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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - Primary Care and Patient Safety: Opportunities at the Interface
September 28, 2022
Also Read the Conversations
In Conversation With... Freya Spielberg, MD, MPH
In Conversation With... Jack Westfall, MD, MPH
View more articles from the same authors.
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psnet.ahrq.gov/issue/interventions-prevent-falls-older-adults-updated-evidence-report-and-systematic-review-us
November 14, 2018 - Review
Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force.
Citation Text:
Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated evidence report and syst…
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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - Some of the new protocols were difficult; people had to learn new tasks, new ways of documenting, new
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - Some of the new protocols were difficult; people had to learn new tasks, new ways of documenting, new
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psnet.ahrq.gov/node/39653/psn-pdf
November 15, 2011 - The new recommendations on duty hours from the
ACGME Task Force.
November 15, 2011
Nasca TJ, Day SH, Amis S, et al. The new recommendations on duty hours from the ACGME Task Force.
N Engl J Med. 2010;363(2):e3. doi:10.1056/NEJMsb1005800.
https://psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
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psnet.ahrq.gov/node/33761/psn-pdf
February 01, 2014 - The evidence suggests
that certain tasks and clinical departments are at high risk for interruption-
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - 12 This recovery process can take several months, and heavy attention to detail is needed in these tasks
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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - 12 This recovery process can take several months, and heavy attention to detail is needed in these tasks
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psnet.ahrq.gov/web-mm/pca-overdose
April 01, 2017 - PCA Overdose
Citation Text:
Doyle JD. PCA Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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Dow…
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psnet.ahrq.gov/issue/importance-preparation-doctors-handovers-acute-medical-assessment-unit-hierarchical-task
March 02, 2011 - Study
The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis.
Citation Text:
Raduma-Tomàs MA, Flin R, Yule S, et al. The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical …
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psnet.ahrq.gov/node/45647/psn-pdf
February 22, 2017 - Bias in the ER. Doctors suffer from the same cognitive
distortions as the rest of us.
February 22, 2017
Lewis M. Nautilus. February 9, 2017.
https://psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us
Physicians' decision-making can be diminished when they are tired, distracted, or too n…
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psnet.ahrq.gov/issue/position-statement-criminalization-medical-error-and-call-action-prevent-patient-harm-error
December 02, 2020 - Organizational Policy/Guidelines
Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error.
Citation Text:
Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. Cooper J, Thomas B…
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psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
April 20, 2016 - Commentary
Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force.
Citation Text:
Mason KP, Mason KP, Green SM, et al. Adverse event reporting tool t…
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psnet.ahrq.gov/issue/improving-our-understanding-multi-tasking-healthcare-drawing-together-cognitive-psychology
July 19, 2018 - Review
Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature.
Citation Text:
Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare: Drawing together the cognitive psycho…
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - events, the use of checklists can help
prompt team members to think through all options, complete tasks
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psnet.ahrq.gov/issue/innovation-patient-safety-new-task-design-reducing-patient-falls
January 04, 2010 - Study
Innovation in patient safety: a new task design in reducing patient falls.
Citation Text:
Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5.
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psnet.ahrq.gov/node/48145/psn-pdf
July 17, 2019 - Mental mayhem: the peril of multitasking in medicine.
July 17, 2019
Joseph R; Harry E.
https://psnet.ahrq.gov/issue/mental-mayhem-peril-multitasking-medicine
Multitasking can negatively affect cognitive load and diminish safety. This magazine article reports on how
multitasking can contribute to surgeon fatigue, b…
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psnet.ahrq.gov/node/37286/psn-pdf
December 23, 2011 - Different roles, same goal: risk and quality management
partnering for patient safety. By the ASHRM Monographs
Task Force.
December 23, 2011
Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient
Safety. By The Ashrm Monographs Task Force.; 2007:17-23, 25. doi:10.1002/jhr…
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psnet.ahrq.gov/node/41094/psn-pdf
January 25, 2012 - Adverse event reporting tool to standardize the reporting
and tracking of adverse events during procedural
sedation: a consensus document from the World SIVA
International Sedation Task Force.
January 25, 2012
Mason KP, Mason KP, Green SM, et al. Adverse event reporting tool to standardize the reporting and
track…
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psnet.ahrq.gov/node/38492/psn-pdf
September 12, 2016 - Practice advisory on anesthetic care for magnetic
resonance imaging: a report by the American Society of
Anesthesiologists Task Force on Anesthetic Care for
Magnetic Resonance Imaging.
September 12, 2016
Practice advisory on anesthetic care for magnetic resonance imaging: an updated report by the american
society…