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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41372/psn-pdf
    May 16, 2012 - Emergency department crowding and risk of preventable medical errors. … Emergency department crowding and risk of preventable medical errors. … https://psnet.ahrq.gov/issue/emergency-department-crowding-and-risk-preventable-medical-errors Emergency … department (ED) crowding was strongly associated with an increased risk of preventable medical error … https://psnet.ahrq.gov/issue/emergency-department-crowding-and-risk-preventable-medical-errors https:
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36334/psn-pdf
    October 26, 2010 - Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from … Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed- malpractice-claims … -4-liability This study addressing the causes of missed and delayed diagnoses in emergency department … https://psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38012/psn-pdf
    August 27, 2008 - Emergency department visits for antibiotic-associated adverse events. … Emergency department visits for antibiotic-associated adverse events. … https://psnet.ahrq.gov/issue/emergency-department-visits-antibiotic-associated-adverse-events This study … found that adverse drug events from antibiotic use result in nearly 150,000 emergency department visits … https://psnet.ahrq.gov/issue/emergency-department-visits-antibiotic-associated-adverse-events https:/
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45646/psn-pdf
    November 23, 2016 - Patient safety in the emergency department. November 23, 2016 Farmer B. … Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). … https://psnet.ahrq.gov/issue/patient-safety-emergency-department Emergency departments are high-risk … https://psnet.ahrq.gov/issue/patient-safety-emergency-department https://psnet.ahrq.gov/issue/patient-safety-emergency-medicine … national-study-frequency-types-causes-and-consequences-voluntarily-reported-emergency https://psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41083/psn-pdf
    December 12, 2012 - Teams under pressure in the emergency department: an interview study. … Teams under pressure in the emergency department: an interview study. … https://psnet.ahrq.gov/issue/teams-under-pressure-emergency-department-interview-study Medical and nursing … staff in a London emergency department reported that poor teamwork and pressure to reduce waiting times … https://psnet.ahrq.gov/issue/teams-under-pressure-emergency-department-interview-study https://psnet.ahrq.gov
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42195/psn-pdf
    October 08, 2013 - Medication errors in the management of anaphylaxis in a pediatric emergency department. … Medication errors in the management of anaphylaxis in a pediatric emergency department. … https://psnet.ahrq.gov/issue/medication-errors-management-anaphylaxis-pediatric-emergency-department … Medication errors were common in the emergency department management of anaphylaxis (severe, life- … https://psnet.ahrq.gov/issue/medication-errors-management-anaphylaxis-pediatric-emergency-department
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40208/psn-pdf
    February 09, 2011 - Accuracy of radiographic readings in the emergency department. … Accuracy of radiographic readings in the emergency department. … https://psnet.ahrq.gov/issue/accuracy-radiographic-readings-emergency-department This study found that … A past AHRQ WebM&M commentary discussed radiographic errors in the emergency department. … https://psnet.ahrq.gov/issue/accuracy-radiographic-readings-emergency-department https://psnet.ahrq.gov
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40592/psn-pdf
    July 06, 2011 - Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, … Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nursing Surveillance, … https://psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing … https://psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance … https://psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43549/psn-pdf
    September 27, 2016 - Resident to resident handoffs in the emergency department: an observational study. … Resident to resident handoffs in the emergency department: an observational study. … https://psnet.ahrq.gov/issue/resident-resident-handoffs-emergency-department-observational-study According … regarding the plan of care was generally accurately transmitted during resident handoffs in the emergency department … https://psnet.ahrq.gov/issue/resident-resident-handoffs-emergency-department-observational-study https
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36016/psn-pdf
    September 27, 2016 - Strategies used by nurses to recover medical errors in an academic emergency department setting. … Strategies used by nurses to recover medical errors in an academic emergency department setting. … https://psnet.ahrq.gov/issue/strategies-used-nurses-recover-medical-errors-academic-emergency- department-setting … https://psnet.ahrq.gov/issue/strategies-used-nurses-recover-medical-errors-academic-emergency-department-setting … https://psnet.ahrq.gov/issue/strategies-used-nurses-recover-medical-errors-academic-emergency-department-setting
