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psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017
April 17, 2024 - Health Service broadly reports the results of system-level analyses and investigations into trust-specific
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psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
May 08, 2024 - The authors recommend a national database specific to periprocedural falls and offer suggestions on
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psnet.ahrq.gov/issue/disclosure-adverse-events-patients
November 29, 2023 - The policy addresses actions that specific VHA staff members should take during the disclosure process
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - Jihey Yuk, MD ,and Julia Magana, MD
In this case, a 2-month-old boy was brought to the PED with a non-specific … In fact, patients often present with non-
specific symptoms such as vomiting, abnormal movements, changes … Radiologists
When clinicians order imaging tests, the findings of abuse are often subtle and very specific … Diagnosing AHT poses unique challenges due to non-specific symptoms, delayed presentations, and
difficulty … Subtle findings specific to pediatric abuse require specialized expertise for detection.
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psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - These practices include structured use of data to enhance care by setting specific quality goals and … board overseeing all safety and quality activities across the system and tied executive compensation to specific … and devoting time and resources to structured follow through, hospital leadership can both address specific … Although there is limited evidence regarding specific strategies leadership can use to prevent disruptive … The alert called for organizational leaders to take specific actions to enhance safety within their institutions
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psnet.ahrq.gov/issue/mixed-blessings-smart-infusion-devices-and-health-care-it
March 13, 2024 - The authors make specific recommendations to improve the real-world use of smart pump technology.
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psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
September 24, 2016 - They provide specific examples in inpatient medication administration and postulate that TPS could significantly
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psnet.ahrq.gov/issue/understanding-risk-factors-complaints-against-pharmacists-content-analysis
February 07, 2024 - against pharmacists in New Zealand explored the role of individual , organizational, system, medication-specific
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - developed CPRA to evaluate patient safety reports and combine proactive and reactive risk
assessments on a specific … In step 1, CPRA combines proactive risk assessments on a specific
health topic (i.e., outpatient blood … These specific results informed tailored continuous quality improvement efforts. … Specific to this innovation, the
following planning and development activities should occur prior to … Sustaining the Innovation
Sustaining an innovation requires tracking and monitoring innovation specific
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psnet.ahrq.gov/issue/eliminate-bias-some-seek-out-doctors-their-own-race-or-ethnicity
December 11, 2019 - A successful patient/physician relationship enables care that is specific for the individual, their unique
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psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019
June 05, 2019 - based on an international analysis of population health and health system performance data, with specific
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - developed CPRA to evaluate patient safety reports and combine proactive and reactive risk assessments on a specific … In step 1, CPRA combines proactive risk assessments on a specific health topic (i.e., outpatient blood … These specific results informed tailored continuous quality improvement efforts. … Specific to this innovation, the following planning and development activities should occur prior to … Sustaining the Innovation
Sustaining an innovation requires tracking and monitoring innovation specific
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psnet.ahrq.gov/issue/chemotherapy-regimen-checks-performed-pharmacists-contribute-safe-administration-chemotherapy
April 01, 2010 - Chemotherapy is known to be a high-risk treatment that requires specific safety protocols.
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psnet.ahrq.gov/issue/renal-medication-related-clinical-decision-support-cds-alerts-and-overrides-inpatient-setting
May 20, 2020 - improvements in alert design, implementation, and monitoring of alert performance to ensure alerts are patient-specific
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psnet.ahrq.gov/issue/diagnostic-performance-dashboards-tracking-diagnostic-errors-using-big-data
July 28, 2023 - prototype is designed to help organizations visualize weaknesses in diagnostic performance, target specific
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psnet.ahrq.gov/issue/blinded-prospective-study-error-detection-during-physician-chart-rounds-radiation-oncology
November 16, 2022 - June 24, 2020
Association between cancer-specific adverse event triggers and mortality … May 20, 2020
A radiation oncology-specific automated trigger indicator tool for high-risk … March 4, 2020
Developing a cancer-specific trigger tool to identify treatment-related
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psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - In most cases,
there are no definitive tests to determine a specific etiology for a patient’s headache … A recent study demonstrated both condition-specific
pitfalls as well as generic pitfalls across conditions … Another condition-specific pitfall is that Parkinson disease may be
misdiagnosed as chronic fatigue … There
are many condition-specific pitfalls that clinicians and patients can consider when approaching … Characteristics of Disease-Specific and Generic
Diagnostic Pitfalls: A Qualitative Study.
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psnet.ahrq.gov/issue/preventing-maternal-death
April 26, 2023 - The alert also provides recommendations around educational strategies, identifying specific clinical
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psnet.ahrq.gov/issue/hospital-compare
May 26, 2021 - The site includes specific information for both patients and hospitals on how to use the data to guide
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psnet.ahrq.gov/issue/learning-latent-safety-threats-identified-during-simulation-improve-patient-safety
June 10, 2020 - Researchers were then able to issue site-specific and organization-wide standardized dashboards and summaries