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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - References/Related Articles
Brown JC, Querubin JA, Ding L, et al.
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psnet.ahrq.gov/node/861880/psn-pdf
January 31, 2024 - References/Related Articles
Khan A, Spector ND, Baird JD, et al.
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psnet.ahrq.gov/node/846769/psn-pdf
March 29, 2023 - Crossen, MD
Associate Professor
Division of Pediatric Endocrinology
UC Davis Children’s Hospital
References
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psnet.ahrq.gov/glossary/latent-error-or-latent-condition
September 13, 2021 - Latent Error (or Latent Condition)
September 13, 2021
Anonymous (not verified)
The terms active and latent as applied to errors were coined by Reason . Latent errors (or latent conditions) refer to less apparent failures of organization or design that contributed to the occurrence of errors or allowed them…
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psnet.ahrq.gov/glossary/active-error-or-active-failure
September 13, 2021 - Active Error (or Active Failure)
September 13, 2021
Anonymous (not verified)
The terms active and latent as applied to errors were coined by Reason . Active errors occur at the point of contact between a human and some aspect of a larger system (e.g., a human machine interface). They are generally readily …
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psnet.ahrq.gov/node/42178/psn-pdf
April 10, 2013 - Outside case review of surgical pathology for referred
patients: the impact on patient care.
April 10, 2013
Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients:
the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. doi:10.5858/arpa.2012-0088-OA.
htt…
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - psnet.ahrq.gov//mailto:jazwhite@ucdavis.edu
Physician Advisor
UC Davis Health
dbarnes@ucdavis.edu
References
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - Professor of Health PolicyHarvard School of Public HealthStaff Physician, VA Boston Healthcare System
References … Research Fellow, Risk and Safety Group Department of Experimental Psychology University of Oxford, UK
References
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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - Moore, MD Associate Professor, Department of Emergency Medicine Yale University School of Medicine
References … For What, With What Training and Competency
Quality Assurance
The POCUS Point Person
Summary
References
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - References
Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP. … Mossburg, RN, PhD
Senior Researcher
American Institutes for Research (AIR)
Arlington, VA
References
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - References Shortell SM, Gillies RR, Anderson DA, Mitchell JB, Morgan KL. … References Patient Safety. World Health Organization.
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - Mossburg, RN, PhD
Senior Researcher
American Institutes for Research (AIR)
Arlington, VA
References … References
Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP.
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - References Patient Safety. World Health Organization. … References Shortell SM, Gillies RR, Anderson DA, Mitchell JB, Morgan KL.
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psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - Department of Inpatient Pharmacy, Pain Management & Palliative Care UC Davis Health mkotova@ucdavis.edu References … Case
Sections
Learning Objectives
The Case
The Commentary
Take Home Points
References
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psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
May 14, 2020 - Columbia, MD Bryan Gale, MA Senior Research Analyst, IMPAQ Health IMPAQ International Columbia, MD References … of Telehealth in the COVID-19 Crisis
Alleviating Patient Safety Concerns
Conclusion
Authors
References
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - administering medications, placing intravenous lines, and providing advanced airway management. 16
References … RIS
Download Citation
Sections
Introduction
Authors
Appendix
References
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psnet.ahrq.gov/issue/dosing-errors-made-paramedics-during-pediatric-patient-simulations-after-implementation-state
August 25, 2021 - Study
Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference.
Citation Text:
Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation …
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - References/Related Articles
Bailey MK, Weiss AJ, Barrett ML, Jiang, HJ.
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psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - References/Related Articles
Litman KC, Lau H, Kanter MH, Jones JP. eAutopsy: using structured hybrid
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - of Trauma, Acute Care Surgery, and Surgical Critical Care
UC Davis Health
szakaluzny@ucdavis.edu
References