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  1. Start the new year off right by preventing these top 10 medication errors and hazards. | PSNet

    psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards
    February 09, 2022 - Newspaper/Magazine Article Start the new year off right by preventing these top 10 medication errors and hazards. Citation Text: Start the new year off right by preventing these top 10 medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2)…

  2. Overconfidence as a cause of diagnostic error in medicine. | PSNet

    psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine
    July 30, 2014 - Review Overconfidence as a cause of diagnostic error in medicine. Citation Text: Berner ES, Graber ML. Overconfidence as a cause of diagnostic error in medicine. Am J Med. 2008;121(5 Suppl):S2-S23. doi:10.1016/j.amjmed.2008.01.001. Copy Citation Format: DOI Google Scholar…

  3. Better Safer Care Victoria. | PSNet

    psnet.ahrq.gov/issue/better-safer-care-victoria
    August 09, 2023 - Government Resource Better Safer Care Victoria. Citation Text: Better Safer Care Victoria. Safer Care Victoria and Victorian Agency for Health Information. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitt…

  4. Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. | PSNet

    psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
    March 14, 2023 - Newspaper/Magazine Article Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. Citation Text: Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…

  5. Costs of medical injuries in Utah and Colorado. | PSNet

    psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado
    June 30, 2021 - Study Classic Costs of medical injuries in Utah and Colorado. Citation Text: Costs of medical injuries in Utah and Colorado. Thomas EJ; Studdert DM; Newhouse JP; Zbar BI; Howard KM; Williams EJ; Brennan TA Copy Citation Save Save to your …

  6. Surgeon age and operative mortality in the United States. | PSNet

    psnet.ahrq.gov/issue/surgeon-age-and-operative-mortality-united-states
    August 02, 2015 - Study Surgeon age and operative mortality in the United States. Citation Text: Waljee JF, Greenfield LJ, Dimick JB, et al. Surgeon Age and Operative Mortality in the United States. Transactions of the .. Meeting of the American Surgical Association. 2006;124. doi:10.1097/01.sla.0000234…

  7. Errors in diagnosis of spinal epidural abscesses in the era of electronic health records. | PSNet

    psnet.ahrq.gov/issue/errors-diagnosis-spinal-epidural-abscesses-era-electronic-health-records
    April 24, 2018 - Study Errors in diagnosis of spinal epidural abscesses in the era of electronic health records. Citation Text: Bhise V, Meyer AND, Singh H, et al. Errors in Diagnosis of Spinal Epidural Abscesses in the Era of Electronic Health Records. Am J Med. 2017;130(8). doi:10.1016/j.amjmed.2017.03…

  8. Teaching smart people how to learn. | PSNet

    psnet.ahrq.gov/issue/teaching-smart-people-learn
    September 05, 2012 - Study Classic Teaching smart people how to learn. Citation Text: Teaching smart people how to learn. Argyris C. Harvard Business Review. 1991:69(May-June):99+. Copy Citation Save Save to your library Print Download PDF S…

  9. Smart infusion pump investigations after an unexplained over-infusion. | PSNet

    psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion
    May 03, 2023 - Newspaper/Magazine Article Smart infusion pump investigations after an unexplained over-infusion. Citation Text: Smart infusion pump investigations after an unexplained over-infusion. ISMP Patient Safety Alert! Acute care edition. May 18, 2023;28(10);1-3. Copy Citation …

  10. Temporarily holding medication orders safely in order to prevent patient harm. | PSNet

    psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
    March 14, 2023 - Newspaper/Magazine Article Temporarily holding medication orders safely in order to prevent patient harm. Citation Text: Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4. Copy Ci…

  11. The pursuit of better diagnostic performance: a human factors perspective. | PSNet

    psnet.ahrq.gov/issue/pursuit-better-diagnostic-performance-human-factors-perspective
    September 24, 2017 - Commentary The pursuit of better diagnostic performance: a human factors perspective. Citation Text: Henriksen K, Brady J. The pursuit of better diagnostic performance: a human factors perspective. BMJ Qual Saf. 2013;22(Suppl 2):ii1-ii5. doi:10.1136/bmjqs-2013-001827. Copy Citation …

  12. Thinking fast and slow in medicine. | PSNet

    psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
    June 21, 2017 - Commentary Thinking fast and slow in medicine. Citation Text: Michel JB. Thinking fast and slow in medicine. Baylor U Med Center Proceed. 2019;33(1):123-125. doi:10.1080/08998280.2019.1674043. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

  13. Pathways to Quality through Health Information Technology - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/pathways-quality-through-health-information-technology/annual-summary/2012
    January 01, 2012 - Pathways to Quality through Health Information Technology - 2012 Project Name Pathways to Quality through Health Information Technology Principal Investigator Flemming, Anjanette Organization Booz Allen Hamilton Funding Mechanism Health IT Contract Contract Nu…

  14. The impact of abbreviations on patient safety. | PSNet

    psnet.ahrq.gov/issue/impact-abbreviations-patient-safety
    January 02, 2017 - Study The impact of abbreviations on patient safety. Citation Text: Brunetti L, Santell JP, Hicks RW. The impact of abbreviations on patient safety. Jt Comm J Qual Patient Saf. 2007;33(9):576-83. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  15. Pediatric safety incidents from an intensive care reporting system. | PSNet

    psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system
    May 27, 2011 - Study Pediatric safety incidents from an intensive care reporting system. Citation Text: Pediatric safety incidents from an intensive care reporting system. Skapik JL; Pronovost PJ; Miller MR; Thompson DA; Wu AW. Copy Citation Save Save to your library P…

  16. Governing the surgical count through communication interactions: implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/governing-surgical-count-through-communication-interactions-implications-patient-safety
    November 06, 2015 - Study Governing the surgical count through communication interactions: implications for patient safety. Citation Text: Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-3…

  17. Characteristics of Weekday and Weekend Hospital Admissions, 2007. | PSNet

    psnet.ahrq.gov/issue/characteristics-weekday-and-weekend-hospital-admissions-2007
    September 15, 2010 - Book/Report Characteristics of Weekday and Weekend Hospital Admissions, 2007. Citation Text: Characteristics of Weekday and Weekend Hospital Admissions, 2007. Ryan K, Levit K, Davis PH. HCUP Statistical Brief #87. Rockville, MD: Agency for Healthcare Research and Quality; March 2010.…

  18. Characteristics of medication errors made by students during the administration phase: a descriptive study. | PSNet

    psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
    July 13, 2009 - Study Characteristics of medication errors made by students during the administration phase: a descriptive study. Citation Text: Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006…

  19. Testing a classification model for emergency department errors. | PSNet

    psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors
    March 02, 2010 - Study Testing a classification model for emergency department errors. Citation Text: Henneman EA, Blank FSJ, Gattasso S, et al. Testing a classification model for emergency department errors. J Adv Nurs. 2006;55(1):90-9. Copy Citation Format: Google Scholar PubMed BibTeX …

  20. Physician communication when prescribing new medications. | PSNet

    psnet.ahrq.gov/issue/physician-communication-when-prescribing-new-medications
    December 16, 2009 - Study Physician communication when prescribing new medications. Citation Text: Tarn DM, Heritage J, Paterniti DA, et al. Physician communication when prescribing new medications. Arch Intern Med. 2006;166(17):1855-1862. Copy Citation Format: Google Scholar PubMed BibTeX E…
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