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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - 18495686
https://psnet.ahrq.gov//#ref19back
https://www.fda.gov/regulatory-information/search-fda-guidance-documents
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - Even when completed, such documents are frequently unavailable to physicians in the hospital.
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psnet.ahrq.gov/node/45507/psn-pdf
November 02, 2016 - Information handoff and outcomes of critically ill patients
transferred between hospitals.
November 2, 2016
Usher MG, Fanning C, Wu D, et al. Information handoff and outcomes of critically ill patients transferred
between hospitals. J Crit Care. 2016;36:240-245. doi:10.1016/j.jcrc.2016.08.006.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/36684/psn-pdf
June 13, 2011 - Implementation of an electronic system for medication
reconciliation.
June 13, 2011
Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication
reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506.
https://psnet.ahrq.gov/issue/implementation-elect…
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psnet.ahrq.gov/node/46977/psn-pdf
April 04, 2018 - Latex: a lingering and lurking safety risk.
April 4, 2018
Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15.
https://psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk
Latex products are widely available in hospitals and represent a persistent threat to patients with latex
allergies. Drawing from 61…
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psnet.ahrq.gov/node/46936/psn-pdf
April 11, 2018 - You've detailed your last wishes, but doctors may not see
them.
April 11, 2018
Lamas D.
https://psnet.ahrq.gov/issue/youve-detailed-your-last-wishes-doctors-may-not-see-them
Advance care planning can affect patient safety if the information is unheeded, unavailable, or unread.
Reporting on a physician's experienc…
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psnet.ahrq.gov/node/38797/psn-pdf
July 22, 2009 - Failure to recognize newly identified aortic dilations in a
health care system with an advanced electronic medical
record.
July 22, 2009
Gordon JRS, Wahls TL, Carlos RC, et al. Failure to recognize newly identified aortic dilations in a health
care system with an advanced electronic medical record. Ann Intern Med.…
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psnet.ahrq.gov/node/46989/psn-pdf
August 15, 2018 - Frequency, comprehension and attitudes of physicians
towards abbreviations in the medical record.
August 15, 2018
Hamiel U, Hecht I, Nemet A, et al. Frequency, comprehension and attitudes of physicians towards
abbreviations in the medical record. Postgrad Med J. 2018;94(1111):254-258. doi:10.1136/postgradmedj-
201…
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - SPOTLIGHT CASE
A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis
Citation Text:
Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health an…
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psnet.ahrq.gov/issue/planning-mr-suite-what-can-be-done-enhance-safety
September 12, 2016 - Commentary
Planning an MR suite: what can be done to enhance safety?
Citation Text:
Gilk TB, Kanal E. Planning an MR suite: What can be done to enhance safety? J Magn Reson Imaging. 2015;42(3):566-71. doi:10.1002/jmri.24794.
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