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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.
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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)…
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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.
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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
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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:…
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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…
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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.
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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.
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psnet.ahrq.gov/issue/regional-variations-diagnostic-practices
July 15, 2020 - Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing … home ratings.
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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
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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 nursing … home residents.
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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 Nursing … Home Survey: User Database Report.
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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 nursing … home residents.
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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
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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
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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
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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.
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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 nursing … home.
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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 nursing … home: a before-after study.
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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.