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psnet.ahrq.gov/node/867980/psn-pdf
March 25, 2025 - this commentary, this framework will be discussed in the context of the two cases of headache
presented … Of course, there are also pitfalls in over-
evaluation of benign headaches. … Measuring and Improving Diagnostic Safety in Primary Care:
Addressing the “Twin” Pandemics of Diagnostic … for Healthcare
Research and Quality (AHRQ), U.S. … Readers should not interpret any statement in this report as an official position of AHRQ or
of the
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psnet.ahrq.gov/perspective/maternal-safety
January 01, 2015 - health care systems and state collaboratives . … Partnership for Maternal Safety , the Council on Patient Safety in Women's Health Care , and the Alliance … maternal health care. … health care providers in pregnancy and birth. … cracks of U.S. health care.
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psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
November 18, 2016 - in nearly half of the claims. … Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature … October 5, 2022
The impact of racism on child and adolescent health. … June 19, 2024
'Cyberloafing' in health care: a real risk to patient safety. … September 5, 2018
Taking bullying out of health care: a patient safety imperative.
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - in pharmacists' access to patient-specific health care data using the EHR and integration with clinical … Community pharmacists are among the most accessible health care providers with whom patients interact … Monitoring and evaluation of medication therapy is a shared responsibility among all health care professionals … Improving medication use through pharmacists' access to patient-specific health care information. … Reality of Health Care Professions
May 1, 2011
Assessing the STOPS framework
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psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
November 16, 2022 - centers, are very costly to patients and the health care system,( 3 ) and are confusing for clinicians … Perhaps the most important factor is the failure of the health care worker (HCW) to use strict aseptic … a hurry, do not understand the importance of antiseptic contact time, and are unlikely to wait up to … Fortunately, the patient suffered no permanent harm, but patient morbidity and cost to the health care … Clin Perform Qual Health Care. 1998;6:60-62. [go to PubMed]
8.
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psnet.ahrq.gov/issue/psychological-safety-new-acgme-requirement-comprehensive-all-one-guide-radiology-residency
April 24, 2018 - March 24, 2019
Handoffs in the era of duty hours reform: a focused review and strategy … to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements … July 2, 2014
Evidence review conducted for the Agency for Healthcare Research and Quality … the context of radiological examinations. … May 24, 2023
Reducing diagnostic errors in the emergency department at the time of patient
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - the PED with a non-specific clinical picture of decreased
responsiveness in the setting of a viral … Health care organizations that are unable to maintain expertise in recognizing NAT and other
manifestations … Importance of Experienced Radiologists
When clinicians order imaging tests, the findings of abuse are … importance of experienced clinicians providing a final read on images
for NAT evaluation. … [Available at]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - in cost of care, a 21% reduction in the length of stay for the most preterm infants, and the
elimination … country and other health care settings. … Pediatrics
Division of Neonatology
Intermountain Healthcare
St. … Variation in performance of neonatal intensive care units
in the United States. … The approach
protects harm from health care workers and infants.
Figure 2.
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psnet.ahrq.gov/issue/lost-opportunities-how-physicians-communicate-about-medical-errors
July 10, 2008 - July 10, 2008
The emotional impact of medical errors on practicing physicians in the … to care coordination in the operating room setting in a tertiary academic center. … March 30, 2016
Towards safer neonatal transfer: the importance of critical incident review … February 3, 2011
The attitudes and beliefs of healthcare professionals on the causes … July 15, 2010
The pharmacist-physician relationship in the detection of ambulatory medication
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - Examples from health care include using AI to detect diagnostic errors and combining AI with clinician … The COVID-19 pandemic presented numerous challenges to the safe delivery of health care. … Examples from health care include using AI to detect diagnostic errors and combining AI with clinician … Fact Sheet/FAQs
Advancing Health Care Safety for All. … The commentary highlights the importance of thorough neurological investigation of patients presenting
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psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - (2) However, because
of the large number of rural EDs, 42% of all ED visits in the US occur at EDs in … In most cases,
patients physically present in the ED are the responsibility of the ED provider. … front of the
patient and family.(21) In the absence of a warm handoff, formal communication techniques … The importance of cognitive errors in diagnosis and strategies to minimize them. … IOM report: the future of emergency care in the United States health system.
