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psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
November 16, 2022 - Related Resources
Diagnostic errors in musculoskeletal oncology and possible mitigation strategies
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psnet.ahrq.gov/node/33746/psn-pdf
March 01, 2013 - In the IOM report, simulation was briefly mentioned as one of the strategies used in other industries
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - To be effective, these strategies must be employed consistently and without prejudice.
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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - Intermediate and stronger interventions involve strategies such as standardization, automation, matching
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psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
February 26, 2025 - Administrators
Policy Makers
Medicine
Epidemiology of Errors and Adverse Events
Quality Improvement Strategies
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - manifestations of hypo- and hyperkalemia
Recognize causes of in vitro hemolysis
Describe treatment strategies
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psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
November 13, 2024 - November 29, 2023
Resident shift handoff strategies in US internal medicine residency
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - nutrition Treat hypoxia Treat pain (preferably with nonopioid medications) Reorientation strategies
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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - Managing discontinuity in academic medical
centers: strategies for a safe and effective resident sign-out
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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - The importance of cognitive errors in diagnosis and strategies to minimize them.
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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - creating individualized plans to restrict access to lethal
means, helping patients to use internal coping strategies
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psnet.ahrq.gov/issue/communication-and-resolution-programs-emerging-best-practice-addressing-patient-harm
July 29, 2020 - Upcoming Meeting/Conference
Communication and Resolution Programs: An Emerging Best Practice for Addressing Patient Harm.
Citation Text:
National Association for Healthcare Quality. August 26, 2021, 1:00–2:00 PM (eastern).
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psnet.ahrq.gov/issue/reporting-patient-safety-events-challenge
April 25, 2012 - Award
Award Recipient
Published April 25, 2012
Reporting Patient Safety Events Challenge.
Topics
Approach to Improving Safety
Institutional Reporting
Clinical Information Systems
R…
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psnet.ahrq.gov/node/43679/psn-pdf
May 22, 2015 - Patient safety goals for the proposed Federal Health
Information Technology Safety Center.
May 22, 2015
Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information
Technology Safety Center. J Am Med Inform Assoc. 2015;22(2):472-8. doi:10.1136/amiajnl-2014-002988.
https://psnet.a…
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psnet.ahrq.gov/node/44304/psn-pdf
September 09, 2015 - Association of the 2011 ACGME resident duty hour reform
with postoperative patient outcomes in surgical
specialties.
September 9, 2015
Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with
Postoperative Patient Outcomes in Surgical Specialties. J Am Coll Surg. 2015;221(…
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psnet.ahrq.gov/node/42789/psn-pdf
December 04, 2013 - Development of the just culture assessment tool:
measuring the perceptions of health-care professionals in
hospitals.
December 4, 2013
Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the
perceptions of health-care professionals in hospitals. J Patient Saf. 2013…
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psnet.ahrq.gov/node/43782/psn-pdf
September 28, 2016 - The use of technology for urgent clinician to clinician
communications: a systematic review of the literature.
September 28, 2016
Nguyen C, McElroy LM, Abecassis MM, et al. The use of technology for urgent clinician to clinician
communications: a systematic review of the literature. Int J Med Inform. 2015;84(2):101…
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psnet.ahrq.gov/node/38295/psn-pdf
May 27, 2010 - Narrative review: do state laws make it easier to say "I'm
sorry"?
May 27, 2010
McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern
Med. 2008;149(11):811-816.
https://psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry
Multiple studi…
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psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care
setting.
January 2, 2017
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/866587/psn-pdf
January 01, 2025 - Professionalising patient safety? Findings from a mixed-
methods formative evaluation of the patient safety
specialist role in the English National Health Service.
August 28, 2024
Martin G, Pralat R, Waring J, et al. Professionalising patient safety? Findings from a mixed-methods
formative evaluation of the patien…