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psnet.ahrq.gov/issue/unintentional-discontinuation-chronic-medications-seniors-nursing-homes-evaluation-national
October 16, 2012 - Study
Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study.
Citation Text:
Stall NM, Fischer HD, Wu F, et al. Unintentional Discontinuation of …
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psnet.ahrq.gov/issue/what-are-implications-patient-safety-and-experience-major-healthcare-it-breakdown-qualitative
December 14, 2022 - Resources
Machine learning models outperform manual result review for the identification of wrong
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psnet.ahrq.gov/issue/blame-patient-blame-doctor-or-blame-system-meta-synthesis-qualitative-studies-patient-safety
March 04, 2020 - June 30, 2021
Experience of wrong site surgery and surgical marking practices among clinicians
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psnet.ahrq.gov/issue/blueprint-success-implementation-center-medicare-and-medicaid-services-mandated
September 09, 2020 - January 26, 2022
Using performance improvement to enhance time-out compliance and prevent wrong-site
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psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
June 01, 1989 - May 4, 2016
When doctors get it wrong: misdiagnoses are getting a closer look.
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psnet.ahrq.gov/issue/exploring-stakeholder-perceptions-around-implementation-operating-room-black-box-patient
November 04, 2020 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong
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psnet.ahrq.gov/issue/difficult-diagnosis-icu-making-right-call-beware-uncertainty-and-bias
May 19, 2021 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
March 01, 2007 - What Went Wrong? … complacency
Engage in dialogue about patient safety with goal of creating greater awareness of what can go wrong
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psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - This decision making
represented the wrong approach in this setting, an example of a rule-based error … Reason characterizes
such situations as "strong but wrong" rule-based errors—the rule is strong in general
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psnet.ahrq.gov/primer/digital-health-literacy
August 30, 2023 - WebM&M Cases
Medication Errors in Retail Pharmacies: Wrong … Patient, Wrong Instructions.
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psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group
March 06, 2019 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong
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psnet.ahrq.gov/issue/high-priority-drug-drug-interactions-use-electronic-health-records
September 01, 2016 - December 20, 2023
Automated detection of wrong-drug prescribing errors.
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psnet.ahrq.gov/issue/structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-analysis-two
October 16, 2024 - September 18, 2019
Automated detection of wrong-drug prescribing errors.
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psnet.ahrq.gov/issue/regret-among-primary-care-physicians-survey-diagnostic-decisions
November 13, 2019 - February 19, 2020
Risk factors for wrong-patient medication orders in the emergency department
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psnet.ahrq.gov/issue/green-cross-method-postanaesthesia-care-unit-qualitative-study-healthcare-professionals
September 04, 2024 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong
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psnet.ahrq.gov/issue/focused-team-engagements-enhance-interprofessional-collaboration-and-safety-behaviors-among
March 02, 2022 - Approximately two-thirds of participants perceived lack of confidence and fear of giving the wrong information
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psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-care-unit
June 29, 2009 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong
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psnet.ahrq.gov/issue/critical-care-clinicians-experiences-patient-safety-during-covid-19-pandemic
February 22, 2023 - January 10, 2024
Wrong-patient ordering errors in peripartum mother-newborn pairs: a
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psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness
May 26, 2021 - 2022
Using performance improvement to enhance time-out compliance and prevent wrong-site
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psnet.ahrq.gov/issue/organizational-characteristics-and-perceptions-clinical-event-notification-services
December 02, 2020 - perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong