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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - present within the workplace, more nurses are likely to self-
report missed nursing care.11
When evaluating
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psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
May 01, 2008 - Interaction
January 1, 2009
Medication reconciliation at hospital discharge: evaluating
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - Evaluating the short message service alerting system for critical value notification via PDA telephones
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - most medication reconciliation efforts have centered on inpatient care, there are
emerging studies evaluating
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psnet.ahrq.gov/node/49861/psn-pdf
May 01, 2019 - The evaluating physician ordered a CT scan of his chest, which revealed a large saddle
pulmonary embolism
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - ) Third, it underscores the potential for medical
errors in end-of-life care and the difficulty in evaluating
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - present within the workplace, more nurses are likely to self-report missed nursing care. 11 When evaluating
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - Alan Forster and I have considered the features listed in Table 2 as a framework for evaluating the
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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - of performance, including using approved protocols for the management of anticoagulant therapy and evaluating
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - hospital-to-home-health transition quality (H3TQ) index: a novel measure to engage patients and home health providers in evaluating
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psnet.ahrq.gov/node/33877/psn-pdf
April 01, 2019 - https://psnet.ahrq.gov/primer/human-factors-engineering
https://psnet.ahrq.gov/issue/developing-and-evaluating-automated-all-cause-harm-trigger-system
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psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - May 18, 2022
Evaluating serial strategies for preventing wrong-patient orders in the
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psnet.ahrq.gov/node/50877/psn-pdf
February 05, 2020 - Artificial intelligence makes bad medicine even worse.
February 5, 2020
Aschwanden C. Wired Magazine. January 10, 2020.
https://psnet.ahrq.gov/issue/artificial-intelligence-makes-bad-medicine-even-worse
The unintended consequences of artificial intelligence (AI) in healthcare continue to generate clinician
concern…
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psnet.ahrq.gov/node/41957/psn-pdf
May 04, 2016 - Safety Considerations for Product Design to Minimize
Medication Errors: Guidance for Industry.
May 4, 2016
Rockville, MD: Center for Drug Evaluation and Research, US Food and Drug Administration; April 2016.
https://psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-
indu…
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psnet.ahrq.gov/node/60727/psn-pdf
July 29, 2020 - A randomized trial of a multifactorial strategy to prevent
serious fall injuries.
July 29, 2020
Bhasin S, Gill TM, Reuben DB, et al. A randomized trial of a multifactorial strategy to prevent serious fall
injuries. N Engl J Med. 2020;383(2):129-140. doi:10.1056/nejmoa2002183.
https://psnet.ahrq.gov/issue/randomize…
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psnet.ahrq.gov/node/41782/psn-pdf
October 31, 2012 - Quality improvement and patient safety activities in
academic departments of medicine.
October 31, 2012
Neeman N, Sehgal NL, Davis RB, et al. Quality improvement and patient safety activities in academic
departments of medicine. Am J Med. 2012;125(8):831-5. doi:10.1016/j.amjmed.2012.04.025.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/37926/psn-pdf
July 30, 2008 - Adaptive coordination in cardiac anaesthesia: a study of
situational changes in coordination patterns using a new
observation system.
July 30, 2008
Manser T, Howard SK, Gaba DM. Adaptive coordination in cardiac anaesthesia: a study of situational
changes in coordination patterns using a new observation system. Erg…
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psnet.ahrq.gov/node/45587/psn-pdf
January 23, 2017 - Comparison of physician and computer diagnostic
accuracy.
January 23, 2017
Semigran HL, Levine DM, Nundy S, et al. Comparison of Physician and Computer Diagnostic Accuracy.
JAMA Intern Med. 2016;176(12):1860-1861. doi:10.1001/jamainternmed.2016.6001.
https://psnet.ahrq.gov/issue/comparison-physician-and-computer-d…
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psnet.ahrq.gov/node/35708/psn-pdf
March 28, 2011 - Interventions in primary care to reduce medication related
adverse events and hospital admissions: systematic
review and meta-analysis.
March 28, 2011
Royal S, Smeaton L, Avery A, et al. Interventions in primary care to reduce medication related adverse
events and hospital admissions: systematic review and meta-an…
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psnet.ahrq.gov/node/45353/psn-pdf
July 20, 2016 - Using the web or an app instead of seeing a doctor?
Caution is advised.
July 20, 2016
Frakt A. New York Times. July 11, 2016.
https://psnet.ahrq.gov/issue/using-web-or-app-instead-seeing-doctor-caution-advised
Patients are increasingly using online symptom checkers for medical information and health care
recommen…