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psnet.ahrq.gov/issue/tracking-intraoperative-complications
April 30, 2014 - April 21, 2015
Compliance with a time-out procedure intended to prevent wrong surgery
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psnet.ahrq.gov/issue/cognitive-informatics-reengineering-clinical-workflow-safer-and-more-efficient-care
July 13, 2011 - October 24, 2018
Workarounds to intended use of health information technology: a narrative
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psnet.ahrq.gov/issue/engaging-patients-patient-safety-advocacy-brief
January 29, 2019 - February 2, 2022
Impact of the WHO Surgical Safety Checklist relative to its design and intended
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psnet.ahrq.gov/issue/examples-medical-device-misconnections
March 04, 2015 - Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the intended
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psnet.ahrq.gov/issue/serious-reportable-events
March 21, 2018 - April 8, 2020
Intended and unintended consequences: changes in opioid prescribing practices
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psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care
January 27, 2016 - December 21, 2018
Workarounds to intended use of health information technology: a narrative
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psnet.ahrq.gov/issue/fda-guidance-document-hospital-bed-system-dimensional-and-assessment-guidance-reduce
July 01, 2009 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended
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psnet.ahrq.gov/issue/reporting-near-miss-events-nursing-homes
January 24, 2018 - January 3, 2017
Intended and unintended effects of large-scale adverse event disclosure
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psnet.ahrq.gov/issue/medical-gas-containers-and-closures-current-good-manufacturing-practice-requirements
April 24, 2015 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended
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psnet.ahrq.gov/issue/wish-patient-safety-forum
June 24, 2015 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended
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psnet.ahrq.gov/issue/latest-results-first-trial
October 29, 2017 - November 30, 2022
Impact of the WHO Surgical Safety Checklist relative to its design and intended
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psnet.ahrq.gov/issue/quality-performance-improvement-teamwork-information-technology-and-protocols
November 03, 2015 - RIS
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psnet.ahrq.gov/issue/roundtable-public-policy-affecting-patient-safety
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psnet.ahrq.gov/issue/serious-adverse-events-accidental-ingestion-children-over-counter-eye-drops-and-nasal-sprays
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psnet.ahrq.gov/issue/detecting-adverse-events-dermatologic-surgery
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psnet.ahrq.gov/issue/clinical-care-checklists-salvations-or-frustrations
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psnet.ahrq.gov/node/49679/psn-pdf
March 01, 2013 - A detailed
discussion of the intended use, how to operate the device, the actual or potential risks … The guidance is intended to improve the usability of medical devices to reduce user
error, injuries … includes "needs of the user
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
May 01, 2009 - Before Applying Restraints
Consider:
What is intended effect of restraint? … Can intended effect be achieved by other means?
Is this the least invasive restraint?
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psnet.ahrq.gov/issue/electronic-health-record-use-issues-and-diagnostic-error-scoping-review-and-framework
September 14, 2011 - October 24, 2018
Workarounds to intended use of health information technology: a narrative