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9981. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. | PSNet
      psnet.ahrq.gov/issue/radiologist-errors-modality-anatomic-region-and-pathology-16-million-exams-what-we-have
      October 18, 2023 - March 24, 2021 Prevalence, nature, severity and preventability of adverse drug events … October 12, 2022 Hospitalizations and deaths related to adverse drug events worldwide

9982. Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/temporal-associations-between-ehr-derived-workload-burnout-and-errors-prospective-cohort
      February 01, 2023 - September 4, 2019 Correlation between the number of patient-reported adverse events, adverse … drug events, and quality of life in older patients: an observational study. … Effectiveness of a barcode medication administration system in reducing preventable adverse … drug events in a neonatal intensive care unit: a prospective cohort study.

9983. Development and impact of a computerized pediatric antiinfective decision support program | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
      digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/development-and-impact
      October 01, 2001 - , days of sub therapeutic and excessive-doses of anti-infective, costs of anti-infective doses, and adverse … drug events.

9984. The impact of hospitalwide computerized physician order entry on medical errors in a pediatric hospital | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
      digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-hospitalwide-computerized
      January 01, 2005 - safety Summary: Settings:  University pediatric hospital Intervention:  Compare medication errors and adverse … drug events before and after implementation of CPOE with drug warnings Evaluation Method:  Utilization

9985. Acute Treatments for Episodic Migraine | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/migraine-treatments/research
      December 29, 2020 - Acute Treatments for Episodic Migraine Systematic Review December 29, 2020 Download Main Document PDF 2.8 MB Related Files Download Evidence Summary [PDF · 331.1 KB] Download Disposition of Comments Report [PDF · 340 KB] This report is available in PDF only ( Systematic Review [2.8 MB]; Evidence S…

9986. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. | PSNet
      psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd-10-cm
      July 01, 2020 - April 12, 2023 Automated identification of antibiotic overdoses and adverse drug events

9987. Coaching to improve the quality of communication during briefings and debriefings. | PSNet
      psnet.ahrq.gov/issue/coaching-improve-quality-communication-during-briefings-and-debriefings
      March 02, 2022 - Study Coaching to improve the quality of communication during briefings and debriefings. Citation Text: Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012. Co…

9988. Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. | PSNet
      psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
      April 22, 2009 - , 2017 ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse … drug events.

9989. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. | PSNet
      psnet.ahrq.gov/issue/evaluation-safety-radiation-oncology-setting-using-failure-mode-and-effects-analysis
      January 30, 2005 - January 10, 2007 Impact of computerized prescriber order entry on the incidence of adverse … drug events in pediatric inpatients. … April 11, 2018 Assessment of adverse drug events among patients in a tertiary care medical

9990. A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-clinical-error-confronting-disjunction-between-formal-rules-and-situated
      October 26, 2005 - August 8, 2012 Long-term reduction in adverse drug events: an evidence-based improvement … Care Executives and Administrators Organizational Behaviorists Medication Errors/Preventable Adverse … Drug Events View More

9991. Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. | PSNet
      psnet.ahrq.gov/issue/contextual-information-influences-diagnosis-accuracy-and-decision-making-simulated-emergency
      March 21, 2013 - May 4, 2011 A computer alert system to prevent injury from adverse drug events: development … February 27, 2013 Effect of social influences on pharmacists' intention to report adverse … drug events.

9992. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. | PSNet
      psnet.ahrq.gov/issue/real-malady-marcel-proust-and-what-it-reveals-about-diagnostic-errors-medicine
      June 02, 2021 - October 24, 2018 Predicting potential postdischarge adverse drug events and 30-day unplanned … November 17, 2010 Impact of health information technology on detection of potential adverse … drug events at the ordering stage.

9993. Work hours regulations for house staff in psychiatry: bad or good for residency training? | PSNet
      psnet.ahrq.gov/issue/work-hours-regulations-house-staff-psychiatry-bad-or-good-residency-training
      August 04, 2021 - concordance with postoperative outcomes, December 22, 2021 Electronic health records and adverse … drug events after patient transfer. … July 25, 2018 Experience with a trigger tool for identifying adverse drug events among

9994. Patient safety and quality of care in developing countries in Southeast Asia: a systematic literature review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-care-developing-countries-southeast-asia-systematic-literature
      July 29, 2020 - February 6, 2019 Preventable adverse drug events among inpatients: a systematic review

9995. Battling alarm fatigue in the pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/battling-alarm-fatigue-pediatric-intensive-care-unit
      July 22, 2020 - July 31, 2023 Anticoagulation-associated adverse drug events in hospitalized patients

9996. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/15886-Noskin-draft-1.pdf
      March 01, 2008 - Key Words: medication reconciliation, medication errors, adverse drug events, health literacy, medication … Incidence of adverse drug events and potential adverse drug events: implications for prevention.

9997. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
      January 01, 2024 - Key Words: medication reconciliation, medication errors, adverse drug events, health literacy, medication … Incidence of adverse drug events and potential adverse drug events: implications for prevention.

9998. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
      January 01, 2024 - Key Words: medication reconciliation, medication errors, adverse drug events, health literacy, medication … Incidence of adverse drug events and potential adverse drug events: implications for prevention.

9999. Reducing hospital harm: establishing a command centre to foster situational awareness. | PSNet
      psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
      June 29, 2022 - internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse … drug events. … August 31, 2022 The impact of drug error reduction software on preventing harmful adverse … drug events in England: a retrospective database study.

10000. “Those found responsible have been sacked”: some observations on the usefulness of error. | PSNet
       psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error
       February 06, 2008 - June 25, 2008 The burden of opioid-related adverse drug events on hospitalized previously … October 31, 2012 Prevalence, nature, severity and preventability of adverse drug events … November 16, 2022 The impact of drug error reduction software on preventing harmful adverse … drug events in England: a retrospective database study.