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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - Measurement of Patient Safety
June 15, 2024
Measurement of Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/measurement-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient …
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - Specific solutions thus vary widely
depending on the type of latent error, the severity of the error
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psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
September 15, 2024 - This type of thinking involves assessing and planning for rapidly changing situations, forming mental
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psnet.ahrq.gov/primer/missed-nursing-care
September 15, 2024 - only constitutes a form of medical error that may affect safety, but has been deemed to be a unique type
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psnet.ahrq.gov/primer/measurement-patient-safety
September 15, 2024 - Measurement of Patient Safety
Citation Text:
Measurement of Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - double-check process during pharmacy order review and medication administration, may help to prevent the type … Take-Home Points CPOE systems (with clinical decision support) are one type of technology solution
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psnet.ahrq.gov/node/44562/psn-pdf
April 13, 2016 - Undermining and bullying in surgical training: a review
and recommendations by the Association of Surgeons in
Training.
April 13, 2016
Wild JRL, Ferguson HJM, McDermott FD, et al. Undermining and bullying in surgical training: a review and
recommendations by the Association of Surgeons in Training. Int J Surg. 201…
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psnet.ahrq.gov/web-mm/situational-unawareness
August 01, 2009 - The Commentary
Medication errors are the most frequent type of medical error and can lead to significant
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - EMS Patient Safety in the Field
July 28, 2021
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Augustine JJ, Fitall E, Hall KK, et al. EMS Patient Safety in the Field. PSNet [internet]. Rockville (MD): Agency for Healthcare Re…
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psnet.ahrq.gov/issue/second-victim-support-programs-healthcare-organizations
August 12, 2020 - Review
Second victim support programs for healthcare organizations.
Citation Text:
Stone M. Second victim support programs for healthcare organizations. Nurs Manage. 2020;51(6):38-45.
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psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review
March 01, 2023 - Review
Cognitive biases associated with medical decisions: a systematic review.
Citation Text:
Saposnik G, Redelmeier DA, Ruff CC, et al. Cognitive biases associated with medical decisions: a systematic review. BMC Med Inform Decis Mak. 2016;16(1):138.
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - Implementing the necessary system improvements could minimize recurrence of this type of error. … promoting their interoperability among settings ( 21 ), should result in a marked reduction of this type
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psnet.ahrq.gov/web-mm/or
August 22, 2013 - Despite the concerning findings and the decision to pursue cardiac catheterization, the type of communication … communication that allowed the "error chain"—a series of mistakes linked together—to remain intact.( 3 ) This type
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - headache, by far the most common cause is a benign primary headache disorder, such as migraine or tension-type
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - This type of policy intervention may also have problems of its own that need to be carefully monitored … That maximum sterile barriers be used rather than the limited type of barriers that we used in the past … For many patient safety problems, that type of applied epidemiological approach is appropriate: falls
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psnet.ahrq.gov/issue/preventing-violence-health-care-setting
April 26, 2023 - Sentinel Event Alerts
Preventing violence in the health care setting.
Citation Text:
Preventing violence in the health care setting. Sentinel Event Alert. 2010;(45):1-3.
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psnet.ahrq.gov/issue/preventing-pediatric-medication-errors
August 05, 2020 - Sentinel Event Alerts
Preventing pediatric medication errors.
Citation Text:
Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4.
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Down…
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psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
February 10, 2010 - reasons for delayed discharge or unplanned admission.( 2 ) The choice of anesthetic depends on the type … In the case presented, the type of regional anesthesia used was a saddle block, which anesthetizes the
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - required rehospitalization and 3% resulted in death.( 3 ) Of particular note, this study identified type … WebM&M Cases
Inpatient Stroke Management in an Adolescent with Type
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psnet.ahrq.gov/node/33571/psn-pdf
March 15, 2025 - In a sense, event reports supply the numerator (the
number of events of a particular type–and even here