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psnet.ahrq.gov/issue/mistakes-were-made-me
January 23, 2019 - Commentary
Mistakes were made (by me).
Citation Text:
Manesh R. Mistakes Were Made (by Me). JAMA Intern Med. 2017;177(10). doi:10.1001/jamainternmed.2017.3781.
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…
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psnet.ahrq.gov/issue/towards-safe-conversational-agents-healthcare
July 10, 2024 - Review
Towards safe conversational agents in healthcare.
Citation Text:
Denecke K. Towards Safe Conversational Agents in Healthcare. Stud Health Technol Inform. 2023;302:157-161. doi:10.3233/shti230094.
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psnet.ahrq.gov/issue/habit-and-automaticity-medical-alert-override-cohort-study
October 05, 2022 - Study
Habit and automaticity in medical alert override: cohort study.
Citation Text:
Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med Internet Res. 2022;24(2):e23355. doi:10.2196/23355.
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psnet.ahrq.gov/issue/using-text-mining-techniques-identify-health-care-providers-patient-safety-problems
July 27, 2022 - Study
Using text mining techniques to identify health care providers with patient safety problems: exploratory study.
Citation Text:
Hendrickx I, Voets T, van Dyk P, et al. Using text mining techniques to identify health care providers with patient safety problems: exploratory study. J M…
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psnet.ahrq.gov/issue/understanding-how-design-and-implementation-online-consultations-affect-primary-care-quality
October 05, 2022 - Review
Understanding how the design and implementation of online consultations affect primary care quality: systematic review of evidence with recommendations for designers, providers, and researchers.
Citation Text:
Darley S, Coulson T, Peek N, et al. Understanding how the design and im…
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - Falling Through the Crack (in the Bedrails)
May 1, 2016
Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
Case Objectives
Review the epidemiology of patient falls and associated injuries in the hospital set…
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psnet.ahrq.gov/node/60241/psn-pdf
February 24, 2022 - 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 … safety
with the negative impact of social isolation,
Improve the NH workforce,
Improve technical assistance
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psnet.ahrq.gov/node/46365/psn-pdf
September 06, 2017 - Learning to overcome hierarchical pressures to achieve
safer patient care: an interprofessional simulation for
nursing, medical, and physician assistant students.
September 6, 2017
Reeves SA, Denault D, Huntington JT, et al. Learning to Overcome Hierarchical Pressures to Achieve
Safer Patient Care: An Interprofess…
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psnet.ahrq.gov/node/46585/psn-pdf
April 29, 2018 - Improving patient safety and efficiency of medication
reconciliation through the development and adoption of a
computer-assisted tool with automated electronic
integration of population-based community drug data: the
RightRx project.
April 29, 2018
Tamblyn R, Winslade N, Lee TC, et al. Improving patient safety an…
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-research-david-w-bates-md-msc-brigham-and-womens
July 25, 2018 - Commentary
John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital.
Citation Text:
Bates DW. John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. Interview by Steven Berman. Jt Comm J Q…
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psnet.ahrq.gov/node/836941/psn-pdf
April 27, 2022 - psychosocial, or
palliative care activities.11 These services may comprise 24-hour support or intermittent assistance … psnet.ahrq.gov//#15
https://psnet.ahrq.gov//#17
require some type of supportive device and/or the assistance … IAH services target fee-for-service
beneficiaries with at least two chronic conditions, and who need assistance
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psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - capacity and timeline to improve
those abilities, the discharge environment (e.g., availability of assistance
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
October 31, 2023 - Direct pressure is useful because it gives the surgeon time to get assistance, to clear the operative … Seeking the assistance of a colleague not only provides an extra set of hands but a fresh set of eyes
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psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
July 25, 2018 - Study
Classic
Unexpected hypoglycemia in a critically ill patient.
Citation Text:
Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6.
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psnet.ahrq.gov/issue/nursing-home-patient-safety-culture-perceptions-among-us-and-immigrant-nurses
January 14, 2011 - Study
Nursing home patient safety culture perceptions among US and immigrant nurses.
Citation Text:
Wagner LM, Brush BL, Castle NG, et al. Nursing Home Patient Safety Culture Perceptions Among US and Immigrant Nurses. J Patient Saf. 2020;16(3):238-244. doi:10.1097/pts.0000000000000271.
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psnet.ahrq.gov/issue/using-lean-automation-human-touch-improve-medication-safety-step-closer-perfect-dose
September 16, 2015 - Study
Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose."
Citation Text:
Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose". Jt Co…
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - We acknowledge the assistance of the PRIDE project director Maria Mirica,
PhD, in preparing this case … We acknowledge the assistance of Dr.
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - That represents
significant assistance to PSOs. … We also provide quite a lot of technical assistance free of charge.
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psnet.ahrq.gov/web-mm/empty-handoff
August 01, 2017 - Empty Handoff
Citation Text:
Goldman A, Catchpole K. Empty Handoff. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - capacity and timeline to improve those abilities, the discharge environment (e.g., availability of assistance