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digital.ahrq.gov/location/usa-tn-memphis
January 01, 2023 - USA, TN, Memphis
Technology Exchange for Cancer Health Network (TECH-Net)
Description
Implemented a systematic care program to improve cancer management in rural communities by building upon an innovative approach to total clinical decision support to provide access to oncolog…
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psnet.ahrq.gov/node/40868/psn-pdf
October 19, 2011 - Simulation to enhance patient safety: why aren't we there
yet?
October 19, 2011
Aggarwal R, Darzi A. Simulation to enhance patient safety: why aren't we there yet? Chest.
2011;140(4):854-858. doi:10.1378/chest.11-0728.
https://psnet.ahrq.gov/issue/simulation-enhance-patient-safety-why-arent-we-there-yet
Discussin…
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psnet.ahrq.gov/node/851927/psn-pdf
August 02, 2023 - Perioperative Handoffs.
August 2, 2023
Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434.
https://psnet.ahrq.gov/issue/perioperative-handoffs
Handoffs occur several times during a surgical procedure, increasing the risk of communication mistakes
and misunderstandings. This special…
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psnet.ahrq.gov/node/44503/psn-pdf
November 18, 2024 - Certified Professional in Patient Safety Review Course.
November 18, 2024
Institute for Healthcare Improvement. February 5-6, 2025, 12:00-4:00 PM (eastern).
https://psnet.ahrq.gov/issue/certified-professional-patient-safety-review-course
This online class prepares individuals to apply for the Institute for Healthca…
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psnet.ahrq.gov/node/37933/psn-pdf
July 30, 2008 - A new method to guard inpatient medication safety by the
implementation of RFID.
July 30, 2008
Sun PR, Wang BH, Wu F. A new method to guard inpatient medication safety by the implementation of
RFID. J Med Syst. 2008;32(4):327-32.
https://psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementat…
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psnet.ahrq.gov/node/47477/psn-pdf
November 14, 2018 - Losing Laura.
November 14, 2018
DeMarco P. Globe Magazine. November 3, 2018.
https://psnet.ahrq.gov/issue/losing-laura
This magazine article reports on the preventable death of a patient during an acute asthma attack. Written
by the patient's husband, the article outlines the failures that led to her death despite…
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psnet.ahrq.gov/node/41707/psn-pdf
November 26, 2014 - Electronic medical record availability and primary care
depression treatment.
November 26, 2014
Harman JS, Rost KM, Harle CA, et al. Electronic medical record availability and primary care depression
treatment. J Gen Intern Med. 2012;27(8):962-7. doi:10.1007/s11606-012-2001-0.
https://psnet.ahrq.gov/issue/electron…
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psnet.ahrq.gov/node/44553/psn-pdf
October 07, 2015 - A medical detective story: why doctors make diagnostic
errors.
October 7, 2015
Landro L. Wall Street Journal. September 26, 2015.
https://psnet.ahrq.gov/issue/medical-detective-story-why-doctors-make-diagnostic-errors
In light of the recent IOM report on improving diagnosis, this newspaper article features an inte…
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psnet.ahrq.gov/node/41360/psn-pdf
September 30, 2012 - The simulated ward: ideal for training clinical clerks in an
era of patient safety.
September 30, 2012
Mollo EA, Reinke CE, Nelson C, et al. The simulated ward: ideal for training clinical clerks in an era of
patient safety. J Surg Res. 2012;177(1):e1-6. doi:10.1016/j.jss.2012.03.050.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/60238/psn-pdf
April 15, 2020 - Addiction is ‘A disease of isolation’ — so pandemic puts
recovery at risk.
April 15, 2020
Bebinger M. Kaiser Health News. March 30, 2020.
https://psnet.ahrq.gov/issue/addiction-disease-isolation-so-pandemic-puts-recovery-risk
In-person counseling is an important tool to keep patients in recovery safe. This story s…
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psnet.ahrq.gov/node/38506/psn-pdf
February 10, 2015 - Implementation of computerized physician order entry in
seven countries.
