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psnet.ahrq.gov/issue/scanning-out-medication-errors-ohio-valley-hospitals-automated-iv-system-provides-real-time
December 21, 2016 - Newspaper/Magazine Article
Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data.
Citation Text:
Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data. Carbas…
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psnet.ahrq.gov/issue/partnering-heal-teaming-against-healthcare-associated-infections
November 16, 2011 - Course Material/Curriculum
Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections.
Citation Text:
Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. Washington, DC: US Department of Health and Human Services; May 2011.
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/data
January 01, 2023 - Data Collection
Process Scorecard
Description
A process scorecard evaluates a process according to a set of predefined criteria. Based on the user's feedback, the scorecard gives a rating for the process and often times short recommendations according to the rating the process…
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psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
October 28, 2020 - Book/Report
A Thematic Analysis of HSIB's First 22 Investigations.
Citation Text:
A Thematic Analysis of HSIB's First 22 Investigations. Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021.
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psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
November 16, 2022 - Book/Report
The Life and Death of Elizabeth Dixon: A Catalyst for Change.
Citation Text:
The Life and Death of Elizabeth Dixon: A Catalyst for Change. Kirkup B. London, England: Crown Copyright; 2020. ISBN 9781528622714.
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psnet.ahrq.gov/issue/algorithm-detects-sepsis-cut-deaths-nearly-20-percent
October 12, 2022 - Newspaper/Magazine Article
Algorithm that detects sepsis cut deaths by nearly 20 percent.
Citation Text:
Algorithm that detects sepsis cut deaths by nearly 20 percent. Bushwick S. Scientific American. August 1, 2022.
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psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care
October 10, 2018 - Newspaper/Magazine Article
The optimal use of telehealth to deliver safe patient care.
Citation Text:
The optimal use of telehealth to deliver safe patient care. Quick Safety. October 6, 2020;55:1-4.
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psnet.ahrq.gov/issue/health-care-safety-what-needs-be-done
December 01, 2011 - Commentary
Health care safety: what needs to be done?
Citation Text:
Rubin GL, Leeder SR. Health care safety: what needs to be done? Med J Aust. 2005;183(10):529-31.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/issue/global-medical-supply-chain-security
September 20, 2017 - Special or Theme Issue
Global Medical Supply Chain Security.
Citation Text:
Global Medical Supply Chain Security. Cadwallader AB, ed. AMA J Ethics. 2024;26(4):e275-e359.
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psnet.ahrq.gov/issue/iatrogenesis-pediatrics
April 24, 2024 - Special or Theme Issue
Iatrogenesis in Pediatrics.
Citation Text:
Iatrogenesis in Pediatrics. Michalska-Smith M, ed. AMA J Ethics. 2017;19(8):737-842
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effectivehealthcare.ahrq.gov/sites/default/files/web-based_osheroff_respondent.pdf
January 01, 2009 - Osheroff_Respondent_DuBenske 4
Source:
Eisenberg
Center
Conference
Series
2009,
Translating
Information
Into
Action:
Improving
Quality
of
Care
Through
Interactive
Media,
Effective
Health
Care
Program
Web
site
(http://www.effectivehealthc…
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digital.ahrq.gov/sites/default/files/docs/survey/oklahoma-user-survey.pdf
June 16, 2021 - Oklahoma User Survey
Oklahoma User Survey
Tahlequah City Hospital, Tahlequah OK
This is a questionnaire designed to be completed by physicians, administrators,
and IT staff in an ambulatory setting. The tool includes questions to assess the
usability of electronic health records.
Permission has been obtained fro…
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psnet.ahrq.gov/issue/safe-surgery-saves-lives-second-global-patient-safety-challenge
July 14, 2021 - Toolkit
Classic
Safe Surgery.
Citation Text:
Safe Surgery. World Health Organization.
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psnet.ahrq.gov/node/36166/psn-pdf
June 14, 2011 - conducted a root cause analysis of diagnostic imaging delays and found that current
practices were responsible
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psnet.ahrq.gov/node/47463/psn-pdf
October 17, 2018 - https://psnet.ahrq.gov/issue/my-human-doctor
https://psnet.ahrq.gov/issue/impact-feeling-responsible-adverse-events-doctors-personal-and-professional-lives-importance
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psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - A second victim is the
health care provider involved in the incident who feels in some way responsible … But even though
individuals are often not responsible at all for things that go wrong, they still feel … responsible. … If people really absorb that message, if they truly internalize that they're not responsible
for everything … that goes right with patients, and as a corollary, they're not always directly responsible when
things
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digital.ahrq.gov/ahrq-funded-projects/workshop-interactive-systems-healthcare-wish-2012/final-report
January 01, 2012 - Report
The findings and conclusions in this document are those of the author(s), who are responsible
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psnet.ahrq.gov/node/45949/psn-pdf
July 11, 2017 - Recommendations include involving the patient in
reconciliation and clarifying which provider is responsible
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psnet.ahrq.gov/node/40818/psn-pdf
October 05, 2011 - fractures-fingers-missed-or-misdiagnosed-poorly-positioned-or-poorly-taken-
radiographs
Technically inadequate radiographs were responsible
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digital.ahrq.gov/ahrq-funded-projects/2011-2013-workshop-health-it-and-economics/final-report
January 01, 2013 - Report
The findings and conclusions in this document are those of the author(s), who are responsible