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psnet.ahrq.gov/node/866864/psn-pdf
October 02, 2024 - Patient safety in actioning and communicating blood test
results in primary care: a UK wide audit using the Primary
Care Academic CollaboraTive (PACT).
October 2, 2024
Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in
primary care: a UK wide audit using the P…
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psnet.ahrq.gov/node/38904/psn-pdf
September 02, 2009 - Litigation related to inadequate anaesthesia: an analysis
of claims against the NHS in England 1995-2007.
September 2, 2009
Mihai R, Scott SD, Cook TM. Litigation related to inadequate anaesthesia: an analysis of claims against the
NHS in England 1995-2007. Anaesthesia. 2009;64(8):829-35. doi:10.1111/j.1365-2044.20…
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psnet.ahrq.gov/node/44224/psn-pdf
June 10, 2015 - To be sued less, doctors should consider talking to
patients more.
June 10, 2015
Carroll AE.
https://psnet.ahrq.gov/issue/be-sued-less-doctors-should-consider-talking-patients-more
Reporting on trends associated with medical malpractice, how the same physicians tend to get sued, and
reasons patients file claims, …
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psnet.ahrq.gov/node/33930/psn-pdf
June 23, 2015 - Adverse respiratory events in anesthesia: a closed claims
analysis.
June 23, 2015
Caplan RA, Posner KL, Ward RJ, et al. Adverse respiratory events in anesthesia: a closed claims analysis.
Anesthesiology. 1990;72(5):828-33.
https://psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
A…
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psnet.ahrq.gov/node/73917/psn-pdf
October 06, 2021 - Reporting of health information technology system-
related patient safety incidents: the effects of
organizational justice.
October 6, 2021
Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related
patient safety incidents: the effects of organizational justice. Safety…
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psnet.ahrq.gov/node/37168/psn-pdf
February 03, 2011 - Physician scores on a national clinical skills examination
as predictors of complaints to medical regulatory
authorities.
February 3, 2011
Tamblyn R, Abrahamowicz M, Dauphinee D, et al. Physician scores on a national clinical skills examination
as predictors of complaints to medical regulatory authorities. JAMA. 2…
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psnet.ahrq.gov/node/39485/psn-pdf
November 23, 2016 - A human factors and survey methodology-based design
of a web-based adverse event reporting system for
families.
November 23, 2016
Daniels JP, King AD, Cochrane D, et al. A human factors and survey methodology-based design of a web-
based adverse event reporting system for families. Int J Med Inform. 2010;79(5):339…
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psnet.ahrq.gov/node/38065/psn-pdf
September 17, 2008 - The use of a CPOE log for the analysis of physicians'
behavior when responding to drug-duplication reminders.
September 17, 2008
Long A-J, Chang P, Li Y-C, et al. The use of a CPOE log for the analysis of physicians’ behavior when
responding to drug-duplication reminders. Int J Med Inform. 2008;77(8). doi:10.1016/j…
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psnet.ahrq.gov/node/40823/psn-pdf
October 05, 2011 - Lessons learnt from incidents reported by postgraduate
trainees in Dutch general practice. A prospective cohort
study.
October 5, 2011
Zwart DLM, Heddema WS, Vermeulen MI, et al. Lessons learnt from incidents reported by postgraduate
trainees in Dutch general practice. A prospective cohort study. BMJ Qual Saf. 201…
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psnet.ahrq.gov/node/36552/psn-pdf
January 12, 2011 - Toward learning from patient safety reporting systems.
January 12, 2011
Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems.
J Crit Care. 2006;21(4):305-15.
https://psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
This study reports the initia…
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psnet.ahrq.gov/node/36515/psn-pdf
May 27, 2011 - Nurses' perceptions of causes of medication errors and
barriers to reporting.
May 27, 2011
Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and
barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33.
https://psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-e…
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psnet.ahrq.gov/node/38157/psn-pdf
October 22, 2008 - Contributing factors identified by hospital incident report
narratives.
October 22, 2008
Nuckols TK, Bell DS, Paddock SM, et al. Contributing factors identified by hospital incident report
narratives. Qual Saf Health Care. 2008;17(5):368-72. doi:10.1136/qshc.2007.023721.
https://psnet.ahrq.gov/issue/contributing-f…
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psnet.ahrq.gov/node/38026/psn-pdf
March 21, 2017 - Does error and adverse event reporting by physicians and
nurses differ?
March 21, 2017
Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses
differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545.
https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-ph…
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psnet.ahrq.gov/node/73515/psn-pdf
August 01, 2022 - Accessed March 23, 2021. https://downloads.cms.gov/files/cmmi/irahnfr-finalevalrpt.pdf
Evidence Rating … https://nursinghomehelp.org/moqi-initiative/articles-press/
https://downloads.cms.gov/files/cmmi/irahnfr-finalevalrpt.pdf
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psnet.ahrq.gov/node/60330/psn-pdf
May 05, 2020 - https://www.cms.gov/files/document/covid-19-physicians-and-practitioners.pdf. … trump-administration-makes-sweeping-regulatory-changes-help-us-healthcare-system-address-covid-19
https://psnet.ahrq.gov//#_ednref8
https://www.endocrine.org/-/media/endocrine/files
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psnet.ahrq.gov/node/35907/psn-pdf
October 03, 2017 - Transparent and open discussion of errors does not
increase malpractice risk in trauma patients.
October 3, 2017
Stewart RM, Corneille MG, Johnston J, et al. Transparent and open discussion of errors does not increase
malpractice risk in trauma patients. Ann Surg. 2006;243(5):645-9; discussion 649-51.
https://psne…
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-38
June 16, 2019 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR.
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psnet.ahrq.gov/node/41066/psn-pdf
October 16, 2012 - Hospital Incident Reporting Systems Do Not Capture Most
Patient Harm.
October 16, 2012
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; January 2012. Report No. OEI-06-09-00091.
https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-…
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psnet.ahrq.gov/node/34804/psn-pdf
January 05, 2017 - Incident reporting system does not detect adverse drug
events: a problem for quality improvement.
January 5, 2017
Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events:
a problem for quality improvement. Jt Comm J Qual Improv. 1995;21(10):541-8.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/38366/psn-pdf
January 28, 2009 - Benchmarking surgical incident reports using a database
and a triage system to reduce adverse outcomes.
January 28, 2009
Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a
triage system to reduce adverse outcomes. Arch Surg. 2008;143(12):1192-7.
doi:10.1001/archsu…