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psnet.ahrq.gov/web-mm/right-patient-wrong-sample
June 01, 2004 - July 23, 2008
Computer-assisted bar-coding system significantly reduces clinical laboratory
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psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - including lack of staff
availability to answer a phone call, phone outage, incorrect phone numbers, computer
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psnet.ahrq.gov/web-mm/perils-cross-coverage
September 22, 2010 - , Horwitz LI, Bass EJ, Mahar SE, Philibert I; Handoff Education and Assessment for Residents (HEAR) Computer
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psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - Not all the answers are on your computer screen or on your clipboard.
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psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
August 04, 2021 - Resources From the Same Author(s)
Enabling a learning healthcare system with automated computer
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - Resources From the Same Author(s)
Enabling a learning healthcare system with automated computer
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psnet.ahrq.gov/web-mm/novel-drug-misuse
September 30, 2010 - useful and which are reviewed elsewhere include academic detailing using local opinion leaders, paper or computer-based
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psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - Chris Vincent, PhD Department of Computer Science University College London London, England, UK
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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - November 13, 2024
Enabling a learning healthcare system with automated computer protocols
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - models and technologies that result in realistic heart tones and breath sounds, we use a handheld computer
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psnet.ahrq.gov/node/33770/psn-pdf
August 01, 2014 - patients weighing themselves every morning and we're looking for a standard
deviation of 2 pounds, the computer
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psnet.ahrq.gov/node/33843/psn-pdf
October 01, 2017 - I don't mean to diminish other businesses, but if you're sitting
behind a computer and you make an error
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psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
December 22, 2018 - Don't Use That Port: Insert a PICC
Citation Text:
Ilan R. Don't Use That Port: Insert a PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/web-mm/think-surgeon
December 04, 2024 - Think Like a Surgeon
Citation Text:
Cooper Z. Think Like a Surgeon. 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/hiding-plain-sight
April 24, 2019 - Hiding in Plain Sight
Citation Text:
Weinberg JM. Hiding in Plain Sight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/node/860015/psn-pdf
September 01, 2024 - Retained Surgical Items: Definition and Epidemiology.
January 4, 2024
Romano PS, Gibbs VC. Retained Surgical Items: Definition and Epidemiology. PSNet [internet]. 2024.
https://psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
Background
Prudent medical practice and federal and state laws r…
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - Delayed Diagnosis of Kidney Transplant Complications
Citation Text:
Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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Goo…
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psnet.ahrq.gov/node/840175/psn-pdf
November 16, 2022 - Mechanical Prosthetic Valve Thrombosis with
Thromboembolism.
November 16, 2022
Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. PSNet [internet].
2022.
https://psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
The Case
A 61-year-old woman presented to …
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psnet.ahrq.gov/node/846127/psn-pdf
March 15, 2023 - Sepsis Resulting from Delays in Treatment and
Miscommunication among Specialists
March 15, 2023
Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists.
PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-
spec…
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psnet.ahrq.gov/node/49706/psn-pdf
January 01, 2015 - Clostridium Difficile Relapse Secondary to Medication
Access Issue
April 1, 2014
Walker PC, Nagel J. Clostridium Difficile Relapse Secondary to Medication Access Issue. PSNet [internet].
2014.
https://psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
The Case
A 24-year-old wom…