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psnet.ahrq.gov/issue/mri-suites-safety-outside-bore
April 28, 2021 - July 20, 2016
ACR guidance document on MR safe practices: 2013.
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psnet.ahrq.gov/issue/wake-safe
April 22, 2020 - A position statement and resource document from NAEMSP.
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psnet.ahrq.gov/issue/disclosure-medical-errors-involving-gametes-and-embryos
April 22, 2020 - July 8, 2013
ACR guidance document on MR safe practices: 2013.
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psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
July 17, 2024 - Baffled by Botulinum Toxin
Citation Text:
Sivaraman-Nair KP. Baffled by Botulinum Toxin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/issue/medication-details-documented-hospital-discharge-cross-sectional-observational-study-factors
April 24, 2018 - Study
Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.
Citation Text:
Grimes TC, Duggan CA, Delaney TP, et al. Medication details documented on hospital discharge: cross-sectional observat…
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psnet.ahrq.gov/node/866995/psn-pdf
October 30, 2024 - A Cognitive and Communication Blind Spot Contributes
to Permanent Paralysis
October 30, 2024
Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
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psnet.ahrq.gov/node/37947/psn-pdf
May 04, 2010 - Computerized physician order entry of medications and
clinical decision support can improve problem list
documentation compliance.
May 4, 2010
Galanter W, Hier DB, Jao C, et al. Computerized physician order entry of medications and clinical decision
support can improve problem list documentation compliance. Int J …
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psnet.ahrq.gov/web-mm/sloppy-and-paste
February 02, 2011 - Sloppy and Paste
Citation Text:
Hirschtick RE. Sloppy and Paste. 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/issue/technologists-role-patient-safety-and-quality-medical-imaging
May 15, 2024 - March 4, 2015
ACR guidance document on MR safe practices: 2013.
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psnet.ahrq.gov/issue/nil-os-orders-imaging-teachable-moment
November 13, 2024 - February 18, 2014
ACR guidance document on MR safe practices: 2013.
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psnet.ahrq.gov/node/37606/psn-pdf
January 10, 2017 - Enhancing healthcare process design with human factors
engineering and reliability science, part 2: applying the
knowledge to clinical documentation systems.
January 10, 2017
Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and
reliability science, part 2: applying the know…
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psnet.ahrq.gov/issue/variation-printed-handoff-documents-results-and-recommendations-multicenter-needs-assessment
June 25, 2014 - Study
Variation in printed handoff documents: results and recommendations from a multicenter needs assessment.
Citation Text:
Rosenbluth G, Bale JF, Starmer AJ, et al. Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment. J Hosp Med. 201…
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psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - The bone pathologist then went on vacation for several days but did not document his discussions with … We recommend that the surgical team also document intraoperative consultation results within the operative
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psnet.ahrq.gov/issue/factfinders
February 17, 2021 - June 16, 2014
ACR guidance document on MR safe practices: 2013.
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psnet.ahrq.gov/issue/nursing-homes-fined-covid-infection-control-lapses
November 24, 2021 - November 25, 2020
Finding the right balance: an evidence-informed guidance document to
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psnet.ahrq.gov/issue/fda-public-health-notification-unretrieved-device-fragments
June 02, 2021 - January 13, 2016
FDA Guidance Document: Hospital Bed System Dimensional and Assessment
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psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
October 19, 2022 - October 17, 2011
ACR guidance document on MR safe practices: 2013.
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psnet.ahrq.gov/issue/mistakes-and-disclosure
October 19, 2022 - October 19, 2022
ACR guidance document on MR safe practices: 2013.
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psnet.ahrq.gov/issue/should-medical-malpractice-prevention-be-considered-separately-or-integral-part-comprehensive
March 19, 2019 - June 10, 2020
ACR guidance document on MR safe practices: 2013.
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psnet.ahrq.gov/issue/unsuspected-mr-projectile-wooden-chair-metal-bracing
August 03, 2022 - September 4, 2013
ACR guidance document on MR safe practices: 2013.