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psnet.ahrq.gov/issue/getting-moving-patient-safety-harnessing-electronic-data-safer-care
April 05, 2013 - Describing weaknesses in current safety measurement tools, this perspective suggests that legislation requiring
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psnet.ahrq.gov/issue/strategies-improving-value-radiology-report-retrospective-analysis-errors-formally-over-read
November 10, 2021 - Nearly one-quarter of the changes were classified as emergent, requiring immediate notification to a
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psnet.ahrq.gov/issue/electronic-health-record-challenges-workarounds-and-solutions-observed-practices-integrating
September 20, 2023 - There were issues with documentation, tracking, communication, and coordination of care, requiring practices
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psnet.ahrq.gov/node/43865/psn-pdf
May 01, 2015 - of orders were entered
successfully and quickly, without the CPOE system generating any alerts or requiring
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psnet.ahrq.gov/node/40711/psn-pdf
August 24, 2011 - clinical-pharmacists-and-inpatient-medical-care-systematic-review
https://psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation
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psnet.ahrq.gov/node/43695/psn-pdf
August 02, 2015 - The authors also expect that pre-suit notification
(requiring patients and families to inform providers
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psnet.ahrq.gov/node/45360/psn-pdf
July 27, 2016 - In this
study, investigators identified specific abnormal test results requiring follow-up and tested
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psnet.ahrq.gov/issue/medication-reconciliation-patients-after-their-discharge-intensive-care-unit-hospital-ward
March 09, 2022 - Nearly one in five had an error requiring physician changes to the order.
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psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
November 16, 2022 - common source of patient harm in ambulatory care, this system—which identified thousands of patients requiring
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psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
April 07, 2021 - Educational and process changes (e.g., requiring subspecialist over-read for some diagnoses) were
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psnet.ahrq.gov/issue/using-safety-culture-results-guide-merger-four-general-practices-uk
February 01, 2023 - This approach can be used with time and resource constraints to identify safety culture domains requiring
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psnet.ahrq.gov/issue/question-answering-systems-health-professionals-point-care-systematic-review
August 04, 2021 - Clinical decision-making is a complex process requiring consideration of information from multiple
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psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
January 12, 2022 - that patients admitted to the hospital on a weekend have a higher risk of mortality from conditions requiring
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psnet.ahrq.gov/issue/hospital-admissions-due-adverse-drug-reactions-report-boston-collaborative-drug-surveillance
March 01, 2023 - The authors conclude that, although adverse events from a single drug requiring hospitalization are uncommon
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psnet.ahrq.gov/cme
February 26, 2025 - He was later diagnosed with a large frontal subdural hematoma requiring urgent surgery. … Ultimately, he developed osteomyelitis, requiring multiple surgeries and a long hospital stay due to
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psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
May 27, 2020 -
Home PN administration is a complex endeavor , particularly in the pediatric population , requiring … PN orders requiring transcription of order information should undergo an independent double-check to … Proper mixing of parenteral nutrition should be ensured by requiring three independent processes for
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psnet.ahrq.gov/node/72587/psn-pdf
December 23, 2020 - patient remained intubated, and was transported back to the PICU
without incident, although still requiring … Therefore, as it is in many clinical scenarios requiring handoffs, standardized
communication is critically … Collaborating clinicians need to evaluate the probable benefits of the diagnostic or
therapeutic intervention requiring
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psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
November 01, 2023 - June 10, 2018
Challenges with requiring five characters during ADC drug searches via
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - with respiratory distress and clinically worsened over time until she developed respiratory failure requiring … concentrated in mostly urban areas at large teaching hospitals. 1 However, even non-critically ill children requiring … this present case, the child remained in the local ED for seven hours while clinically worsening and requiring … patient described in this case, a protocol describing standard treatment for bronchiolitis, scenarios requiring
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psnet.ahrq.gov/issue/helsinki-declaration-patient-safety-anaesthesiology-past-present-and-future
January 14, 2014 - describes how checklists and an implementation toolkit contributed to progress and suggests areas requiring