February 10, 2015
Aarts J, Koppel R. Implementation of computerized physician order entry in seven countries. Health Aff
(Millwood). 2009;28(2):404-414. doi:10.1377/hlthaff.28.2.404.
https://psnet.ahrq.gov/issue/implementation-computerized-ph…
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psnet.ahrq.gov/node/40733/psn-pdf
August 31, 2011 - Beyond the prescription: medication monitoring and
adverse drug events in older adults.
August 31, 2011
Steinman MA, Handler S, Gurwitz JH, et al. Beyond the prescription: medication monitoring and adverse
drug events in older adults. J Am Geriatr Soc. 2011;59(8):1513-1520. doi:10.1111/j.1532-
5415.2011.03500.x.
…
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psnet.ahrq.gov/node/74849/psn-pdf
February 16, 2022 - Healthcare Systems Ergonomics and Patient Safety
Triennial Conference.
February 16, 2022
Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2-
4, 2022
https://psnet.ahrq.gov/issue/healthcare-systems-ergonomics-and-patient-safety-triennial-conference
Learning fr…
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psnet.ahrq.gov/node/41386/psn-pdf
May 16, 2012 - Investigating the Prevalence and Causes of Prescribing
Errors in General Practice: The PRACtICe Study.
May 16, 2012
Avery T, Barber N, Ghaleb M, et al. London, UK: General Medical Council; May 2, 2012.
https://psnet.ahrq.gov/issue/investigating-prevalence-and-causes-prescribing-errors-general-practice-
practice-st…
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psnet.ahrq.gov/node/837981/psn-pdf
August 31, 2022 - Improving medication reconciliation in hospitals.
August 31, 2022
Schnipper JL. Ann Intern Med. 2022;175(8):ho2-ho3.
https://psnet.ahrq.gov/issue/improving-medication-reconciliation-hospitals
Medication reconciliation is a primary method for improving the safety of medication administration in acute
care. Thi…
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psnet.ahrq.gov/node/863000/psn-pdf
February 21, 2024 - Why engineers are working to build better pulse
oximeters.
February 21, 2024
Willyard C. MIT Technology Review. February 9, 2024.
https://psnet.ahrq.gov/issue/why-engineers-are-working-build-better-pulse-oximeters
Engineers play an important role in the development and manufacturing of medical devices with an eye
…
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psnet.ahrq.gov/node/41321/psn-pdf
April 25, 2012 - Cognitive balanced model: a conceptual scheme of
diagnostic decision making.
April 25, 2012
Lucchiari C, Pravettoni G. Cognitive balanced model: a conceptual scheme of diagnostic decision making.
J Eval Clin Pract. 2012;18(1):82-8. doi:10.1111/j.1365-2753.2011.01771.x.
https://psnet.ahrq.gov/issue/cognitive-balanc…
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psnet.ahrq.gov/node/45742/psn-pdf
January 18, 2017 - War games and diagnostic errors.
January 18, 2017
Vaughn VM, Chopra V, Howell JD. War games and diagnostic errors. BMJ. 2016;355:i6342.
doi:10.1136/bmj.i6342.
https://psnet.ahrq.gov/issue/war-games-and-diagnostic-errors
This commentary draws parallels between a misinterpreted military training exercise with diagno…
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psnet.ahrq.gov/node/36912/psn-pdf
September 01, 2011 - Multi-level strategies to achieve resilience for an
organisation operating at capacity: a case study at a
trauma centre.
September 1, 2011
Miller A, Xiao Y. Multi-level strategies to achieve resilience for an organisation operating at capacity: a case
study at a trauma centre. Cognition, Technology & Work. 2006;9(…
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psnet.ahrq.gov/node/44912/psn-pdf
November 18, 2016 - Patient safety in genomic medicine: an exploratory study.
November 18, 2016
Korngiebel DM, Fullerton SM, Burke W. Patient safety in genomic medicine: an exploratory study. Genet
Med. 2016;18(11):1136-1142. doi:10.1038/gim.2016.16.
https://psnet.ahrq.gov/issue/patient-safety-genomic-medicine-exploratory-study
This …