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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - Delayed Diagnosis of Kidney Transplant Complications
Citation Text:
Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - institutional administration may better address the
impact of medical errors on caregivers at all stages
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - Palliative Care: Comfort vs. Harm
November 1, 2017
Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
Case Objectives
Recognize errors may be difficult to identify in palliative care.
State that medication errors and errors in communica…
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psnet.ahrq.gov/issue/machine-learning-medicine
March 13, 2024 - Commentary
Classic
Machine learning in medicine.
Citation Text:
Rajkomar A, Dean J, Kohane IS. Machine Learning in Medicine. New Engl J Med. 2019;380(14):1347-1358. doi:10.1056/NEJMra1814259.
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psnet.ahrq.gov/node/33646/psn-pdf
February 01, 2007 - In Conversation with...Joseph Britto, MD
February 1, 2007
In Conversation with..Joseph Britto, MD. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
Editor's Note: Joseph Britto, MD, is CEO and Co-founder of Isabel Healthcare Inc. Isabel, a clinical
decision support syste…
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psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
October 21, 2020 - Government Resource
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.
Citation Text:
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory
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psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and-optimization
February 17, 2021 - Book/Report
Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization.
Citation Text:
Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institut…
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psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and
August 10, 2022 - Congressional Testimony
A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network.
Citation Text:
A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. U…
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psnet.ahrq.gov/issue/improving-your-office-testing-process-step-step-guide-rapid-cycle-patient-safety-and-quality
October 23, 2019 - Toolkit
Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement.
Citation Text:
Improving Your Office Testing Process: A Step by Step Guide for Rapid-Cycle Patient Safety and Quality Improvement. Rockville, MD: Agency for Healthc…
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psnet.ahrq.gov/issue/call-change-2011-commonwealth-fund-survey-public-views-us-health-system
May 04, 2022 - Book/Report
A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of the U.S. Health System.
Citation Text:
A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of the U.S. Health System. Stremikis K, Schoen C, Fryer AK. Issue Brief. Washington DC: The …
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psnet.ahrq.gov/issue/independent-review-gross-negligence-manslaughter-and-culpable-homicide
July 08, 2019 - Book/Report
Independent Review of Gross Negligence Manslaughter and Culpable Homicide.
Citation Text:
Independent Review of Gross Negligence Manslaughter and Culpable Homicide. Manchester, UK: General Medical Council; June 2019.
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psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
August 28, 2024 - Slideset
Multiple accountabilities in incident reporting and management.
Citation Text:
Hor S-Y, Iedema R, Williams K, et al. Multiple accountabilities in incident reporting and management. Qual Health Res. 2010;20(8):1091-100. doi:10.1177/1049732310369232.
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psnet.ahrq.gov/primer/never-events
June 15, 2024 - Never Events
Citation Text:
Never Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
July 20, 2010 - Although many of these efforts are in their early stages and we still have much to do and to learn, we
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psnet.ahrq.gov/web-mm/compare-and-contrast
July 16, 2019 - necessary when comparing a patient’s estimated GFR to normal values, or to the levels defining the stages
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psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
September 27, 2023 - Study
Eight-year experience with a neurosurgical checklist.
Citation Text:
Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML …
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psnet.ahrq.gov/issue/global-patient-safety-law-policy-and-practice
August 01, 2012 - Book/Report
Global Patient Safety: Law, Policy and Practice.
Citation Text:
Global Patient Safety: Law, Policy and Practice. Tingle J, O'Neill C, Shimwell M. New York, NY: Routledge; 2019. ISBN: 9781138052789.
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psnet.ahrq.gov/issue/hard-truths-journey-putting-patients-first
December 04, 2015 - Book/Report
Hard Truths: the Journey to Putting Patients First.
Citation Text:
Hard Truths: the Journey to Putting Patients First. Department of Health. London, England: Crown Publishing; January 2014. ISBN: 9780101877725.
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psnet.ahrq.gov/issue/progress-preventing-name-confusion-errors
May 07, 2018 - Newspaper/Magazine Article
Progress with preventing name confusion errors.
Citation Text:
Progress with preventing name confusion errors. ISMP Medication Safety Alert! Acute Care Edition. August 9, 2007;12:1-3.
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020
September 10, 2009 - Legislation/Case Law
Improving Diagnosis in Medicine Act of 2020.
Citation Text:
Improving Diagnosis in Medicine Act of 2020. 116th Congress 2d session. December 10, 2020.
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