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40004/psn-pdf
    February 01, 2011 - Application of failure mode and effect analysis in a radiology department. … Application of Failure Mode and Effect Analysis in a Radiology Department. … https://psnet.ahrq.gov/issue/application-failure-mode-and-effect-analysis-radiology-department This … commentary introduces the failure mode and effects analysis process developed by the United States Department … https://psnet.ahrq.gov/issue/application-failure-mode-and-effect-analysis-radiology-department https:
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38103/psn-pdf
    October 01, 2008 - Early readmissions to the department of medicine as a screening tool for monitoring quality of care … Early readmissions to the department of medicine as a screening tool for monitoring quality of care … https://psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality … https://psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems … https://psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38559/psn-pdf
    June 16, 2009 - Regional surveillance of emergency-department visits for outpatient adverse drug events. … Regional surveillance of emergency-department visits for outpatient adverse drug events. … https://psnet.ahrq.gov/issue/regional-surveillance-emergency-department-visits-outpatient-adverse-drug … https://psnet.ahrq.gov/issue/regional-surveillance-emergency-department-visits-outpatient-adverse-drug-events … https://psnet.ahrq.gov/issue/regional-surveillance-emergency-department-visits-outpatient-adverse-drug-events
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43009/psn-pdf
    January 07, 2015 - Improving the Emergency Department Discharge Process. … https://psnet.ahrq.gov/issue/improving-emergency-department-discharge-process This report analyzes the … literature discussing emergency department discharge processes and highlights elements of high-quality … https://psnet.ahrq.gov/issue/improving-emergency-department-discharge-process https://psnet.ahrq.gov/ … re-engineered-discharge-red-toolkit https://psnet.ahrq.gov/issue/older-patients-understanding-emergency-department-discharge-information-and-its-relationship
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39813/psn-pdf
    October 11, 2010 - Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves … Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training program improves … https://psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training- program-improves … The Department of Veterans Affairs Medical Team Training program is among the most effective in demonstrating … https://psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39497/psn-pdf
    February 10, 2015 - Department of Veterans Affairs. February 10, 2015 Byrne CM, Mercincavage LM, Pan EC, et al. … Department of Veterans Affairs. Health Aff (Millwood). 2010;29(4):629-638. … https://psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans- … https://psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs … https://psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40534/psn-pdf
    March 23, 2012 - between waiting times and short term mortality and hospital admission after departure from emergency department … between waiting times and short term mortality and hospital admission after departure from emergency department … association-between-waiting-times-and-short-term-mortality-and-hospital- admission-after Emergency department … Examining more than 14 million emergency department visits, this cohort study found that ED overcrowding … https://psnet.ahrq.gov/issue/association-between-transfer-emergency-department-boarders-inpatient-hallways-and-mortality
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45882/psn-pdf
    June 28, 2017 - early-death-after-discharge-emergency-departments-analysis-national-us- insurance-claims-data The emergency department … Hospitals that admit a lower proportion of emergency department patients to the inpatient setting had … These results suggest that emergency department discharges may represent missed diagnoses. … commentary discussed an incident involving a patient who died after being discharged from the emergency department … primer/diagnostic-errors https://psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43887/psn-pdf
    April 08, 2018 - Types of diagnostic errors in neurological emergencies in the emergency department. … Types of diagnostic errors in neurological emergencies in the emergency department. … https://psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department This … retrospective chart review study examined diagnostic errors in neurological cases in an emergency department … https://psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department https
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41364/psn-pdf
    May 09, 2012 - Reflections on incident reporting in a department of pediatric surgery. … Reflections on incident reporting in a department of pediatric surgery. … https://psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department … https://psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department-pediatric … https://psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department-pediatric

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