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psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm
October 12, 2022 - thousands of requests for medical care in a large health system to no location rather than to the intended
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psnet.ahrq.gov/issue/design-and-implementation-tool-pharmacists-register-potential-errors-prescribed-medication
March 09, 2022 - Clinical provider order entry (CPOE) and clinical decision support systems (CDSS) are intended to
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psnet.ahrq.gov/issue/recommendations-safe-effective-use-adaptive-cds-us-healthcare-system-amia-position-paper
March 24, 2021 - Clinical decision support (CDS) systems are intended to support diagnosis and therapeutic processes
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psnet.ahrq.gov/issue/inappropriate-prescribing-opioids-patients-undergoing-surgery
June 30, 2021 - Safe prescribing dictates that prescriptions should only be written for the patients who are intended
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psnet.ahrq.gov/node/43782/psn-pdf
September 28, 2016 - psnet.ahrq.gov/issue/role-technology-clinician-clinician-communication
https://psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
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psnet.ahrq.gov/node/41370/psn-pdf
September 01, 2016 - support systems (CDSS) are being applied widely in patient safety, most frequently to
provide alerts intended
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psnet.ahrq.gov/node/45126/psn-pdf
December 22, 2018 - State-level prescription drug monitoring programs are intended to identify
high-risk prescribing and
-
psnet.ahrq.gov/node/42471/psn-pdf
November 26, 2014 - teaching-hospital-five-year-mortality-trends-wake-duty-hour-reforms
Although the 2003 duty hour regulations for resident physicians were intended
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psnet.ahrq.gov/node/43176/psn-pdf
July 03, 2014 - https://psnet.ahrq.gov/issue/patient-safety-era-80-hour-workweek
Regulations intended to reduce resident
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psnet.ahrq.gov/node/34767/psn-pdf
November 28, 2018 - What interests Tenner, however, are “revenge effects,” which he defines as
the exact opposite of the intended
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psnet.ahrq.gov/node/37890/psn-pdf
February 18, 2011 - validity of using
PSIs to compare hospital performance, and in fact, the PSIs were not originally intended
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psnet.ahrq.gov/issue/survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes-high-alert
July 30, 2014 - This newsletter article describes the results of a survey of prescribers intended to determine high-alert
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psnet.ahrq.gov/issue/hospital-drug-errors-far-uncommon
February 11, 2015 - newborn twins of actor Dennis Quaid) receiving a concentration of heparin 1000 times higher than intended
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psnet.ahrq.gov/issue/performing-wrong-procedure
April 24, 2018 - A related editorial introduces Performance Improvement , a series of case-based articles intended to
-
psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture
December 24, 2008 - The survey is intended for offices with at least three providers, but it also can be used as a tool for
-
psnet.ahrq.gov/node/39163/psn-pdf
June 28, 2010 - burnout-and-medical-errors-among-american-surgeons
Duty-hour restrictions for resident physicians are intended
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psnet.ahrq.gov/node/43613/psn-pdf
December 19, 2014 - pump implementation as well, including alert fatigue and failure of clinicians to use
the system as intended
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psnet.ahrq.gov/node/40753/psn-pdf
September 07, 2011 - These
briefings, which may be structured around a formal checklist, are intended to create shared situational
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psnet.ahrq.gov/node/45405/psn-pdf
November 18, 2016 - They found that checklists were implemented as intended in
only 3% of cases.
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psnet.ahrq.gov/node/46578/psn-pdf
April 29, 2018 - reason for the error, such as problems with new
terms, conceptualization, and building the rule as intended