19, 2022 - This study represents a good example of such evaluation, as the authors point out necessary system modifications
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psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
February 01, 2023 - The study also represents a novel application of information technology to improve patient safety,
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psnet.ahrq.gov/issue/diagnostic-error-emergency-department-follow-patients-minor-trauma-outpatient-clinic
November 15, 2023 - Diagnostic error represents an ongoing patient safety challenge and is increasingly recognized as
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psnet.ahrq.gov/issue/time-trends-pulmonary-embolism-united-states-evidence-overdiagnosis
February 18, 2011 - This combination of findings likely represents overdiagnosis—either due to false-positive diagnoses
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psnet.ahrq.gov/issue/time-day-and-decision-prescribe-antibiotics
September 29, 2017 - inappropriately toward the end of their clinic session (late morning or late afternoon), which likely represents
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psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-emergency-medical-services
August 03, 2017 - Fatigue among health care workers represents a significant patient safety concern .
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psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
October 29, 2008 - Misuse of prescription opioids represents a serious patient safety issue.
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psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
December 24, 2008 - This represents a total of 3.1 million fewer HACs contracted by hospitalized patients over 5 years, saving
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psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care
June 16, 2011 - The authors point out that specimen mislabeling represents one type of communication error and that
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psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
November 11, 2015 - Inpatient mortality represents a key outcome measure in health care quality and safety.
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psnet.ahrq.gov/issue/quality-traditional-surveillance-public-reporting-nosocomial-bloodstream-infection-rates
August 20, 2018 - Prevention of central line–associated bloodstream infections represents one of the patient safety movement's
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psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care
July 16, 2015 - Less than 10% of patients experienced an adverse drug event, which the authors conclude represents an
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psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture-2015-user-comparative-database-report
November 30, 2016 - However, the current response rate represents less than 1% of total community pharmacies in the United
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psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors
November 01, 2012 - Medication reconciliation represents an active effort of hospitals across the country to comply with
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2012
November 02, 2012 - This represents 50% more hospitals than last year and now accounts for about 18% of all Joint Commission-accredited
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psnet.ahrq.gov/issue/updated-results-ahrq-surveys-patient-safety-culture-workplace-safety-supplemental-item-set
December 11, 2024 - average of 30% of healthcare providers and staff experienced symptoms of “Work Stress/Burnout,” which represents