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psnet.ahrq.gov/issue/medical-harm-patient-perceptions-and-follow-actions
September 27, 2017 - Study
Medical harm: patient perceptions and follow-up actions.
Citation Text:
Lyu HG, Cooper M, Mayer-Blackwell B, et al. Medical Harm: Patient Perceptions and Follow-up Actions. J Patient Saf. 2017;13(4):199-201. doi:10.1097/PTS.0000000000000136.
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Format:
DOI …
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psnet.ahrq.gov/node/846922/psn-pdf
March 29, 2023 - Enhancing Support for Patients’ Social Needs to Reduce
Hospital Readmissions and Improve Health Outcomes
March 29, 2023
https://psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-
and-improve-health
Summary
With increasing recognition that health is linked to the condit…
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psnet.ahrq.gov/node/60547/psn-pdf
May 28, 2020 - The Role of the FDA in Ensuring Device Safety
May 28, 2020
Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
Introduction
The Food and Drug Administration (FDA) plays a critical role in ensuring the …
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psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - Cybersecurity and How to Maintain Patient Safety
March 27, 2024
Pelletreau B, Riggi J, Gale B, et al. Cybersecurity and How to Maintain Patient Safety. PSNet [internet].
2024.
https://psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
Introduction
The integration of information technology (I…
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psnet.ahrq.gov/issue/relation-between-malpractice-claims-and-adverse-events-due-negligence-results-harvard-medical
February 18, 2011 - Study
Classic
Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III.
Citation Text:
Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events Due to …
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psnet.ahrq.gov/issue/essential-activities-electronic-health-record-safety-qualitative-study
April 29, 2018 - April 29, 2018
Orders on file but no labs drawn: investigation of machine and human errors
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psnet.ahrq.gov/issue/standard-practices-computerized-clinical-decision-support-community-hospitals-national-survey
April 29, 2018 - April 29, 2018
Orders on file but no labs drawn: investigation of machine and human errors
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psnet.ahrq.gov/issue/matching-identifiers-electronic-health-records-implications-duplicate-records-and-patient
October 13, 2015 - July 16, 2015
Orders on file but no labs drawn: investigation of machine and human errors
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psnet.ahrq.gov/issue/computerized-physician-order-entry-us-hospitals-results-2002-survey
April 29, 2018 - February 1, 2023
Orders on file but no labs drawn: investigation of machine and human
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psnet.ahrq.gov/issue/lessons-unexpected-increased-mortality-after-implementation-commercially-sold-computerized
April 29, 2018 - April 29, 2018
Orders on file but no labs drawn: investigation of machine and human errors
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psnet.ahrq.gov/issue/current-challenges-health-information-technology-related-patient-safety
July 16, 2015 - March 24, 2021
Orders on file but no labs drawn: investigation of machine and human errors
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psnet.ahrq.gov/issue/what-computer-needs-physician-humanism-and-artificial-intelligence
June 21, 2016 - May 22, 2019
Orders on file but no labs drawn: investigation of machine and human errors
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psnet.ahrq.gov/issue/ehr-safety-way-forward-safe-and-effective-systems
December 12, 2012 - May 18, 2022
Orders on file but no labs drawn: investigation of machine and human errors
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psnet.ahrq.gov/node/50843/psn-pdf
January 29, 2020 - Incomplete Orders for Hypertonic Saline to Treat
Hyponatremia
January 29, 2020
Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet].
2020.
https://psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
The Case
A 54-year-old man was brought t…
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psnet.ahrq.gov/node/49733/psn-pdf
May 01, 2015 - Transitions in Adolescent Medicine
May 1, 2015
Okumura MJ, Williams RG. Transitions in Adolescent Medicine. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
The Case
A 21-year-old woman with a history of Marfan syndrome complicated by aortic root dilation presented to the
emer…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - PowerPoint Presentation
Spotlight
The Risks of Absent Interoperability:
Medication-Induced Hemolysis in a Patient With a Known Allergy
1
This presentation is based on the October 2015
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/
CME credit is available
Commentary by: Jacob Reider,…
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psnet.ahrq.gov/node/37230/psn-pdf
October 21, 2007 - Former pharmacist indicted for manslaughter after med
error.
October 21, 2007
Paul R. Drug Topics. September 17, 2007.
https://psnet.ahrq.gov/issue/former-pharmacist-indicted-manslaughter-after-med-error
This article reports on an error for which criminal charges were filed against the pharmacist and his license
…
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psnet.ahrq.gov/issue/measuring-patient-safety-real-time-essential-method-effectively-improving-safety-care
February 15, 2011 - December 19, 2018
Orders on file but no labs drawn: investigation of machine and human
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psnet.ahrq.gov/issue/improving-safety-health-information-technology-requires-shared-responsibility-it-time-we-all
August 20, 2014 - December 19, 2018
Orders on file but no labs drawn: investigation of machine and human
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psnet.ahrq.gov/issue/evolving-role-medical-scribe-variation-and-implications-organizational-effectiveness-and
October 24, 2018 - February 1, 2023
Orders on file but no labs drawn: investigation of machine and human