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psnet.ahrq.gov/issue/changes-hospital-acquired-conditions-and-mortality-associated-hospital-acquired-condition
July 24, 2019 - Hospital-acquired conditions (HACs) are thought to be preventable , and the Centers for Medicare & Medicaid
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psnet.ahrq.gov/issue/impact-drug-shortages-children-cancer-example-mechlorethamine
February 15, 2023 - leukemia) forced oncologists to treat patients with an alternative agent, cyclophosphamide (which was thought
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psnet.ahrq.gov/issue/high-risk-medication-home-care-nursing-delphi-study
April 13, 2022 - Medication errors and other adverse events are thought to occur in 10% of home care patients.
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psnet.ahrq.gov/issue/postoperative-sepsis-united-states
January 12, 2022 - This variation is, in part, thought to be due to failure to rescue —delays in recognition and treatment
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psnet.ahrq.gov/issue/perceptions-and-attitudes-pediatricians-and-families-regard-pediatric-medication-errors-home
August 11, 2021 - Approximately 80% of pediatricians thought parents consulted the internet for information about their
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psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety
June 16, 2011 - November 10, 2010
Patient safety reporting: a qualitative study of thoughts and perceptions … and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking
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psnet.ahrq.gov/issue/prisoner
March 29, 2023 - March 2, 2022
‘He thought what he was doing was good for people.’
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psnet.ahrq.gov/issue/enteral-nutrition-safety-toolkit
February 01, 2023 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
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psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued
May 13, 2020 - May 1, 2019
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Related Resources
‘He thought what he was
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psnet.ahrq.gov/issue/disclosure-medical-mistakes-sought
August 24, 2016 - August 27, 2008
Fires during surgeries a bigger risk than thought.
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psnet.ahrq.gov/node/33740/psn-pdf
November 01, 2012 - I always thought the physical exam was quite fascinating. … I thought it
was the fun part of medicine and easy pickings. … Most important to me is the issue of safety and basically the disappointing
thought that we might actually … AV: Actually one of the big surprises is that I thought I would get a lot of pushback from people saying … Can you describe your thinking about that and how that dovetails with the physical exam?
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - But
thought of broadly, the Partnership for Patients was much more than HENs. … So we thought we had a pretty good handle on what was possible with concerted effort. … As you look at these trends, how does that change your thinking and the Agency's thinking about
the … PM: If there was one thought I could leave with your readers or listeners, it is that this concept of … The
single thought I would leave with your readers is that alignment is a good thing, and synergy is
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - The pain is thought to be due
to an inability to meet the increased blood flow demands of the postprandial … DIAGNOSTIC ERRORS
23
Nature of Diagnostic Errors (1)
24
• Diagnostic errors in healthcare are thought … • Based on a wide-ranging review of studies, the rate of diagnostic
error in clinical medicine is thought … Take-Home Points (2)
36
• Diagnostic errors are an underappreciated source of medical error and
are thought
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psnet.ahrq.gov/issue/prevalence-causes-and-severity-medication-administration-errors-neonatal-intensive-care-unit
January 17, 2024 - Medication administration errors (MAEs) are thought to be common in neonatal intensive care units
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psnet.ahrq.gov/web-mm/overriding-considerations
March 09, 2009 - we asked a representative sample of Maryland physicians (including obstetricians) how important they thought … Only 56% of responding physicians thought it was "very important. … have an impact: at two medical schools, approximately two-thirds of first and fourth-year students thought
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psnet.ahrq.gov/issue/project-jessica
September 16, 2020 - August 4, 2021
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Related Resources
‘He thought what he
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psnet.ahrq.gov/issue/care-we-need
March 25, 2020 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought
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psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation
March 25, 2015 - Communication between hospital-based and outpatient physicians is often suboptimal , and is thought
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psnet.ahrq.gov/issue/feasibility-determining-effectiveness-and-cost-effectiveness-medication-organisation-devices
November 14, 2011 - organization devices provide compartments to help sort patients' medications by days of the week and are thought
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psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers-during
January 09, 2018 - Adverse events are thought to be common in patients receiving home health care.