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psnet.ahrq.gov/issue/assessing-potential-adoption-and-usefulness-concurrent-action-oriented-electronic-adverse
October 01, 2014 - April 19, 2017
The impact of prescribing safety alerts for elderly persons in an electronic
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psnet.ahrq.gov/issue/cognitive-task-analysis-information-management-strategies-computerized-provider-order-entry
May 27, 2011 - May 27, 2011
The impact of prescribing safety alerts for elderly persons in an electronic
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psnet.ahrq.gov/issue/use-administrative-data-find-substandard-care-validation-complications-screening-program
September 30, 2015 - 2019
Patient safety events and harms during medical and surgical hospitalizations for persons
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psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry
September 28, 2017 - , 2023
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons … May 24, 2023
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person
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psnet.ahrq.gov/issue/impact-health-information-technology-detection-potential-adverse-drug-events-ordering-stage
June 25, 2008 - June 15, 2011
The impact of prescribing safety alerts for elderly persons in an electronic
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psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
June 25, 2014 - 2010
National estimates of adverse events during nonpsychiatric hospitalizations for persons
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psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and
February 15, 2011 - 2017
Long-term outcomes of medication intervention using the screening tool of older persons
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psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors
April 12, 2017 - September 20, 2011
The impact of prescribing safety alerts for elderly persons in an
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psnet.ahrq.gov/issue/principles-conservative-prescribing
April 22, 2017 - September 15, 2011
The impact of prescribing safety alerts for elderly persons in an
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psnet.ahrq.gov/node/33704/psn-pdf
December 01, 2010 - Prior to 10 years ago or so, in most health care organizations the risk manager was really the only
person … There's the compliance and accreditation person, there might be a physician safety officer, there might … be a
staff safety officer, and there might be a quality person. … Some organizations see them as primarily a claims person, but this is
diminishing, in keeping with the … conversation where you're admitting that you
may have played a part in something that hurt another person
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psnet.ahrq.gov/node/49642/psn-pdf
December 01, 2011 - Order Interrupted by Text: Multitasking Mishap
December 1, 2011
Halamka J. Order Interrupted by Text: Multitasking Mishap. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
Case Objectives
State the prevalence of mobile devices among clinicians and their common health…
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psnet.ahrq.gov/node/43951/psn-pdf
March 04, 2015 - Emotion and coping in the aftermath of medical error: a
cross-country exploration.
March 4, 2015
Harrison R, Lawton R, Perlo J, et al. Emotion and coping in the aftermath of medical error: a cross-country
exploration. J Patient Saf. 2015;11(1):28-35. doi:10.1097/PTS.0b013e3182979b6f.
https://psnet.ahrq.gov/issue/e…
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psnet.ahrq.gov/node/47078/psn-pdf
June 13, 2018 - Fake it 'til you make it: pressures to measure up in
surgical training.
June 13, 2018
Patel P, Martimianakis MA, Zilbert NR, et al. Fake It 'Til You Make It: Pressures to Measure Up in Surgical
Training. Acad Med. 2018;93(5):769-774. doi:10.1097/ACM.0000000000002113.
https://psnet.ahrq.gov/issue/fake-it-til-you-ma…
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psnet.ahrq.gov/node/47555/psn-pdf
November 14, 2018 - addition, two team members select "knowledge cards" that
either test the person's knowledge or assign the person
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psnet.ahrq.gov/node/46828/psn-pdf
August 08, 2018 - implementation-colour-coded-universal-protocol-safety-initiative-guatemala
The Universal Protocol is designed to prevent wrong site, wrong procedure, and wrong person … implementation-colour-coded-universal-protocol-safety-initiative-guatemala
https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
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psnet.ahrq.gov/node/34777/psn-pdf
February 16, 2011 - Systems errors versus physicians' errors: finding the
balance in medical education.
February 16, 2011
Casarett D, Helms C. Systems errors versus physicians' errors: finding the balance in medical education.
Acad Med. 1999;74(1):19-22.
https://psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-bal…
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psnet.ahrq.gov/node/33860/psn-pdf
June 01, 2018 - expertise can now be realized using the
Internet, even across international borders.(13)
The POCUS Point Person … This person will be responsible for
determining who within their realm can and should do what; how training … To do this correctly of course requires some resources—to ensure that the person providing oversight … However,
investing in and supporting this person is probably the single most important factor in safely … images, appropriate
reimbursement to ensure quality, and defining and empowering an appropriate point person
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psnet.ahrq.gov/node/44225/psn-pdf
June 17, 2015 - Do No Harm: Stories of Life, Death, and Brain Surgery.
June 17, 2015
Marsh H. New York, NY: Thomas Dunne Books; 2015. ISBN: 9781250065810.
https://psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
This intensely personal memoir by the famed British neurosurgeon Henry Marsh is no hagiography or
r…
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psnet.ahrq.gov/node/45805/psn-pdf
April 12, 2017 - Components of the revised standards are expanded to include two-person verification, vinca
alkaloid … medication-errors-home-multisite-study-children-cancer
https://psnet.ahrq.gov/issue/infusion-medication-error-reduction-two-person-verification-quality-improvement-initiative
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psnet.ahrq.gov/issue/clinical-data-warehouse-based-process-refining-medication-orders-alerts
March 10, 2011 - September 1, 2016
The impact of prescribing safety alerts for elderly persons in an electronic