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psnet.ahrq.gov/issue/emergency-department-visits-medical-device-associated-adverse-events-among-children
March 03, 2019 - This study found that contact lenses were responsible for 23% of medical device–associated adverse
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psnet.ahrq.gov/issue/fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-radiographs
September 07, 2022 - Technically inadequate radiographs were responsible for a significant number of missed diagnoses of
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psnet.ahrq.gov/node/42710/psn-pdf
December 29, 2014 - A chemotherapy medication prescribing error was
responsible for one of the most infamous patient safety
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psnet.ahrq.gov/node/39800/psn-pdf
January 19, 2011 - The prescribing stage was responsible for nearly 95% of the errors in the former category
but only 60%
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psnet.ahrq.gov/issue/simulator-based-crew-resource-management-training-interhospital-transfer-critically-ill
February 14, 2024 - This study reports on the use of simulator-based teamwork training for teams responsible for inter-hospital
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psnet.ahrq.gov/issue/detection-analysis-and-significance-physician-clustering-medical-malpractice-lawsuit-payouts
June 22, 2022 - Prior research demonstrates that a small percentage of physicians are responsible for a significant
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psnet.ahrq.gov/node/49818/psn-pdf
January 01, 2018 - patient had contacted the insurance company multiple times, he was repeatedly informed that
he would be responsible … the colonoscopy a diagnostic test (rather than a screening test), which means that
patients may be responsible … For patients on a high-
deductible health plan, this change in test classification could make them responsible … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - First, all computer ECG readings should at least be reviewed by the nurse responsible for the patient … All ECGs done should be shown to the nurse responsible for the patient. … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/node/854848/psn-pdf
October 31, 2023 - Five days later, the bone pathologist responsible for the case
contacted the orthopedic surgery service … To accomplish this, the responsible pathologist should seek
intradepartmental consensus or external … These
diagnoses are conspicuously flagged to alert the responsible pathologist to the presence of a … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/issue/patient-safety-professionals-third-victims-adverse-events
July 07, 2021 - second victims, and third victims of medical errors, then elaborates on how patient safety professionals responsible
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psnet.ahrq.gov/issue/safety-office-based-anesthesia-updated-review-literature-2016-2019
February 10, 2021 - to the safety of OBA and makes recommendations for safe practices including; medical directors to be responsible
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psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
September 01, 2007 - originally ordered, and the severity of abnormality can be flagged, creating a valuable visible cue for the responsible … Importantly, teamwork also allows abnormal test results to be handled safely during periods when the responsible … case, its providers have developed a coverage system in which they can designate a colleague to be responsible … an elevated CRP earlier, potentially shortening the 2-month delay in clinical decision-making by the responsible … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - There needs to be a responsible party to contact in case any complications arise. … What was missing and who should be responsible? … The patient needs a responsible physician, with 24-7 on-call backup, dedicated to their care after leaving … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not … July 10, 2019
Toward a responsible future: recommendations for AI-enabled clinical decision
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psnet.ahrq.gov/node/49767/psn-pdf
August 21, 2016 - Furthermore, clinicians may be apprehensive about the notion that they would be responsible for, as well … "(10) However, federal policymakers
responsible for implementing HITECH chose a staged approach in the … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/node/49416/psn-pdf
September 01, 2003 - the ICU is usually less than or
equal to 2:1, while a single nurse on a medical-surgical unit may be responsible … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
occur, the responsible … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.128_slideshow.ppt
July 01, 2006 - Non-ICU Patients
Lack clear standards for patient assessment, including the elements, timing, and responsible … Who is responsible for this assessment?
What is the recommended timing for this assessment? … The transport personnel are responsible for ensuring the nurse completes the ticket and that the ticket
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psnet.ahrq.gov/node/49656/psn-pdf
June 01, 2012 - Some
questions to address in the agreement include:
Who is responsible for identifying patients to … Who is responsible for routine patient safety measures, such as deep venous thrombosis
prophylaxis? … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
-
psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - The department director, nurse manager, or nurse
educator are typically responsible for ensuring the … The department director and/or nurse manager should be responsible for determining the extent of
notification … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - Radiologists are responsible for the production and delivery of the radiology report, and
referring … clinicians are responsible for obtaining and reading radiologists’ reports.5 Both radiologists and
referring … clinicians are legally responsible for retaining and being able to produce the radiology reports.5 … The authors are solely
responsible for this report’s contents, findings, and conclusions, which do not
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psnet.ahrq.gov/web-mm/production-pressures
November 16, 2022 - He protested, noting that he was already responsible for overseeing the anesthesia for three surgeries … providers, as well as to improve the quality and safety of care.( 5 ) Those in upper management who are responsible … A system analysis of production pressures examines all of the work system factors that can be responsible … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not