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psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - Use of the trigger tool involves screening a defined sample of medical records by two independent clinicians … used 5 teams of reviewers (each of whom had at least 3 years of GTT experience) to review a random sample
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psnet.ahrq.gov/node/44434/psn-pdf
June 21, 2016 - This study,
which used survey data from a large sample of hospitals in the United States and England
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - detection and prevention.( 5-10 ) The key steps in pathology laboratory workflow include obtaining a tissue sample … redundant system checks, and failures in preanalytic (e.g., obtaining less than an optimal specimen sample
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psnet.ahrq.gov/node/73202/psn-pdf
April 28, 2021 - 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/issue/why-your-teamstepps-program-may-not-be-working
February 14, 2024 - November 3, 2015
The July effect: an analysis of never events in the nationwide inpatient sample
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psnet.ahrq.gov/issue/factfinders
February 17, 2021 - Available at
Sample FAQ
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Save to your library
Print
Download PDF
-
psnet.ahrq.gov/issue/barcode-identification-transfusion-safety
September 09, 2020 - June 2, 2019
Electronic patient identification for sample labeling reduces wrong blood
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psnet.ahrq.gov/issue/warning-severe-burns-and-permanent-scarring-after-glacial-acetic-acid-995-mistakenly-applied
September 30, 2020 - December 19, 2012
Evaluating sample medications in primary care: a practice-based research
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psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
June 26, 2019 - diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample
-
psnet.ahrq.gov/print/pdf/node/74279
January 01, 2022 - Based on a national sample of hospitals, this study explored the impact of hospital
visitation restrictions
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psnet.ahrq.gov/issue/another-fatal-failure-kingdrew
May 03, 2017 - October 20, 2010
WebM&M Cases
Right Patient, Wrong Sample
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psnet.ahrq.gov/issue/national-comparative-audit-blood-transfusion
March 17, 2011 - June 24, 2019
Electronic patient identification for sample labeling reduces wrong blood
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psnet.ahrq.gov/issue/errors-test-openness-beth-israel-deaconess-disclosures-will-benefit-hospital-president
August 13, 2008 - September 9, 2020
The July effect: an analysis of never events in the nationwide inpatient sample
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psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses
March 28, 2012 - Study
Classic
Clinical impact and frequency of anatomic pathology errors in cancer diagnoses.
Citation Text:
Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13.…
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psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
October 09, 2024 - June 16, 2011
Electronic patient identification for sample labeling reduces wrong blood
-
psnet.ahrq.gov/issue/care-and-outcomes-patients-hospital-stroke
September 18, 2024 - diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample
-
psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
August 28, 2024 - June 2, 2019
Electronic patient identification for sample labeling reduces wrong blood
-
psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
July 10, 2024 - October 8, 2016
Electronic patient identification for sample labeling reduces wrong blood
-
psnet.ahrq.gov/node/60722/psn-pdf
February 06, 2023 - receiving invasive mechanical ventilation), a lower respiratory
tract aspirate or bronchoalveolar lavage sample … Emergency Use Authorizations by the FDA; however, sensitivities of
these tests vary and can depend on sample
-
psnet.ahrq.gov/node/49458/psn-pdf
September 01, 2004 - Results of a survey of a random sample of 1,311 US internists suggest that the average internist addresses … Attitude and self-reported practice regarding prognostication in a national
sample of internists. … Attitude and self-reported practice regarding hospice referral in a national
sample of internists.