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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/ems-patient-safety-field
July 28, 2021 - administering medications, placing intravenous lines, and providing advanced airway management. 16
References … RIS
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Sections
Introduction
Authors
Appendix
References
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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/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/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/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-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/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/node/72586/psn-pdf
December 23, 2020 - Clinical Professor
Betty Irene Moore School of Nursing
UC Davis Health
hrspero@ucdavis.edu
References
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psnet.ahrq.gov/issue/precarious-exchange
May 11, 2022 - Commentary
A precarious exchange.
Citation Text:
Mukherjee S. A precarious exchange. N Engl J Med. 2004;351(18):1822-4.
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psnet.ahrq.gov/issue/emergency-medical-services-responders-perceptions-effect-stress-and-anxiety-patient-safety
January 22, 2016 - Study
Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study.
Citation Text:
Guise J-M, Hansen M, O'Brien K, et al. Emergency medical services responders' perceptions …
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psnet.ahrq.gov/issue/patient-doctor-continuity-and-diagnosis-cancer-electronic-medical-records-study-general
September 11, 2019 - Study
Patient–doctor continuity and diagnosis of cancer: electronic medical records study in general practice.
Citation Text:
Ridd MJ, Ferreira DLS, Montgomery AA, et al. Patient-doctor continuity and diagnosis of cancer: electronic medical records study in general practice. Br J Gen Pra…
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psnet.ahrq.gov/issue/medication-errors-associated-code-situations-us-hospitals-direct-and-collateral-damage
June 29, 2011 - Study
Medication errors associated with code situations in U.S. hospitals: direct and collateral damage.
Citation Text:
Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S. Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf…
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psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
August 18, 2021 - Study
Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications.
Citation Text:
Wagner TH, Taylor T, Cowgill E, et al. Intended and unintended effects of large-scale adverse event disclosure: a controlled…
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psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-clinical-decision-support-adverse-drug-events-long
February 26, 2009 - Study
Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.
Citation Text:
Gurwitz JH, Field T, Rochon P, et al. Effect of computerized provider order entry with clinical decision support on adverse drug events …
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psnet.ahrq.gov/issue/safety-manchester-triage-system-detect-critically-ill-children-emergency-department
October 18, 2023 - Study
Safety of the Manchester Triage System to detect critically ill children at the emergency department.
Citation Text:
Zachariasse JM, Kuiper JW, de Hoog M, et al. Safety of the Manchester Triage System to Detect Critically Ill Children at the Emergency Department. J Pediatr. 2016;17…
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psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
December 07, 2011 - Study
Emerging Classic
Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial.
Citation Text:
Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…
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psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
September 23, 2020 - Study
National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform.
Citation Text:
Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…
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psnet.ahrq.gov/issue/diagnostic-errors-reported-primary-healthcare-and-emergency-departments-retrospective-and
March 11, 2020 - Study
Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden.
Citation Text:
Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healt…