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psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
May 12, 2010 - November 9, 2011
Paramedic intubation errors: isolated events or symptoms of larger problems
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psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
January 06, 2017 - Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems
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psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
April 01, 2009 - Workaround Error
February 1, 2006
High-profile investigations into hospital safety problems
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psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
March 02, 2011 - See More About The Topic
Physicians
Gynecology
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national
May 02, 2018 - June 27, 2018
Unintended Consequences: New Problems and New Solutions.
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psnet.ahrq.gov/issue/covid-19-pandemic-and-dentistry-parts-1-and-2
December 16, 2015 - Facility and Group Administrators
Dentistry
Diagnostic Errors
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders
March 04, 2015 - Design of hospital errors and omissions activities that include patient-specific medication related problems
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psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2
March 22, 2017 - Administrators
Organizational Behaviorists
Safety Scientists
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/patient-safety-emergency-department
July 13, 2016 - Emergency Departments
Health Care Providers
Emergency Medicine
Discontinuities, Gaps, and Hand-Off Problems
-
psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
January 02, 2017 - Health Care Providers
Quality and Safety Professionals
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/nurse-staffing-levels-and-patient-reported-missed-nursing-care
September 27, 2017 - Topic
Hospitals
Nurses
Nurse Managers
Nurse Care
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/evaluation-postoperative-handover-using-tool-assess-information-transfer-and-teamwork
April 30, 2014 - January 7, 2015
Postoperative handover: problems, pitfalls, and prevention of error.
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psnet.ahrq.gov/issue/evaluating-patient-safety-indicators-how-well-do-they-perform-veterans-health-administration
April 01, 2010 - December 15, 2008
How do patients respond to safety problems in ambulatory care?
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psnet.ahrq.gov/issue/consumer-directed-technologies-improve-medication-management-and-safety
December 29, 2014 - Part 1: a review of the extent and causes of medication problems 2002-2008.
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psnet.ahrq.gov/issue/2008-update-consumers-views-patient-safety-and-quality-information
October 02, 2013 - Health Care Executives and Administrators
Policy Makers
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/use-cascading-a3s-drive-systemwide-improvement
January 29, 2015 - Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems
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psnet.ahrq.gov/issue/value-human-factors-medication-and-patient-safety-intensive-care-unit
December 01, 2010 - July 23, 2014
Often overlooked problems with handoffs: from the intensive care unit to
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psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pathology
January 08, 2016 - July 23, 2008
Classifying laboratory incident reports to identify problems that jeopardize
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psnet.ahrq.gov/issue/fdasia-health-it-report-proposed-strategy-and-recommendations-risk-based-framework
June 29, 2016 - Safety Professionals
Information Professionals
Medicine
Discontinuities, Gaps, and Hand-Off Problems
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psnet.ahrq.gov/issue/checking-lists-systematic-review-electronic-checklist-use-health-care
August 08, 2018 - Health Care Providers
Information Professionals
Medicine
Discontinuities, Gaps, and Hand-Off Problems