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psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-way-patient-safety
April 03, 2019 - Book/Report
The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety.
Citation Text:
The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. Boston, MA: Betsy Lehman Center for Patient Saf…
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psnet.ahrq.gov/issue/novice-nurse-and-clinical-decision-making-how-avoid-errors
May 04, 2022 - Review
The novice nurse and clinical decision-making: how to avoid errors.
Citation Text:
Saintsing D, Gibson LM, Pennington AW. The novice nurse and clinical decision-making: how to avoid errors. J Nurs Manag. 2011;19(3):354-9. doi:10.1111/j.1365-2834.2011.01248.x.
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psnet.ahrq.gov/issue/cpoe-strategies-success
October 09, 2019 - Commentary
CPOE: strategies for success.
Citation Text:
Manor PJ. CPOE: Strategies for success. Nurs Manage. 2010;41(5):18-20. doi:10.1097/01.NUMA.0000372028.99240.7f.
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psnet.ahrq.gov/issue/medical-simulation-gets-real
June 14, 2023 - Newspaper/Magazine Article
Medical simulation gets real.
Citation Text:
Voelker R. Medical Simulation Gets Real. JAMA. 2009;302(20). doi:10.1001/jama.2009.1677.
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psnet.ahrq.gov/issue/evaluation-frequency-paediatric-oral-liquid-medication-dosing-errors-caregivers-amoxicillin
May 31, 2023 - Study
Evaluation of frequency of paediatric oral liquid medication dosing errors by caregivers: amoxicillin and josamycin.
Citation Text:
Berthe-Aucejo A, Girard D, Lorrot M, et al. Evaluation of frequency of paediatric oral liquid medication dosing errors by caregivers: amoxicillin and …
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psnet.ahrq.gov/issue/digital-health-technology-specific-risks-medical-malpractice-liability
January 18, 2023 - Commentary
Digital health technology-specific risks for medical malpractice liability.
Citation Text:
Rowland SP, Fitzgerald JE, Lungren M, et al. Digital health technology-specific risks for medical malpractice liability. NPJ Digit Med. 2022;5(1):157. doi:10.1038/s41746-022-00698-3.
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psnet.ahrq.gov/issue/preventing-medication-errors-small-and-rural-hospitals
May 19, 2021 - Newspaper/Magazine Article
Preventing medication errors at small and rural hospitals.
Citation Text:
Preventing medication errors at small and rural hospitals. McCook A. Preventing medication errors at small and rural hospitals. Pharmacy Practice News. May 6, 2020.
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psnet.ahrq.gov/issue/comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis
March 30, 2022 - Study
Comparative performance of pediatric weight estimation techniques: a human factor errors analysis.
Citation Text:
Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 201…
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psnet.ahrq.gov/issue/overview-intravenous-related-medication-administration-errors-reported-medmarxr-national
April 14, 2021 - Study
An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program.
Citation Text:
Hicks RW, Becker SC. An overview of intravenous-related medication administration errors as reported to MEDMARX, a national…
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psnet.ahrq.gov/issue/impact-including-readmissions-qualifying-events-patient-safety-indicators
January 26, 2022 - Study
Impact of including readmissions for qualifying events in the Patient Safety Indicators.
Citation Text:
Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/10628…
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psnet.ahrq.gov/issue/classification-failures-perception-conversational-agents-cas-and-their-implications-patient
July 06, 2022 - Study
Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety.
Citation Text:
Aftab H, Shah SHH, Habli I. Classification of failures in the perception of conversational agents (CAs) and their implications on patient safety. Stu…
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psnet.ahrq.gov/issue/creating-improvement-culture-enhanced-patient-safety-service-improvement-learning-pre
July 19, 2023 - Study
Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education.
Citation Text:
Christiansen A, Robson L, Griffith-Evans C. Creating an improvement culture for enhanced patient safety: service improvement learning in pre-reg…
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psnet.ahrq.gov/issue/safety-improvements-urged-mri-facilities
February 02, 2011 - Newspaper/Magazine Article
Safety improvements urged for MRI facilities.
Citation Text:
Mitka M. Safety improvements urged for MRI facilities. JAMA. 2005;294(17):2145-8.
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psnet.ahrq.gov/issue/non-english-speakers-drug-label-instructions-can-be-lost-translation
September 12, 2016 - Newspaper/Magazine Article
For non-English speakers, drug label instructions can be lost in translation.
Citation Text:
Mitka M. For non-english speakers, drug label instructions can be lost in translation. JAMA. 2007;297(23):2575-7.
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psnet.ahrq.gov/issue/joint-commission-offers-warnings-advice-adopting-new-health-care-it-systems
September 12, 2016 - Newspaper/Magazine Article
Joint Commission offers warnings, advice on adopting new health care IT systems.
Citation Text:
Mitka M. Joint commission offers warnings, advice on adopting new health care IT systems. JAMA. 2009;301(6):587-9. doi:10.1001/jama.2009.37.
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psnet.ahrq.gov/issue/computerized-provider-order-entry-and-prescribing-and-evidence-safe-practice-update-clinical
November 03, 2015 - Review
Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist.
Citation Text:
O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse speciali…
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psnet.ahrq.gov/issue/use-computerized-physician-order-entry-clinical-decision-support-prevent-dose-errors
June 05, 2024 - Review
Use of computerized physician order entry with clinical decision support to prevent dose errors in pediatric medication orders: a systematic review.
Citation Text:
Ruutiainen H, Holmström A-R, Kunnola E, et al. Use of computerized physician order entry with clinical decision suppo…
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose
Citation Text:
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
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psnet.ahrq.gov/issue/errors-drug-computations-during-newborn-intensive-care
December 15, 2021 - Study
Errors in drug computations during newborn intensive care.
Citation Text:
Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006.
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psnet.ahrq.gov/issue/retrospective-cohort-study-wrong-patient-imaging-order-errors-how-many-reach-patient
February 22, 2023 - Study
Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient?
Citation Text:
Kneifati-Hayek JZ, Geist E, Applebaum JR, et al. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? BMJ Qual Saf. 2024;33(2):132-1…