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psnet.ahrq.gov/issue/fatigue-and-risk-are-train-drivers-safer-doctors
September 03, 2016 - August 8, 2012
Considering human factors and developing systems-thinking behaviours to
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psnet.ahrq.gov/node/33773/psn-pdf
September 01, 2014 - My colleagues and I have
advocated for considering the financial harms of wasteful care.(15) Others
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psnet.ahrq.gov/perspective/accountability-patient-safety
January 01, 2018 - to mistakes was an ineffective strategy for preventing further patient safety mishaps, particularly considering
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psnet.ahrq.gov/node/49390/psn-pdf
February 01, 2003 - these interventions, professional societies have developed lists and procedures that are well
worth considering
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
May 01, 2007 - Dosing Antiseizure Drugs
Initiating therapy at too high a dose or escalating dosage too quickly
Not considering
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - Considering the roles of the RN and the LPN in the management of parenteral nutrients, in this
case
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psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
March 28, 2023 - When considering patient management, sharing and reporting data is difficult because maternal care is … This fact highlights the importance of considering the mental health needs of both parents in perinatal … By considering education, communication, and care coordination when implementing and providing care,
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psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - Especially when the person
considering disclosing an error is subordinate to the physician who made
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psnet.ahrq.gov/node/73554/psn-pdf
July 28, 2021 - Simultaneously,
policymakers and individual EMS organizations are considering the expansion of EMS’
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
January 01, 2020 - diagnostic errors are common, with incidence ranging from 10%−20%
Premature closure (the failure to continue considering
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psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - KH: Is the FDA considering the use of artificial intelligence [AI] and pattern recognition in device
-
psnet.ahrq.gov/node/46045/psn-pdf
December 22, 2018 - Validating domains of patient contextual factors essential
to preventing contextual errors: a qualitative study
conducted at Chicago area Veterans Health
Administration sites.
December 22, 2018
Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual Factors
Essential to Preventin…
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psnet.ahrq.gov/node/866405/psn-pdf
July 31, 2024 - Analysis of an academic medical center’s corrective
action plan in response to fatal medication error using the
Institute for Safe Medication Practices’ Hierarchy of
Effectiveness.
July 31, 2024
Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s corrective action plan in
response to fa…
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - whereas ISO sizing typically refers to the internal diameter of the outer cannula,
which is useful when considering
-
psnet.ahrq.gov/node/73465/psn-pdf
July 07, 2021 - Identifying health information technology usability issues
contributing to medication errors across medication
process stages.
July 7, 2021
Adams KT, Pruitt Z, Kazi S, et al. Identifying health information technology usability issues contributing to
medication errors across medication process stages. J Patient Saf…
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psnet.ahrq.gov/node/60232/psn-pdf
April 15, 2020 - Sustaining innovations in complex health care
environments: a multiple-case study of rapid response
teams.
April 15, 2020
Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a
multiple-case study of rapid response teams. J Patient Saf. 2020;16(1).
doi:10.1097/pts.0000000…
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psnet.ahrq.gov/node/60795/psn-pdf
August 12, 2020 - Hastened death due to disease burden and distress that
has not received timely, quality palliative care is a medical
error.
August 12, 2020
Gallagher R, Passmore MJ, Baldwin C. Hastened death due to disease burden and distress that has not
received timely, quality palliative care is a medical error. Med Hypotheses…
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psnet.ahrq.gov/node/48086/psn-pdf
June 26, 2019 - Why are patients not more involved in their own safety? A
questionnaire-based survey in a multi-ethnic North
London hospital population.
June 26, 2019
Yoong W, Assassi Z, Ahmedani I, et al. Why are patients not more involved in their own safety? A
questionnaire-based survey in a multi-ethnic North London hospital …
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psnet.ahrq.gov/node/44297/psn-pdf
September 09, 2015 - The problem with checklists.
September 9, 2015
Catchpole K, Russ S. The problem with checklists. BMJ Qual Saf. 2015;24(9):545-9. doi:10.1136/bmjqs-
2015-004431.
https://psnet.ahrq.gov/issue/problem-checklists
Checklists, while popularly considered to address safety issues, can be difficult to use reliably. Spotlig…
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psnet.ahrq.gov/curated-library/falls-prevention-awareness-week-2024
September 07, 2019 - Breadcrumb
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Created By: AHRQ
Date Created: …