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Does the perception of severity of medical error differ between varying levels of clinical seniority? | PSNet

psnet.ahrq.gov/issue/does-perception-severity-medical-error-differ-between-varying-levels-clinical-seniority

August 31, 2022 - Study Does the perception of severity of medical error differ between varying levels of clinical seniority? Citation Text: Khan I, Arsanious M. Does the perception of severity of medical error differ between varying levels of clinical seniority? Adv Med Educ Pract. 2018;9:443-452. doi:10…

Active surveillance using electronic triggers to detect adverse events in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/active-surveillance-using-electronic-triggers-detect-adverse-events-hospitalized-patients

October 03, 2017 - Study Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Citation Text: Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15(3…

Drug dosing error with drops – severe clinical course of codeine intoxication in twins. | PSNet

psnet.ahrq.gov/issue/drug-dosing-error-drops-severe-clinical-course-codeine-intoxication-twins

September 29, 2021 - Study Drug dosing error with drops – severe clinical course of codeine intoxication in twins. Citation Text: Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Drug dosing error with drops: severe clinical course of codeine intoxication in twins. Eur J Pediatr. 2009;168(7):819-24. doi:…

Diagnostic discrepancies in the emergency department: a retrospective study. | PSNet

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October 04, 2023 - Study Diagnostic discrepancies in the emergency department: a retrospective study. Citation Text: Schols LA, Maranus ME, Rood PPM, et al. Diagnostic discrepancies in the emergency department: a retrospective study. J Patient Saf. 2024;20(6):420-425. doi:10.1097/pts.0000000000001252. Co…

Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. | PSNet

psnet.ahrq.gov/issue/medication-errors-caregivers-home-neonates-discharged-neonatal-intensive-care-unit

June 07, 2023 - Study Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. Citation Text: Solanki R, Mondal N, Mahalakshmy T, et al. Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. Arch Dis Child. 2017…

"Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. | PSNet

psnet.ahrq.gov/issue/sign-right-here-and-youre-good-go-content-analysis-audiotaped-emergency-department-discharge

December 18, 2013 - Study "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Citation Text: Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Ann Emer…

Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. | PSNet

psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management

June 22, 2009 - Study Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. Citation Text: Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. …

Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. | PSNet

psnet.ahrq.gov/issue/disruptive-behavior-inherent-surgeon-or-environment-analysis-314-events-single-academic

October 19, 2022 - Study Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. Citation Text: Heslin MJ, Singletary BA, Benos KC, et al. Is Disruptive Behavior Inherent to the Surgeon or the Environment? Analysis of 314 Events at a Si…

Hospital-wide code rates and mortality before and after implementation of a rapid response team. | PSNet

psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-response-team

October 17, 2011 - Study Classic Hospital-wide code rates and mortality before and after implementation of a rapid response team. Citation Text: Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team…

Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. | PSNet

psnet.ahrq.gov/issue/measurement-and-monitoring-safety-impact-and-challenges-putting-conceptual-framework-practice

January 24, 2018 - Study Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. Citation Text: Chatburn E, Macrae C, Carthey J, et al. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. BMJ Qual …

A quality improvement initiative to improve pediatric discharge medication safety and efficiency. | PSNet

psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety-and-efficiency

May 20, 2020 - Study A quality improvement initiative to improve pediatric discharge medication safety and efficiency. Citation Text: Ring LM, Cinotti J, Hom LA, et al. A quality improvement initiative to improve pediatric discharge medication safety and efficiency. Pediatr Qual Saf. 2023;8(4):e671. do…

Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital. | PSNet

psnet.ahrq.gov/issue/bringing-patients-own-medications-emergency-department-ambulance-effect-prescribing-accuracy

October 19, 2022 - Study Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital. Citation Text: Chan EW, Taylor SE, Marriott JL, et al. Bringing patients' own medications into an emergency department by amb…

A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. | PSNet

psnet.ahrq.gov/issue/machine-learning-based-clinical-predictive-tool-identify-patients-high-risk-medication-errors

March 29, 2012 - Study A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. Citation Text: Abdo A, Gallay L, Vallecillo T, et al. A machine learning-based clinical predictive tool to identify patients at high risk of medication errors. Sci Rep. 2024;14…

Residents, responsibility, and error: how residents learn to navigate the intersection. | PSNet

psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection

August 21, 2019 - Study Residents, responsibility, and error: how residents learn to navigate the intersection. Citation Text: Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000…

Does full disclosure of medical errors affect malpractice liability? The jury is still out. | PSNet

psnet.ahrq.gov/issue/does-full-disclosure-medical-errors-affect-malpractice-liability-jury-still-out

November 16, 2011 - Review Classic Does full disclosure of medical errors affect malpractice liability? The jury is still out. Citation Text: Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Com…

Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study. | PSNet

psnet.ahrq.gov/issue/safety-criterion-quality-critical-nursing-situation-index-paediatric-critical-care

March 01, 2011 - Study Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study. Citation Text: de Neef M, Bos AP, Tol D. Safety as a criterion for quality: the critical nursing situation index in paediatric critical care, an observatio…

Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. | PSNet

psnet.ahrq.gov/issue/operationalizing-occupational-fatigue-pharmacists-exploratory-factor-analysis

March 23, 2022 - Study Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. Citation Text: Watterson TL, Look KA, Steege LM, et al. Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. Res Social Adm Pharm. 2021;17(7):1282-1287. doi:10.101…

Wisdom through adversity: learning and growing in the wake of an error. | PSNet

psnet.ahrq.gov/issue/wisdom-through-adversity-learning-and-growing-wake-error

October 08, 2016 - Study Wisdom through adversity: learning and growing in the wake of an error. Citation Text: Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006. Copy Citation …

How to make medication error reporting systems work—factors associated with their successful development and implementation. | PSNet

psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful

December 05, 2012 - Study How to make medication error reporting systems work—factors associated with their successful development and implementation. Citation Text: Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work--Factors associated with their successful develo…

Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality. | PSNet

psnet.ahrq.gov/issue/early-adopters-computerized-physician-order-entry-hospitals-care-children-picture-us-health

December 20, 2023 - Study Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality. Citation Text: Teufel RJ, Kazley AS, Basco WT. Early adopters of computerized physician order entry in…

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