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psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - ," the study above ( 9 ) suggests that it is unlikely that the user would notice and would likely prescribe
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - Fortunately, evidence suggests the culture of safety in nursing homes may be shifting in a positive way
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psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - The Deadly Duo
Citation Text:
Maldonado JR. The Deadly Duo. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
January 12, 2011 - Study
Medication prescribing errors involving the route of administration.
Citation Text:
Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053.
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psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
February 24, 2016 - Newspaper/Magazine Article
Understanding human over-reliance on technology.
Citation Text:
Understanding human over-reliance on technology. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2016;21:1-4.
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psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
February 24, 2016 - Newspaper/Magazine Article
Is an indication-based prescribing system in our future?
Citation Text:
Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5.
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psnet.ahrq.gov/issue/importance-teamwork-communication-and-culture-failure-rescue-elderly
April 04, 2011 - Review
Importance of teamwork, communication and culture on failure-to-rescue in the elderly.
Citation Text:
Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031.
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psnet.ahrq.gov/issue/leadership-committed-safety
December 23, 2016 - Sentinel Event Alerts
Leadership committed to safety.
Citation Text:
Leadership committed to safety. Sentinel Event Alert. August 27, 2009;(43):1-3.
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psnet.ahrq.gov/issue/parents-partners-obtaining-medication-history
March 19, 2019 - Study
Parents as partners in obtaining the medication history.
Citation Text:
Porter SC, Kohane IS, Goldmann DA. Parents as partners in obtaining the medication history. J Am Med Inform Assoc. 2005;12(3):299-305.
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psnet.ahrq.gov/issue/adversarial-attacks-medical-machine-learning
March 19, 2019 - Study
Adversarial attacks on medical machine learning.
Citation Text:
Finlayson SG, Bowers JD, Ito J, et al. Adversarial attacks on medical machine learning. Science (1979). 2019;363(6433):1287-1289. doi:10.1126/science.aaw4399.
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psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn-about-improvement
April 27, 2011 - Meeting/Conference Proceedings
Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement?
Citation Text:
Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement? Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Ca…
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psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
June 29, 2016 - Book/Report
Recent Evidence That Health IT Improves Patient Safety: Issue Brief.
Citation Text:
Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015.
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psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
September 20, 2023 - Newspaper/Magazine Article
Many people of color worry good health care is tied to their appearance.
Citation Text:
Many people of color worry good health care is tied to their appearance. DeGuzman C. KFF Health News. December 5, 2023
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psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
June 22, 2022 - Commentary
The frustrating case of incident-reporting systems.
Citation Text:
Shojania KG. The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. doi:10.1136/qshc.2008.029496.
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psnet.ahrq.gov/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation-report-1
May 21, 2014 - Book/Report
Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1.
Citation Text:
Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. Santa Monica, CA: RAND Corporation; 2005. ISBN 0833037870.
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psnet.ahrq.gov/issue/patient-safety-2030
April 13, 2016 - Book/Report
Patient Safety 2030.
Citation Text:
Patient Safety 2030. Yu A, Flott K, Chainani N, Fontana G, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016.
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psnet.ahrq.gov/issue/errors-and-adverse-events-otolaryngology
October 27, 2010 - Review
Errors and adverse events in otolaryngology.
Citation Text:
Shah RK, Roberson DW, Healy GB. Errors and adverse events in otolaryngology. Curr Opin Otolaryngol Head Neck Surg. 2006;14(3):164-9.
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psnet.ahrq.gov/issue/prevent-medication-errors-new-years-resolution-teaching-patients-about-their-medications
January 18, 2011 - Commentary
Prevent medication errors: a New Year's resolution: teaching patients about their medications.
Citation Text:
Polzien G. Prevent medication errors: A New Year's resolution: teaching patients about their medications. Home Healthc Nurse. 2007;25(1):59-62.
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psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
September 27, 2016 - Commentary
Improving hospital performance: culture change is not the answer.
Citation Text:
Leggat SG, Dwyer J. Improving hospital performance: culture change is not the answer. Healthc Q. 2005;8(2):60-6.
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psnet.ahrq.gov/issue/acog-committee-opinion-680-use-and-development-checklists-obstetrics-and-gynecology
December 14, 2016 - Commentary
ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology.
Citation Text:
ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. American College of Obstetricians and Gynecologists’ Committee on Pa…