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psnet.ahrq.gov/node/40286/psn-pdf
March 09, 2011 - Medication-error alerts for warfarin orders detected by a
bar-code-assisted medication administration system.
March 9, 2011
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 Health Syst Pharm. 2011;68(5):434-41.
…
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psnet.ahrq.gov/node/45588/psn-pdf
January 23, 2017 - Computer-assisted process modeling to enhance
intraoperative safety in cardiac surgery.
January 23, 2017
Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative
Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasurg.2016.2839.
https://psnet.ahrq…
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psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
October 11, 2023 - Study
Types, prevalence, and potential clinical significance of medication administration errors in assisted living.
Citation Text:
Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. J A…
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psnet.ahrq.gov/node/41305/psn-pdf
April 18, 2012 - Is computer-assisted telephone triage safe? A
prospective surveillance study in walk-in patients with
non-life-threatening medical conditions.
April 18, 2012
Meer A, Gwerder T, Duembgen L, et al. Is computer-assisted telephone triage safe? A prospective
surveillance study in walk-in patients with non-life-threaten…
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psnet.ahrq.gov/node/37528/psn-pdf
February 13, 2008 - Computer-assisted bar-coding system significantly
reduces clinical laboratory specimen identification errors
in a pediatric oncology hospital.
February 13, 2008
Hayden RT, Patterson DJ, Jay DW, et al. Computer-assisted bar-coding system significantly reduces
clinical laboratory specimen identification errors in a …
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psnet.ahrq.gov/issue/ensuring-healthcare-safety-throughout-covid-19-pandemic
January 13, 2021 - Webinar
Ensuring Healthcare Safety Throughout the COVID-19 Pandemic.
Citation Text:
Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. US Health and Human Services Office of the Assistant Secretary for Preparedness and Response’s Technical Resources, Assistance Center, & In…
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psnet.ahrq.gov/node/47044/psn-pdf
April 18, 2018 - Bedside computer vision—moving artificial intelligence
from driver assistance to patient safety.
April 18, 2018
Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver
Assistance to Patient Safety. New Engl J Med. 2018;378(14):1271-1273. doi:10.1056/NEJMp1716891.
…
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psnet.ahrq.gov/issue/outbreak-investigation-covid-19-among-residents-and-staff-independent-and-assisted-living
October 19, 2022 - Study
Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington.
Citation Text:
Roxby AC, Greninger AL, Hatfield KM, et al. Outbreak investigation of COVID-19 among residents and staff of an indepe…
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psnet.ahrq.gov/node/42941/psn-pdf
February 12, 2014 - Risk and Safety Management in Infertility and Assisted
Reproductive Technology.
February 12, 2014
Fertil Steril. 2013;100:1497-1523.
https://psnet.ahrq.gov/issue/risk-and-safety-management-infertility-and-assisted-reproductive-technology
Introduction of assisted reproductive technology has led to new risks i…
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psnet.ahrq.gov/issue/risk-and-safety-management-infertility-and-assisted-reproductive-technology
August 01, 2016 - Special or Theme Issue
Risk and Safety Management in Infertility and Assisted Reproductive Technology.
Citation Text:
Risk and Safety Management in Infertility and Assisted Reproductive Technology. Fertil Steril. 2013;100:1497-1523.
Copy Citation
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…
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psnet.ahrq.gov/issue/patient-safety-culture-assisted-living-staff-perceptions-and-association-state-regulations
June 30, 2021 - Study
Patient safety culture in assisted living: staff perceptions and association with state regulations.
Citation Text:
Temkin-Greener H, Mao Y, McGarry B, et al. Patient safety culture in assisted living: staff perceptions and association with state regulations. J Am Med Dir Assoc. 20…
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psnet.ahrq.gov/issue/association-between-workarounds-and-medication-administration-errors-bar-code-assisted
August 26, 2020 - Study
Classic
Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals.
Citation Text:
van der Veen W, van den Bemt PMLA, Wouters H, et al. Association between workarounds and medication adm…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - PowerPoint Presentation
Spotlight
Robotic Surgery: Risks vs. Rewards
1
Source and Credits
This presentation is based on the February 2016
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Tara Kirkpatrick, MD, and Chad LaGrange, MD, Univer…
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psnet.ahrq.gov/issue/risk-adverse-drug-events-neonates-treated-opioids-and-effect-bar-code-assisted-medication
May 21, 2009 - Study
Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.
Citation Text:
Morriss FH, Abramowitz PW, Nelson S, et al. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-cod…
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psnet.ahrq.gov/node/44896/psn-pdf
March 23, 2016 - Computer-assisted diagnostic checklist in clinical
neurology.
March 23, 2016
Finelli PF, McCabe AL. Computer-assisted Diagnostic Checklist in Clinical Neurology. Neurologist.
2016;21(2):23-7. doi:10.1097/NRL.0000000000000071.
https://psnet.ahrq.gov/issue/computer-assisted-diagnostic-checklist-clinical-neurology
C…
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psnet.ahrq.gov/node/38710/psn-pdf
September 14, 2009 - Patient readmissions, emergency visits, and adverse
events after software-assisted discharge from hospital:
cluster randomized trial.
September 14, 2009
Graumlich JF, Novotny NL, Nace S, et al. Patient readmissions, emergency visits, and adverse events after
software-assisted discharge from hospital: cluster rando…
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psnet.ahrq.gov/node/42681/psn-pdf
December 13, 2013 - Medication reconciliation: reducing risk for medication
misadventure during transition from hospital to assisted
living.
December 13, 2013
Fitzgibbon M, Lorenz R, Lach H. Medication reconciliation: reducing risk for medication misadventure
during transition from hospital to assisted living. J Gerontol Nurs. 2013;3…
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psnet.ahrq.gov/node/44255/psn-pdf
November 09, 2015 - Biopsy site selfies—a quality improvement pilot study to
assist with correct surgical site identification.
November 9, 2015
Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct
surgical site identification. Dermatol Surg. 2015;41(4):499-504. doi:10.1097/DSS.00…
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psnet.ahrq.gov/node/46990/psn-pdf
July 25, 2018 - Analysis of errors in dictated clinical documents assisted
by speech recognition software and professional
transcriptionists.
July 25, 2018
Zhou L, Blackley SV, Kowalski L, et al. Analysis of Errors in Dictated Clinical Documents Assisted by
Speech Recognition Software and Professional Transcriptionists. JAMA Netw…
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psnet.ahrq.gov/node/49753/psn-pdf
February 01, 2016 - Robotic Surgery: Risks vs. Rewards
February 1, 2016
Kirkpatrick T, LaGrange C. Robotic Surgery: Risks vs. Rewards. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
Case Objectives
Discuss the background and current trends in robotic surgery.
Identify the benefits of robotic s…