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psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
November 13, 2024 - Patients with a positive secondary test are then connected with the appropriate medical team for management
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - safety-oriented practices like checking the accuracy of a prescription from the pharmacy or following up on test … Electronic portals offer patients access to medication lists, allergy information, and test results that
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - WebM&M Cases
A Postpartum Woman with an Erroneous SARS-CoV-2 Test
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psnet.ahrq.gov/node/60543/psn-pdf
May 27, 2020 - Diagnostic and radiologic test results, as well as any
required blood products, implants, devices, and
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psnet.ahrq.gov/web-mm/one-dose-fifty-pills
January 13, 2021 - WebM&M Cases
A Postpartum Woman with an Erroneous SARS-CoV-2 Test
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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - A test of the methodology with 10 case studies in an
academic medical center shows that this novel approach
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - pre-operating room portion includes verifying any required documentation, required radiologic reports or test
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psnet.ahrq.gov/node/840175/psn-pdf
November 16, 2022 - Intravenously
administered heparin is managed using either a calibrated activated partial thromboplastin test
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - Another sudy 11 found that both anesthesiology residents and faculty erred frequently on a computational test
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - reduces the possibility of aspiration from the time of the physician's order to the time the diagnostic test
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - Pill Organizing Plight
September 1, 2016
The delivery of safe and effective test
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psnet.ahrq.gov/node/857260/psn-pdf
November 30, 2023 - All chemistry test results are shown in the table below (bold
indicates abnormal values).
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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - WebM&M Cases
A Postpartum Woman with an Erroneous SARS-CoV-2 Test
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psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - One Dose, Fifty Pills
November 1, 2005
Variation in electronic test
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - WebM&M Cases
Out of Sight, Out of Mind: Out-of-Office Test
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psnet.ahrq.gov/node/49829/psn-pdf
May 01, 2018 - factors engineering, needed to
achieve deep understanding of an incident and to identify, select, and test
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psnet.ahrq.gov/node/33852/psn-pdf
January 01, 2017 - Patient Engagement in Safety
January 1, 2017
Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/patient-engagement-safety
Annual Perspective 2017
Background
In the past 2 decades, patient engagement in safety has evolved from obscurity to maturity. The Ins…
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psnet.ahrq.gov/node/49499/psn-pdf
December 02, 2020 - An Outpatient 'Zebra'
January 1, 2006
Berkowitz L. An Outpatient 'Zebra'. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/outpatient-zebra
The Case
A 64-year-old man presented to the outpatient clinic with a chief complaint of left foot pain and numbness.
His past medical history included lumbar disc diseas…
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psnet.ahrq.gov/node/72616/psn-pdf
December 22, 2020 - Adverse Events in Dentistry
December 22, 2020
Kalenderian E, Walji MF, Fitall E, et al. Adverse Events in Dentistry. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/adverse-events-dentistry
Introduction
Similar to many other healthcare settings, dentistry carries with it inherent patient safety risks. D…
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psnet.ahrq.gov/cme
February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations A man with a history of prior umbilical hernia repair presented to the emergency department (ED) with abdominal pain and was initially diagnosed with cholelithiasis before being discharged home. However, the next day he returned to …