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psnet.ahrq.gov/issue/medication-administration-technologies-and-patient-safety-mixed-method-systematic-review
May 18, 2022 - as bar coding and smart intravenous pumps , found little generalizable evidence to support use of specific
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psnet.ahrq.gov/issue/radiology-research-quality-and-safety-current-trends-and-future-needs
November 16, 2022 - safety culture , education, data infrastructure, incident reporting , and performance measures as specific
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psnet.ahrq.gov/issue/measuring-and-improving-patient-safety-through-health-information-technology-health-it-safety
December 06, 2023 - information technology (IT) has promise for improving safety, but processes to measure and monitor its specific
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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - process of identifying and managing suicide risk remains consistent across
healthcare settings, the specific … intentional self-harm.8 Depression screeners like
the PHQ-9 can be used in combination with suicide-specific … Similar to the PHQ-9, the EPDS can be paired with a suicide-specific
screener to improve risk detection … By selecting the specific screening tools tailored to the unique patient
and care delivery needs in … The suicide-related item within a screener like the PHQ-9 can be used, or,
even better, a suicide-specific
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psnet.ahrq.gov/issue/improving-specificity-drug-drug-interaction-alerts-can-it-be-done
September 07, 2022 - Study
Improving the specificity of drug-drug interaction alerts: can it be done?
Citation Text:
Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045.
Copy Cita…
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psnet.ahrq.gov/issue/understanding-context-specificity-effect-contextual-factors-clinical-reasoning
August 19, 2020 - Study
Understanding context specificity: the effect of contextual factors on clinical reasoning.
Citation Text:
Konopasky A, Artino AR, Battista A, et al. Understanding context specificity: the effect of contextual factors on clinical reasoning. Diagnosis (Berl). 2020;79(3):257-264. doi:…
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - KP developed the e-Autopsy/e-Biopsy (eA/eB) methodology, an innovation designed to compile cases of specific … diagnostic issues. 2 The goal of the innovation is to improve outcomes by identifying patterns of error for specific … The specialty experts are clinicians (e.g., gynecologists) who have expertise in the specific condition … Instead, eA/eB relies on specific clinical diagnoses that meet a set of designated criteria.
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psnet.ahrq.gov/issue/ed-misdiagnosis-cerebrovascular-events-era-modern-neuroimaging-meta-analysis
August 19, 2020 - The authors suggest that interventions to improve stroke diagnosis should focus on these specific disease
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psnet.ahrq.gov/issue/development-pediatric-adverse-events-terminology
November 16, 2022 - This commentary describes the development of a terminology specific to adverse events in children for
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psnet.ahrq.gov/issue/enhancing-psychological-safety-mental-health-services
May 12, 2021 - Specific interventions are discussed, including family involvement, leadership communication, and simulation
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psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
June 18, 2021 - This alert reviews specific strategies organizations should take to minimize radiation risks, including
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psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error-measurement-considerations
March 25, 2020 - The report includes comprehensive, broad-scope, actionable, and specific recommendations for implementing
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psnet.ahrq.gov/issue/development-and-evaluation-patient-safety-interventions-perspectives-operational-safety
February 26, 2025 - Participants stated they consulted published tools/toolkits which they customized for their specific
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psnet.ahrq.gov/issue/caregiver-and-clinician-perspectives-discharge-medication-counseling-qualitative-study
January 31, 2024 - and clinicians described their experiences at hospital discharge relating to both general and liquid-specific
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psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
April 10, 2024 - pen sharing after the implementation of safe practice recommendations (e.g., label redesign, patient-specific
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - Well-defined, specific triggers like this also
lend themselves to automated electronic detection, making … Refinement of this
methodology has led to the development of more specific triggers. … It combines blunt triggers (such as rapid
response team activation) with more specific but relatively
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psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - 25% of childhood deaths worldwide. 1 Sepsis, which broadly refers to the body’s overwhelming, non-specific … While a non-anion gap metabolic acidosis and immature cell types may be non-specific in the setting of … A more sophisticated approach, if available, involves incorporating age-specific pediatric vital sign … Take-Home Points Sepsis, which refers to the body’s overwhelming, non-specific inflammatory response … Age-specific vital signs and laboratory values are used to diagnose sepsis in children and adolescents
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - 25% of childhood deaths worldwide.1
• Sepsis, which broadly refers to the body’s overwhelming, non-specific … outcomes, the
pediatric community has long been working to develop an updated definition of
sepsis specific … interpret vital signs is the use of
easily accessed printed or electronic resources containing age-specific … – Such alerts avoid reliance solely on a clinician’s memory for determining appropriate age-specific … Age-specific vital
signs and laboratory values are used to diagnose sepsis in children and adolescents
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - in 25% of childhood deaths worldwide.1 Sepsis, which broadly refers to the
body’s overwhelming, non-specific … outcomes, the pediatric community has long been working to develop an
updated definition of sepsis specific … While
a non-anion gap metabolic acidosis and immature cell types may be non-specific in the setting … interpret vital signs is the use of easily accessed printed or
electronic resources containing age-specific … Age-specific vital signs and laboratory
values are used to diagnose sepsis in children and adolescents
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psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events
September 23, 2020 - These results demonstrate that specific interventions can increase physician use of voluntary event reporting