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psnet.ahrq.gov/web-mm/back-basics
July 13, 2010 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … The Case A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/engineering-risk-analysis-hospital-oxygen-supply-system
July 23, 2014 - December 15, 2010
Accuracy of emergency department clinical findings for diagnosis of … Department of Veterans Affairs: a multi-state qualitative study. … May 18, 2016
Adverse events in patients with return emergency department visits. … July 10, 2019
National surveillance of emergency department visits for outpatient adverse … in the context of a pandemic.
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - Department of Defense and the Agency for Healthcare Research and Quality (AHRQ) to integrate
teamwork … Lastly, the medical management of the patient’s bleeding is of concern. … Scott Zakaluzny, MD, FACS
Department of Surgery
Division of Trauma, Acute Care Surgery, and Surgical … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
November 21, 2018 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Department of Health and Human Services. … Department of Health and Human Services. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/node/49428/psn-pdf
January 01, 2004 - The nurse taking care of both patients realized the error after she went to give the other patient his … There are no data on the incidence of this phenomenon. … Department of Health and Human Services. … necessarily represent the
views of AHRQ. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/resuscitate-or-not
November 01, 2011 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Department of Health and Human Services. … Department of Health and Human Services. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services
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psnet.ahrq.gov/node/33627/psn-pdf
February 01, 2006 - fact, there is
a fair bit of anecdotal evidence to the contrary.(4,6,7) Following implementation of … swell in the number of
settlements, but a steep drop in total payouts.(8) The University of Michigan … Most of the laws make inadmissible expressions of
sympathy and regret after an adverse event. … She discusses how well the disclosure
discussions were handled by the chairman of the pediatrics department … We have
found that the momentary relief that some providers feel when they "leave the scene of the accident
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
April 27, 2022 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Department of Defense and the Agency for Healthcare Research and Quality (AHRQ) to integrate teamwork … Scott Zakaluzny, MD, FACS Department of Surgery Division of Trauma, Acute Care Surgery, and Surgical … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - mellitus presents to the emergency department with
right upper quadrant pain, fever, and leukocytosis … details of the algorithm. … of
those using the selected algorithms. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/33703/psn-pdf
November 01, 2010 - Thus, precise estimates of the number of patients who are injured as a result of unsafe medical care … The transfer of patients
between systems, lack of staff training or experience in documenting patients … associated with the
event.(6) However, the usefulness of incident reporting systems for measurement … Rockville,
MD: Agency for Healthcare Research and Quality and Department of Defense; 2005. … Albany, NY: New York State Department of Health; 2001.
Table
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Table.
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psnet.ahrq.gov/web-mm/perils-contrast-media
March 01, 2007 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … The emergency department provider believed a computed tomography (CT) study with contrast was the best … been ordered in the emergency department, and that diagnosing the blood clot earlier might have prevented … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49408/psn-pdf
July 01, 2003 - not a defense of the omission in this case, it is worth noting that wristbands themselves often have … role of the patient, the importance of a well-informed patient and of clear informed consent. … Rosenthal PhD Adjunct Professor Department of Internal Medicine University of Michigan
Medical School … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/33797/psn-pdf
January 01, 2016 - release of an Institute of Medicine (IOM) report on
this challenging topic in September.(1) The IOM … Concurrently, we
must expand the community of researchers who are working on the science of measurement … For example,
the Department of Veterans Affairs has successfully implemented initiatives where researchers … Washington, DC: VA National Center for Patient Safety, US
Department of Veterans Affairs; 2015. … Advancing the science of measurement of diagnostic errors in healthcare: the Safer
Dx framework.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-medical-errors-and-adverse-events
October 18, 2006 - older adults' transitions of care between the emergency department and skilled nursing facility. … July 6, 2022
Preferred language and diagnostic errors in the pediatric emergency department … September 13, 2017
A Department of Medicine infrastructure for patient safety and clinical … July 17, 2013
Quality and safety implications of emergency department information systems … August 2, 2006
Reducing diagnostic errors in the emergency department at the time of
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psnet.ahrq.gov/periodic-issue/periodic-issue-299
July 28, 2021 - impact on the health of communities of color. … impact on the health of communities of color. … Share
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Copy URL
Department … of Defense Office of General Counsel. 32 CFR Part 45. … The commentary addresses the symptoms of LAST, the importance of adhering to local anesthetic dosing
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psnet.ahrq.gov/issue/good-medical-care-can-suffer-late-day
December 16, 2020 - The article shares the perspective of a primary care physician on how end-of-day appointments can suffer … November 21, 2018
Evaluating the effect of distractions in the operating room on clinical … October 27, 2021
Association of display of patient photographs in the electronic health … August 7, 2019
Effect of restriction of the number of concurrently open records in an … ; The impact of missed abdominal injuries in the era of nonoperative management.
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Alfred www.alfredhealth.org.au
Director, National Trauma Research Institute
Professor, Department … emergency
department (ED), especially during the critical first 30 minutes of treatment. … Example of the TR&R v2.0 display
Context of the Innovation
The Alfred Hospital is a tertiary academic … , along with staff from
the hospital's information technology (IT) department. … Care Decision Support in Civilian and Defense Sectors.’
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psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
March 24, 2025 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … There are obviously issues and problems about relying on patients to be the safety net or the defense … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49722/psn-pdf
December 01, 2014 - of the
incident. … the wheel and brake of the bed. … The hospital's patient safety
https://psnet.ahrq.gov/web-mm/medical-devices-wild
department immediately … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49493/psn-pdf
November 01, 2005 - In the proposed taxonomy, his lack of clinical knowledge specific to the details of the care could be … to the patient and family with an apology, and (iii) in the course of the RCA, determination of
how … Associate Director, Center for Research & Innovation in Patient Care Associate
Clinical Professor, Department … Department of Health and Human Services. … Department of Health and Human Services.