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psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
June 28, 2023 - October 18, 2023
Characteristics of disease-specific and generic diagnostic pitfalls:
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psnet.ahrq.gov/issue/american-geriatrics-society-2019-updated-ags-beers-criteria-potentially-inappropriate
August 16, 2023 - Health Care Providers
Geriatrics
Medication Errors/Preventable Adverse Drug Events
Specific
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - In this commentary, we will discuss specific management aspects of this case and offer recommendations … Specific Errors in This Case
Routine evaluation of suspected deep vein thrombosis does not require … often nuanced and influenced by many complex factors, including the lack of high-quality evidence in specific … Submit Your Case
Sections
Case Objectives
The Case
The Commentary
Specific
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - She was given intravenous fluids overnight but received no
specific treatments. … The institution performed a multidisciplinary root cause analysis and found many specific errors that … Such factors include those specific to individual providers, the clinical
microsystem in which postoperative … For example, most studies about the effectiveness of rapid response teams
describe outcomes specific
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psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
May 16, 2022 - through review and auditing of patient care records for high-risk, low-frequency events, 100% auditing of specific … A trigger tool identifies patient records for review based on specific criteria, or triggers, with … But perhaps most importantly, with the advent of prehospital-specific safety culture surveys, EMS leaders … The EMS SOPS is written, it's not specific to which facility, and so that would be where maybe there's … I'm curious if you are aware of any data emerging on prevalence of specific safety events within the
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psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
September 29, 2021 - See More About The Topic
Hospitals
Nurse Care
Pharmacy
Medication Safety
Specific
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psnet.ahrq.gov/issue/american-college-radiology-white-paper-mr-safety-2004-update-and-revisions
September 28, 2022 - June 26, 2019
Child-specific risk factors and patient safety.
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psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-best-practice
September 30, 2020 - Hospital Pharmacy
Medication Errors/Preventable Adverse Drug Events
Ordering/Prescribing Errors
Specific
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - Harm-specific examples include the guidance developed by the Sepsis Alliance Institute, resources … This includes not only specific innovation practices, but organizational processes and procedures implemented … We added the question “was this event related to COVID-19,” which enabled us to identify specific COVID … We also added a COVID-19-specific safety event review team at our largest academic medical center to … It was only through this Safe Table approach that we were able to delve into COVID-19-specific issues
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psnet.ahrq.gov/web-mm/weak-response
February 24, 2011 - Nor was he specific about when to schedule an office visit if the blood pressure did not surpass the … Always provide specific symptom-based parameters for a call back and always offer an office visit.
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psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate
January 17, 2024 - See More About The Topic
Hospitals
Hospital Pharmacy
Ordering/Prescribing Errors
Specific
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psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management-magnetic-resonance
December 13, 2023 - Topic
Ambulatory Clinic or Office
Allied Health Services
Anesthesiology
Radiology
Specific
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psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
October 09, 2024 - December 21, 2017
Complexity bias in the prevention of iatrogenic injury: why specific
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psnet.ahrq.gov/issue/implementation-medication-reconciliation-outpatient-cancer-care
December 20, 2023 - August 12, 2020
Design and impact of a novel surgery-specific second victim peer support
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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - remains a relatively rare and challenging diagnosis due to its low incidence and association with non-specific … A complete blood count (CBC) is insensitive and non-specific; leukocytosis is present in only two thirds … and in patients with at least one SEA risk factor, ESR has been shown to be 100% sensitive and 67% specific … When abnormalities are present, they are non-specific, most commonly bony end-plate erosion, degenerative
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psnet.ahrq.gov/primers-0
March 15, 2025 - Transcription Errors
(1)
Side Effects/Adverse Drug Reactions
(1)
Specific … However, while event reports may highlight specific safety concerns, they do not provide insights into
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - They represent immature leukocytes and, while not specific for infection, are associated with an acute … Take-Home Points Non-specific symptoms such as weakness, weight loss, and anorexia may be warning signs
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psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconceptions
June 24, 2020 - February 13, 2013
Comparing the usability and reliability of a generic and a domain-specific
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psnet.ahrq.gov/issue/quality-and-safety-medical-care-what-does-future-hold
September 18, 2019 - August 10, 2022
Complexity bias in the prevention of iatrogenic injury: why specific
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psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
October 14, 2020 - October 14, 2020
A radiation oncology-specific automated trigger indicator tool for high-risk