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psnet.ahrq.gov/node/47757/psn-pdf
February 06, 2019 - doctors-make-mistakes-new-documentary-explores-what-happens-when-they-
do-and-how-fix-it
This news article reports on the documentary To Err Is Human, which was produced
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psnet.ahrq.gov/node/35839/psn-pdf
March 28, 2011 - and, in particular, the finding that slow and
ineffective handling of the error by health care staff produced
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psnet.ahrq.gov/issue/quantifying-and-characterizing-adverse-events-dermatologic-surgery
November 16, 2022 - January 16, 2010
CDC central-line bloodstream infection prevention efforts produced net
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psnet.ahrq.gov/node/37019/psn-pdf
September 15, 2011 - order-entry-system
While computerized provider order entry (CPOE) is widely recommended, studies of CPOE have produced
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psnet.ahrq.gov/node/43544/psn-pdf
December 07, 2016 - After multiple rounds of discussion and
evidence review, investigators produced a list of 51 triggers
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psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and-reported-medical
November 03, 2021 - January 22, 2014
CDC central-line bloodstream infection prevention efforts produced net
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psnet.ahrq.gov/node/40619/psn-pdf
October 06, 2016 - performance-improvement collaborative implemented a multifaceted change strategy in 13
institutions and produced
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psnet.ahrq.gov/node/35854/psn-pdf
February 09, 2011 - /issue/safe-sound-patient-safety-meets-evidence-based-medicine
This commentary summarizes the work produced
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psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success
December 08, 2021 - September 29, 2017
CDC central-line bloodstream infection prevention efforts produced
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psnet.ahrq.gov/node/49464/psn-pdf
December 27, 2020 - generated by the light source.(4) Within the light source is a heat filter to help
remove the excess heat produced … For example, high temperatures may be
produced if any of the heat minimizing devices fail within the
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psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework
April 03, 2024 - Commentary
Using medicolegal data to support safe medical care: a contributing factor coding framework.
Citation Text:
McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-…
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psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
October 31, 2014 - February 29, 2012
CDC central-line bloodstream infection prevention efforts produced
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - The Office of the National Coordinator for Health Information Technology has produced the SAFER
guides … the safe use of
health information technology, and the Agency for Healthcare Research and Quality produced
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psnet.ahrq.gov/issue/personal-protective-equipment-ppe-surgeons-during-covid-19-pandemic-systematic-review
September 23, 2020 - Review
Emerging Classic
Personal protective equipment (PPE) for surgeons during COVID-19 pandemic: a systematic review of availability, usage, and rationing.
Citation Text:
Jessop ZM, Dobbs TD, Ali SR, et al. Personal protective equipment for surgeons during COV…
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - by medical management (rather than the underlying disease) and that prolonged the
hospitalization, produced
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psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-disease
September 09, 2020 - Study
Missed diagnosis of critical congenital heart disease.
Citation Text:
Chang R-KR, Gurvitz M, Rodriguez S. Missed diagnosis of critical congenital heart disease. Arch Pediatr Adolesc Med. 2008;162(10):969-74. doi:10.1001/archpedi.162.10.969.
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DOI…
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psnet.ahrq.gov/issue/analyzing-communication-errors-air-medical-transport-service
August 04, 2021 - Study
Analyzing communication errors in an air medical transport service.
Citation Text:
Dalto JD, Weir C, Thomas F. Analyzing communication errors in an air medical transport service. Air Med J. 2013;32(3):129-37. doi:10.1016/j.amj.2012.10.019.
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DOI G…
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psnet.ahrq.gov/issue/declines-hospitalizations-acute-cardiovascular-conditions-during-covid-19-pandemic
April 24, 2018 - May 18, 2022
CDC central-line bloodstream infection prevention efforts produced net benefits
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psnet.ahrq.gov/issue/vital-signs-epidemiology-sepsis-prevalence-health-care-factors-and-opportunities-prevention
September 23, 2020 - July 3, 2014
CDC central-line bloodstream infection prevention efforts produced net benefits
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psnet.ahrq.gov/issue/comparison-medication-safety-effectiveness-among-nine-critical-access-hospitals
September 07, 2022 - November 17, 2021
CDC central-line bloodstream infection prevention efforts produced