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  1. psnet.ahrq.gov/issue/towards-safe-conversational-agents-healthcare
    July 10, 2024 - Review Towards safe conversational agents in healthcare. Citation Text: Denecke K. Towards Safe Conversational Agents in Healthcare. Stud Health Technol Inform. 2023;302:157-161. doi:10.3233/shti230094. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …
  2. psnet.ahrq.gov/issue/human-performance-breakdowns-are-rarely-accidents-they-are-usually-very-poor-choices
    September 12, 2016 - Commentary Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. Citation Text: Besco RO. Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. J Hazard Mater. 2004;115(1-3)…
  3. psnet.ahrq.gov/issue/hospital-drug-errors-far-uncommon
    February 11, 2015 - Newspaper/Magazine Article Hospital drug errors far from uncommon. Citation Text: Hospital drug errors far from uncommon. Lin R-G II; Watanabe T. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49642/psn-pdf
    December 01, 2011 - The Case A 56-year-old man with dementia was admitted to an academic medical center from a nursing home … The patient survived the operation and ultimately was discharged back to the nursing home after a 3-week
  5. psnet.ahrq.gov/issue/therapeutic-errors-among-children-community-setting-nature-causes-and-outcomes
    September 09, 2009 - Study Therapeutic errors among children in the community setting: nature, causes and outcomes. Citation Text: Taylor D, Robinson J, MacLeod D, et al. Therapeutic errors among children in the community setting: nature, causes and outcomes. J Paediatr Child Health. 2009;45(5):304-9. doi:…
  6. psnet.ahrq.gov/issue/reduction-incorrect-record-accessing-and-charting-patient-electronic-medical-records
    September 29, 2017 - Study Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. Citation Text: Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative…
  7. psnet.ahrq.gov/issue/data-consistency-voluntary-medical-incident-reporting-system
    August 21, 2024 - Study Data consistency in a voluntary medical incident reporting system. Citation Text: Gong Y. Data consistency in a voluntary medical incident reporting system. J Med Syst. 2011;35(4):609-15. doi:10.1007/s10916-009-9398-y. Copy Citation Format: DOI Google Scholar PubMed…
  8. psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem
    April 18, 2019 - Commentary Addressing racial and ethnic bias in pulse oximeters—a wicked problem. Citation Text: Shachar C, Drabo EF, Iwashyna TJ, et al. Addressing racial and ethnic bias in pulse oximeters—a wicked problem. JAMA. 2025;333(7):563-564. doi:10.1001/jama.2024.25443. Copy Citation For…
  9. psnet.ahrq.gov/issue/regional-variations-diagnostic-practices
    July 15, 2020 - Underreporting of quality measures and associated facility characteristics and racial disparities in US nursinghome ratings.
  10. psnet.ahrq.gov/issue/older-peoples-experiences-medicine-changes-leaving-hospital
    August 26, 2020 - August 26, 2020 Medication discrepancy rates and sources upon nursing home intake: a
  11. psnet.ahrq.gov/issue/sensemaking-patient-safety-risks-and-hazards
    March 03, 2011 - A national implementation project to prevent catheter-associated urinary tract infection in nursinghome residents.
  12. psnet.ahrq.gov/issue/what-can-patient-safety-teach-us-about-clinician-burnout
    January 07, 2011 - View More Related Resources Surveys on Patient Safety Culture NursingHome Survey: User Database Report.
  13. psnet.ahrq.gov/issue/what-words-convey-potential-patient-narratives-inform-quality-improvement
    August 19, 2015 - A national implementation project to prevent catheter-associated urinary tract infection in nursinghome residents.
  14. psnet.ahrq.gov/issue/global-drug-shortages-due-covid-19-impact-patient-care-and-mitigation-strategies
    November 04, 2020 - November 4, 2020 Drug-related problems and polypharmacy in nursing home residents: a
  15. psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-estimates-ahrq-patient-safety-indicators
    April 03, 2005 - February 10, 2015 Nursing Home Survey on Patient Safety Culture: 2011 User Comparative
  16. psnet.ahrq.gov/issue/postoperative-opioid-prescribing-and-pain-scores-hospital-consumer-assessment-healthcare
    January 29, 2020 - June 21, 2016 Patterns in nursing home medication errors: disproportionality analysis
  17. psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update
    May 01, 2017 - July 27, 2018 Resident Safety Practices in Nursing Home Settings.
  18. psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
    December 22, 2018 - Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursinghome.
  19. psnet.ahrq.gov/issue/barriers-staff-adoption-surgical-safety-checklist
    February 25, 2015 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursinghome: a before-after study.
  20. psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention-studies-pre
    October 12, 2016 - November 1, 2016 Resident Safety Practices in Nursing Home Settings.

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