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psnet.ahrq.gov/issue/diagnostic-errors-related-acute-abdominal-pain-emergency-department
December 16, 2020 - Researchers determined that diagnostic errors occurred in 35 of 100 reviewed cases, with the majority
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psnet.ahrq.gov/issue/minimizing-surgical-error-incorporating-objective-assessment-surgical-education
January 12, 2022 - The types of surgical errors are reviewed, ranging from slips and lapses (which are more common in procedures
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psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
October 05, 2022 - This study reviewed more than 2400 surgical pathology cases and found major diagnostic discrepancies
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psnet.ahrq.gov/issue/impact-nursing-hospital-patient-mortality-focused-review-and-related-policy-implications
September 21, 2011 - The authors reviewed the literature and found seven categories of patient mortality determinants.
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - https://psnet.ahrq.gov/primer/rapid-response-systems
PSNet primers are regularly reviewed and updated … Last reviewed in 2024.
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psnet.ahrq.gov/issue/strengthening-use-artificial-intelligence-within-healthcare-delivery-organizations-balancing
September 18, 2024 - guidance which impacts how artificial intelligence -based clinical decision support (CDS) tools are reviewed
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psnet.ahrq.gov/issue/simulation-healthcare
November 23, 2014 - ISSN: 1559-2332
This bi-monthly peer-reviewed journal presents multidisciplinary content on how
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psnet.ahrq.gov/issue/missed-breast-cancers-us-guided-core-needle-biopsy-how-reduce-them
March 25, 2020 - The investigators reviewed evidence on ultrasonographic guidance for breast biopsy and provide suggestions
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psnet.ahrq.gov/issue/surgical-simulation-systematic-review
June 15, 2011 - The analysts reviewed 30 randomized controlled trials and found that surgical simulation has not been
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psnet.ahrq.gov/node/50664/psn-pdf
November 13, 2019 - pharmaceutical industry-level quality improvement strategies designed to address systemic weaknesses
are reviewed
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psnet.ahrq.gov/node/46281/psn-pdf
January 01, 2021 - Pain and infection were the most
common types of adverse events in the cases reviewed.
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psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-rounds-implementation-and-impact
March 27, 2024 - This study found that 80% of cases reviewed in monthly psychiatry M&M conferences at a children's hospital
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psnet.ahrq.gov/issue/concealed-renal-insufficiency-and-adverse-drug-reactions-elderly-hospitalized-patients
March 27, 2024 - This study reviewed data on 11,687 patients to explore the relationship between suboptimal kidney function
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psnet.ahrq.gov/issue/disclosure-unanticipated-events-creating-effective-patient-communication-policy-part-2-3
January 13, 2016 - Management; ASHRM
The process for crafting a policy to support effective disclosure initiatives is reviewed
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-lvhhn-patient-safety-video-patients-partners-safe-care
January 02, 2017 - The development process for a patient safety educational video is reviewed.
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psnet.ahrq.gov/issue/drug-shortages-root-causes-and-potential-solutions
January 13, 2021 - pharmaceutical industry-level quality improvement strategies designed to address systemic weaknesses are reviewed
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psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
June 01, 2022 - Gaps in uptake were reviewed and recommendations for improvement shared.
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psnet.ahrq.gov/issue/doctors-unconscious-bias-affects-quality-health-care-services-research-shows
October 21, 2020 - address the problem such as training and use of patient survey data to motivate individual action are reviewed
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psnet.ahrq.gov/node/867530/psn-pdf
January 15, 2025 - This qualitative metasynthesis reviewed 15 studies to explore nurses’ experiences of
speaking up.
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psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - Since images could now be reviewed by nonradiologists, we worried about the
potential for incorrect … substantially in the PACS/digital environment.(8) Before the advent of
PACS, a radiologist typically reviewed … by clinicians without the images (as in this case) and images are reviewed
without the report. … In this case, the gynecologist should have reviewed the images personally before
entering the OR for … quickly and efficiently launch the EHR and
find pertinent information based on the imaging study being reviewed