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psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
November 26, 2019 - in nursing homes via structured interprofessional medication-review supported by health information technology
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psnet.ahrq.gov/perspective/conversation-heidi-wald-md
November 26, 2019 - in nursing homes via structured interprofessional medication-review supported by health information technology
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - leadership-driven organizational commitment to safety as a core value with culture, processes, and technology
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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 4: Technology and Medication
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - differ in detail, they all support effective provider communication, the use of health information technology
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psnet.ahrq.gov/web-mm/need-eat
February 10, 2021 - a Veteran Affairs health care system: use of medication administration record and bar code scanning technology
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - Technology utilization to prevent medication errors. Curr Drug Saf . 2010;5(1):13-8.
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - September 11, 2024
Patients' perceptions of using technology for self-reporting cancer
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - March 13, 2024
Work system barriers and facilitators of a team health information technology
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - In terms of the actual technology, we have a philosophy that if anyone can suggest a change in the methodology
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psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
August 01, 2006 - SPOTLIGHT CASE
Right Regimen, Wrong Cancer: Patient Catches Medical Error
Citation Text:
Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - Logo
Delayed Breast Cancer Diagnosis: A False Sense of
Security.
December 23, 2020
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
The Case
A 60-year-old woman …
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - Delayed Breast Cancer Diagnosis: A False Sense of Security.
Citation Text:
Weingart SN, James TA, Schiff G. Delayed Breast Cancer Diagnosis: A False Sense of Security.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Cita…
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psnet.ahrq.gov/node/50841/psn-pdf
January 29, 2020 - “This is the wrong patient's blood!”: Evaluating a Near-
Miss Wrong Transfusion Event
January 29, 2020
Barnhard S. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-…
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psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
September 25, 2024 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected
Citation Text:
Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…
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psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
June 29, 2020 - Additionally, pharmacist workflows may be interrupted or require modification due to increased informatics and technology
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psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - site of most clinical education, significant amounts of research, and substantial innovations in both technology
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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - It's called "The Cost of Technology"—at least the way we often use it
now.
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psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
August 31, 2020 - and a formal organizational performance improvement strategy should be in place that considers how technology
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psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
February 26, 2025 - It's called "The Cost of Technology"—at least the way we often use it now.