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psnet.ahrq.gov/node/841139/psn-pdf
December 14, 2022 - The patient should be informed of what happened
under anesthesia in the recent operation (with the assistance … she tried to convey this knowledge, she
was unable to do so because the team decided to forgo the assistance
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psnet.ahrq.gov/node/74126/psn-pdf
December 01, 2021 - Effect of automated unit dose dispensing with barcode
scanning on medication administration errors: an
uncontrolled before-and-after study.
December 1, 2021
Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode
scanning on medication administration errors: an uncont…
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout
Citation Text:
Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
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psnet.ahrq.gov/issue/communication-disparities-between-nursing-home-team-members
May 25, 2022 - Study
Communication disparities between nursing home team members.
Citation Text:
Farrell TW, Butler JM, Towsley GL, et al. Communication disparities between nursing home team members. Int J Environ Res Public Health. 2022;19(10):5975. doi:10.3390/ijerph19105975.
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psnet.ahrq.gov/issue/medication-error-alerts-warfarin-orders-detected-bar-code-assisted-medication-administration
July 03, 2014 - Study
Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system.
Citation Text:
FitzHenry F, Doran J, Lobo B, et al. Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. Am J Hea…
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psnet.ahrq.gov/node/49864/psn-pdf
June 01, 2019 - Speaking Up for Patient Safety: What They Don't Tell You
in Training About Feedback and Burnout
June 1, 2019
Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About
Feedback and Burnout. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/speaking-patient-safety-…
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psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-japan-jade-study
September 25, 2019 - Study
Incidence of adverse drug events and medication errors in Japan: the JADE Study.
Citation Text:
Sakuma M, Bates DW, Morimoto T. Clinical prediction rule to identify high-risk inpatients for adverse drug events: the JADE Study. Pharmacoepidemiol Drug Saf. 2012;21(11). doi:10.1002/pd…
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psnet.ahrq.gov/node/37812/psn-pdf
August 27, 2008 - Types, prevalence, and potential clinical significance of
medication administration errors in assisted living.
August 27, 2008
Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of
medication administration errors in assisted living. J Am Geriatr Soc. 2008;56(7):1199-205.…
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psnet.ahrq.gov/issue/computer-assisted-telephone-triage-safe-prospective-surveillance-study-walk-patients-non-life
July 17, 2024 - Study
Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threatening medical conditions.
Citation Text:
Meer A, Gwerder T, Duembgen L, et al. Is computer-assisted telephone triage safe? A prospective surveillance study in walk…
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psnet.ahrq.gov/node/42489/psn-pdf
May 19, 2014 - Improving medication administration safety in solid organ
transplant patients through barcode-assisted medication
administration.
May 19, 2014
Bonkowski J, Weber RJ, Melucci J, et al. Improving medication administration safety in solid organ
transplant patients through barcode-assisted medication administration. A…
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psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes
December 15, 2011 - Study
Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes.
Citation Text:
Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6.
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psnet.ahrq.gov/issue/multicenter-study-evaluate-benefits-technology-assisted-workflow-iv-room-efficiency-costs-and
July 14, 2009 - Study
Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety.
Citation Text:
Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and …
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - through state Medicaid Monthly calls with hospital leaders and champions Site visits and technical assistance … My Birth Matters Use of CMS §1115 waiver process to incentivize participation Mentorship, technical assistance … through state Medicaid Monthly calls with hospital leaders and champions Site visits and technical assistance
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psnet.ahrq.gov/issue/workarounds-electronic-health-record-systems-and-revised-sociotechnical-electronic-health
October 05, 2022 - Review
Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review.
Citation Text:
Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical E…
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psnet.ahrq.gov/issue/department-defense-health-care-quality
February 11, 2025 - Book/Report
Department of Defense Health Care Quality.
Citation Text:
Department of Defense Health Care Quality. Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011.
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psnet.ahrq.gov/issue/computer-assisted-bar-coding-system-significantly-reduces-clinical-laboratory-specimen
July 29, 2020 - Study
Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital.
Citation Text:
Hayden RT, Patterson DJ, Jay DW, et al. Computer-assisted bar-coding system significantly reduces clinical laboratory spec…
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - Patients who do not receive timely assistance with activities that they are unable to undertake
safely … Continence management, including routines of offering frequent assistance to use the toilet.
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - Regular surveys were restarted in September 2020. 56 CMS also provides technical assistance on infection … processes, resulting in some QIOs issuing infection control training documents, providing technical assistance … officers from CMS, CDC, and the Office of the Assistant Secretary for Health (OASH) to provide technical assistance … resident safety with the negative impact of social isolation, Improve the NH workforce, Improve technical assistance
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
November 01, 2010 - Successful TPAD management requires physicians to have high safety awareness and to use technology for assistance
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psnet.ahrq.gov/issue/analysis-errors-dictated-clinical-documents-assisted-speech-recognition-software-and
July 06, 2022 - Study
Emerging Classic
Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists.
Citation Text:
Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted…