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psnet.ahrq.gov/issue/electronic-health-record-ehr-safety-and-usability-see-what-we-mean
June 08, 2011 - Audiovisual
Electronic Health Record (EHR) Safety and Usability: See What We Mean.
Citation Text:
Electronic Health Record (EHR) Safety and Usability: See What We Mean. MedStar Health National Center for Human Factors in Healthcare.
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psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
November 10, 2021 - Commentary
Crew resource management: applications in healthcare organizations.
Citation Text:
Oriol MD. Crew resource management: applications in healthcare organizations. J Nurs Adm. 2006;36(9):402-406.
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psnet.ahrq.gov/issue/simulation-based-training-patient-safety-10-principles-matter
January 02, 2017 - Review
Simulation-based training for patient safety: 10 principles that matter.
Citation Text:
Salas E, Wilson KA, Lazzara EH, et al. Simulation-Based Training for Patient Safety. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e3181656dd6.
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psnet.ahrq.gov/issue/pandemic-imperiled-non-english-speakers-more-others
January 15, 2020 - Newspaper/Magazine Article
Pandemic imperiled non-English speakers more than others.
Citation Text:
Pandemic imperiled non-English speakers more than others. Bebinger M. WBUR and Kaiser Health News. April 27, 2021.
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psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns
June 10, 2018 - Newspaper/Magazine Article
Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns.
Citation Text:
Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. ISMP Medication Safety Alert! Acute care edition. November 19, 2020;2…
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psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
March 13, 2019 - Newspaper/Magazine Article
When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer?
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When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019.
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psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
December 24, 2007 - Government Resource
Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety.
Citation Text:
Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. Scobie S, Thomson R. London, UK : National Patient Safety Agency; 2005.
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psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness
May 26, 2021 - Newspaper/Magazine Article
COVID-19 exposes potential gaps in PPE training, effectiveness.
Citation Text:
COVID-19 exposes potential gaps in PPE training, effectiveness. Ault A. Medscape Medical News. April 6, 2020.
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psnet.ahrq.gov/issue/findings-and-lessons-improving-management-individuals-complex-health-care-needs-through
October 02, 2013 - Book/Report
Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative.
Citation Text:
Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Ini…
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psnet.ahrq.gov/issue/do-staffing-levels-predict-missed-nursing-care
September 27, 2017 - Study
Do staffing levels predict missed nursing care?
Citation Text:
Kalisch BJ, Tschannen D, Lee KH. Do staffing levels predict missed nursing care? Int J Qual Health Care. 2011;23(3):302-8. doi:10.1093/intqhc/mzr009.
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psnet.ahrq.gov/issue/health-it-enabled-quality-measurement-perspectives-pathways-and-practical-guidance
September 16, 2015 - Book/Report
Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance.
Citation Text:
Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. Roper RA, Anderson KM, Marsh CA, Flemming AC. Rockville, MD: Agency for Healthcare Re…
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psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
June 29, 2016 - Government Resource
Report on the Safe Use of Pick Lists in Ambulatory Care Settings.
Citation Text:
Report on the Safe Use of Pick Lists in Ambulatory Care Settings. Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016.
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psnet.ahrq.gov/issue/potentially-preventable-readmissions-conceptual-framework-rethink-role-primary-care-executive
November 01, 2016 - Book/Report
Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary.
Citation Text:
Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summa…
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psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
September 20, 2023 - Newspaper/Magazine Article
Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law.
Citation Text:
Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Surana K. Pro Publica. M…
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psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
January 08, 2020 - Grant Announcement
Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18).
Citation Text:
Medication Safety: Advancing the Development of Improvement Strategies and Tools (R18). Rockville, MD: Agency for Healthcare Research and Quality; Septembe…
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psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
December 12, 2012 - Commentary
Improving care transitions: current practice and future opportunities for pharmacists.
Citation Text:
Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi…
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psnet.ahrq.gov/issue/fatality-involving-vinblastine-overdose-result-complex-medical-error
January 25, 2023 - Study
Fatality involving vinblastine overdose as a result of a complex medical error.
Citation Text:
Kłys M, Konopka T, Scisłowski M, et al. Fatality involving vinblastine overdose as a result of a complex medical error. Cancer Chemother Pharmacol. 2007;59(1):89-95.
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psnet.ahrq.gov/issue/learning-malpractice-claims-about-negligent-adverse-events-primary-care-united-states
April 07, 2011 - Study
Learning from malpractice claims about negligent, adverse events in primary care in the United States.
Citation Text:
Phillips RL, Bartholomew LA, Dovey S, et al. Learning from malpractice claims about negligent, adverse events in primary care in the United States. Qual Saf Healt…
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psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
June 29, 2016 - Book/Report
Recent Evidence That Health IT Improves Patient Safety: Issue Brief.
Citation Text:
Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015.
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psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
August 07, 2013 - Commentary
Human factors and systems engineering approach to patient safety for radiotherapy.
Citation Text:
Human factors and systems engineering approach to patient safety for radiotherapy. Rivera AJ, Karsh B-T. Int J Radiat Oncol Biol Phys. 2008;71:S174-S177.
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