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psnet.ahrq.gov/node/33641/psn-pdf
November 01, 2006 - Human Factors Engineering Can Teach You How to Be
Surprised Again
November 1, 2006
Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Again. PSNet [internet].
2006.
https://psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
Perspective
Certain phrases ar…
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psnet.ahrq.gov/node/49766/psn-pdf
August 21, 2016 - MPH, and Raman Khanna, MD
Effective communication between care providers is essential for providing safe
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psnet.ahrq.gov/node/33636/psn-pdf
July 01, 2006 - Employees and medical staff
must feel safe to report near misses and incidents in their organization
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psnet.ahrq.gov/node/49658/psn-pdf
July 01, 2012 - memory and welcome any interpersonal, organizational, or technological efforts to make the
process as safe
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psnet.ahrq.gov/node/72836/psn-pdf
January 26, 2021 - https://www.ahrq.gov/patient-safety/reports/engage.html
https://www.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
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psnet.ahrq.gov/node/49511/psn-pdf
May 01, 2006 - For example, the Institute for Safe Medication
Practices (ISMP) reported a case of a 15-month-old child
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psnet.ahrq.gov/primer/responding-patient-safety-events
October 18, 2023 - Safety Primers
COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe
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psnet.ahrq.gov/node/49767/psn-pdf
August 21, 2016 - news is that there continues to be widespread agreement that interoperability is essential to ensure safe
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - must be re-heparinized and the activated clotting time
must be checked to ensure that the patient is safe … have been necessary and the activated
clotting time would have had to be checked to make sure it was safe
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - must be re-heparinized and the activated clotting time must be checked to
ensure that the patient is safe … have been necessary and the activated
clotting time would have had to be checked to make sure it was safe
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psnet.ahrq.gov/node/836879/psn-pdf
April 27, 2022 - It's not a story to say a hospital is providing safe care unless there is some sort of contrast. … And so, if people believe that the care they're giving is already
safe, they will not change unless
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
January 01, 2023 - – Transdermal fentanyl does not have active metabolites and is considered safe in
renal dysfunction … NSAIDs in CKD: Are they safe? Am J Kidney D. 2020:76(4)546-557. [Free full text]
24.
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psnet.ahrq.gov/node/867805/psn-pdf
February 26, 2025 - The safe surgery checklist is another example of
an intervention that has clearly reduced risk, although … It is not surprising that people feel their medication safety practices are
relatively safe when they
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psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-registered-nurses-perspective
June 01, 2016 - large health care system for many years, I see the challenges we face in trying to deliver excellent, safe … The notion that this is a building block you have to create as a foundation to build a safe culture on
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - The whole idea is to keep the patient safe and sterile and protect them from the people
and environment … These human factors issues will suggest how the design of the OR itself needs to be adapted to support
safe
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - Pharmacists play a key role in medication reconciliation, education, and postdischarge follow-up to ensure safe … Safe medication transitions in frail patients.
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - International Journal of Safe Patient
Handling & Mobility 2022;12(1):21-32.
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - Int J Safe Patient Handling Mobility. 2022;12(1):21-32. [ Available at ]
Huynh D, Lee ON, An PM,
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psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
April 01, 2005 - We hope you enjoy the sites and find them useful in your vital work of keeping patients safe from harm
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psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - We hope you enjoy the sites and find them useful in your vital work of keeping patients safe from harm