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psnet.ahrq.gov/issue/electronic-trigger-detect-telemedicine-related-diagnostic-errors
June 21, 2023 - Applying the trigger tool to a random sample of 100 telehealth visits with a subsequent unplanned visit
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psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - However, due to delays in receiving those results, another sample was tested two days later with a newly … developed in-house test and a third sample was sent to the state public health laboratory. … positive test run on the in-house platform was due to cross-contamination from a neighboring positive sample … A follow-up test conducted on a remnant sample from the in-house assay, one week later, confirmed that
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psnet.ahrq.gov/node/74213/psn-pdf
December 22, 2021 - This survey of a national sample of dentists found that
approximately 1 in 10 respondents reported high
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psnet.ahrq.gov/node/865590/psn-pdf
April 17, 2024 - Applying the trigger tool to a random sample of 100 telehealth visits with a
subsequent unplanned visit
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psnet.ahrq.gov/node/47408/psn-pdf
September 19, 2018 - This report recommends best
practices, test case criteria, and sample test cases to help developers
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psnet.ahrq.gov/issue/team-communication-operating-room
January 28, 2009 - The author presents sample cases from aviation to illustrate failures in team communication and uses
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psnet.ahrq.gov/issue/identifying-cross-contaminants-and-specimen-mix-ups-surgical-pathology
July 22, 2020 - February 13, 2008
WebM&M Cases
Right Patient, Wrong Sample
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psnet.ahrq.gov/node/60665/psn-pdf
July 08, 2020 - response-practicing-chiropractors-during-early-phase-covid-19-pandemic-
descriptive-report
An international sample
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psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children
August 03, 2022 - trigger tool failed to pick up any of these incidents and identified only false-positive events in this sample
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psnet.ahrq.gov/issue/emergency-department-trigger-tool-novel-approach-screening-quality-and-safety-events
August 24, 2022 - performance of an automated emergency department (ED) trigger tool designed to identify a more efficient sample
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psnet.ahrq.gov/issue/investigating-impact-structural-racism-black-birthing-people-associations-between-racialized
June 16, 2021 - In this sample of births from 2008-2011, racialized economic segregation was associated with SMM for
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psnet.ahrq.gov/issue/achieving-diagnostic-excellence-roadmaps-develop-and-use-patient-reported-measures-equity
November 02, 2022 - Sample roadmaps (illustrating the development and implementation of the PRMs to achieve diagnostic excellence
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psnet.ahrq.gov/issue/adverse-diagnostic-events-hospitalised-patients-single-centre-retrospective-cohort-study
December 07, 2022 - In this random sample of patients hospitalized in general medicine, approximately 1 in 14 patients experienced
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psnet.ahrq.gov/issue/physician-task-load-and-risk-burnout-among-us-physicians-national-survey
October 26, 2022 - Among a sample of US physicians, the authors of this study found that all dimensions of cognitive task
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psnet.ahrq.gov/issue/qualitative-analysis-outpatient-medication-use-community-settings-observed-safety
October 26, 2022 - This study used direct observation and interviews to assess hazards in the medication use process in a sample
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psnet.ahrq.gov/issue/racial-and-ethnic-bias-diagnosis-alcohol-use-disorder-veterans
September 23, 2020 - Based on a sample of over 700,000 veterans, this study found that Black and Hispanic individuals consumed
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psnet.ahrq.gov/issue/evaluation-medication-related-clinical-decision-support-alert-overrides-intensive-care-unit
July 02, 2019 - From this sample, 7 adverse drug events were identified, and these events were more likely when the alerts
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psnet.ahrq.gov/issue/risk-medication-errors-and-nurses-quality-sleep-national-cross-sectional-web-survey-study
February 09, 2022 - Based on survey data of a sample of nurses, the authors identified a significant association between
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psnet.ahrq.gov/issue/autopsy-interrogation-emergency-medicine-dispute-cases-how-often-are-clinical-diagnoses
March 24, 2019 - number is higher than estimates from a previous systematic review , likely because all patients in this sample
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psnet.ahrq.gov/issue/do-patient-engagement-it-functionalities-influence-patient-safety-outcomes-study-us-hospitals
October 21, 2020 - This longitudinal study using a national sample of hospitalizations identified a significant association