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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
April 17, 2025 - with a history of multiple myeloma and multiple healthcare encounters for diarrhea in the... … his 70s with a history of multiple myeloma and multiple healthcare encounters for diarrhea in the previous … The commentary discusses the importance of CT scans for evaluating spontaneous pneumothorax and educating … When she was in her 30s, she experienced a more severe episode of palpitations and went to the emergency … and physical exams and the importance of structured inter-professional handoffs and closed-loop referrals
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - our skills and capabilities to eliminate preventable harm and improve the quality of health care delivery … Foster changes in health care delivery that reduce the risk human error will harm patients, such as standardization … health care delivery. … specific requirements);
Efforts to improve patient safety and the quality of health care delivery; … Munier is an experienced health care leader, having served as the president of a health care information
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psnet.ahrq.gov/issue/theres-more-60-minutes-story-heparin-errors
March 15, 2022 - behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. … April 16, 2014
Criminalization of human error and a guilty verdict: a travesty of justice … May 7, 2018
Anticoagulant safety takes center stage in 2007. … December 3, 2008
View More
See More About The Topic
Health Care Providers … Pharmacy
Anticoagulants
Role of the Media
Human Factors Engineering
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psnet.ahrq.gov/node/73953/psn-pdf
October 27, 2021 - the 10 questions are weighted based on
importance, and the summated score for each
medication is then … Utilizing EHR-enabled CDSSs has been shown to be
effective in reducing the prescribing of PIMs in hospital … To successfully implement deprescribing practices in clinical settings, the Institute for Healthcare … Throughout each step of the implementation process, the IHI Deprescribing Guideline
stresses the importance … Resources for Patients and Health Care Providers. Deprescribing.org.
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - delivery and outcomes. … Healthcare systems should
therefore implement universal precautions that assume everyone is at risk … All patients should feel welcomed
and comfortable at each stage of the health care encounter – from … Ten Attributes of Health Literate Health Care Organizations.
NAM Perspectives. Discussion Paper. … /
https://nam.edu/perspectives-2012-ten-attributes-of-health-literate-health-care-organizations/
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … claims generate payouts.( 1,2 ) On the other hand, it is abundantly clear that health care delivery … With health care providers of all stripes, you have a self-selected group that really doesn't like that … healthcare workers. … Topic
Health Care Providers
Health Care Executives and Administrators
Policy Makers
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psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
February 23, 2015 - February 14, 2024
Seroprevalence of SARS-CoV-2 among frontline health care personnel … September 23, 2020
Enabling a learning healthcare system with automated computer protocols … February 23, 2015
Computerized prescriber order entry in the outpatient oncology setting … A review of the literature. … August 8, 2007
View More
See More About The Topic
Hospitals
Health
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psnet.ahrq.gov/node/49757/psn-pdf
April 01, 2016 - However, we practice in a health care delivery system that prioritizes efficiency and
applauds residents … lack of attention, to the hazards of
hospitalization in in plain sight.(3)
The case presented above … critical is
ensuring the physical presence of the physician in the situation of interest—in this case … The hazards of hospitalization. Qual Saf Health Care. 2003;12:58-63. [go to PubMed]
11. Wiest K. … [go
to PubMed]
This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare
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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - experienced a medical error in some kind of health care setting. … While patients are skilled at detecting
diagnostic errors and identifying health care system blind spots … A children's health care system shared its strategies for reducing safety events through
pediatric patient … into
health care systems that were not designed with patients at the center. … This will allow engaged patients to help health care systems identify
safety hazards, regain trust after