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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/perspective/safety-retail-pharmacy
May 11, 2016 - However, unsafe medication use represents a major public health concern, especially for older adults
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psnet.ahrq.gov/web-mm/cups-error
January 12, 2011 - As seen in this case, the inadvertent mix-up of unlabeled medication cups represents an understandable
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psnet.ahrq.gov/node/49853/psn-pdf
February 01, 2019 - RN, MSc, and Wendy Chaboyer, RN, PhD
This transfer from the postanesthesia care unit to the floor represents
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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - Lest readers think this error represents a tragic “fluke,” another breast cancer patient received an
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psnet.ahrq.gov/web-mm/listen-family
April 15, 2015 - The Commentary
The case presented represents a near miss.
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - Approach to Improving Patient Safety
While the patient in this case ultimately had a good outcome, it represents
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psnet.ahrq.gov/web-mm/missed-tb
March 03, 2010 - The Commentary This case represents an unfortunate failure to identify tuberculosis (TB) in a young
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psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - The policy, a product of the Affordable Care Act of 2010, represents a defining moment for pay-for-
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psnet.ahrq.gov/node/49661/psn-pdf
August 01, 2012 - continuous infusions via indwelling catheters.(8)
In summary, the addition of local/regional anesthesia represents
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psnet.ahrq.gov/node/33739/psn-pdf
October 01, 2012 - outcomes.(2) Understanding how environmental variables contribute to adverse
events in health care represents
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psnet.ahrq.gov/node/49734/psn-pdf
May 01, 2015 - The Commentary
This case represents a preventable medical error.
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - Health care delivery represents such a
complex and dynamic process that simple but regimented communication
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psnet.ahrq.gov/node/49398/psn-pdf
May 01, 2003 - anecdotal reports and the clear increased exposure to blood and other body fluids suggest that this case
represents
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psnet.ahrq.gov/node/49487/psn-pdf
August 21, 2005 - On the surface, this case represents a
straightforward example of “leaving something behind.”
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psnet.ahrq.gov/node/49391/psn-pdf
February 01, 2003 - In this case, the delay was not damaging, but represents
how difficult it can be for the psychiatric
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psnet.ahrq.gov/node/49436/psn-pdf
February 26, 2004 - This case represents a very serious near miss. But for the coincidence of Mrs.
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psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - and then undervalue data that would either support another diagnosis or refute the favored
diagnosis represents
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psnet.ahrq.gov/node/49847/psn-pdf
November 01, 2018 - I-PASS provides an organizational framework for both verbal and written handoff
communication and represents
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psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - integrated pharmacy systems—those with coordination between pharmacy and clinical
microbiology databases—represents