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381. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. | PSNet
     psnet.ahrq.gov/issue/systematic-workup-transfusion-reactions-reveals-passive-co-reporting-handling-errors
     December 21, 2016 - Study Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. Citation Text: Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s4…

382. How to avoid catastrophic events on the ward. | PSNet
     psnet.ahrq.gov/issue/how-avoid-catastrophic-events-ward
     February 03, 2011 - Review How to avoid catastrophic events on the ward. Citation Text: Bein B, Seewald S, Gräsner J-T. How to avoid catastrophic events on the ward. Best Pract Res Clin Anaesthesiol. 2016;30(2):237-45. doi:10.1016/j.bpa.2016.04.003. Copy Citation Format: DOI Google Scholar Pub…

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72689/psn-pdf
     January 29, 2021 - On physical exam, he had grade 2 mucositis, as per the Common Terminology Criteria for Adverse Events … Low-grade oral mucositis can easily be diagnosed upon physical exam and managed with careful dental

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49528/psn-pdf
     January 01, 2015 - While the rash improved, the patient developed diarrhea and low-grade fever, prompting a visit to the … The resident physician's diagnosis was a "viral syndrome" causing the diarrhea and low-grade fever.

385. Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: a multicentre retrospective observational study. | PSNet
     psnet.ahrq.gov/issue/adverse-drug-events-caused-three-high-risk-drug-drug-interactions-patients-admitted-intensive
     February 14, 2024 - Study Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: a multicentre retrospective observational study. Citation Text: Klopotowska JE, Leopold J‐H, Bakker T, et al. Adverse drug events caused by three high‐risk drug–drug i…

386. Defining near misses: towards a sharpened definition based on empirical data about error handling processes. | PSNet
     psnet.ahrq.gov/issue/defining-near-misses-towards-sharpened-definition-based-empirical-data-about-error-handling
     June 28, 2011 - Study Defining near misses: towards a sharpened definition based on empirical data about error handling processes. Citation Text: Kessels-Habraken M, Van der Schaaf T, De Jonge J, et al. Defining near misses: towards a sharpened definition based on empirical data about error handling pr…

387. Use of temporary names for newborns and associated risks. | PSNet
     psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-risks
     December 21, 2017 - Study Use of temporary names for newborns and associated risks. Citation Text: Adelman JS, Aschner JL, Schechter CB, et al. Use of Temporary Names for Newborns and Associated Risks. Pediatrics. 2015;136(2):327-333. doi:10.1542/peds.2015-0007. Copy Citation Format: DOI Googl…

388. Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge. | PSNet
     psnet.ahrq.gov/issue/do-we-know-what-foundation-year-doctors-think-about-patient-safety-incident-reporting
     April 12, 2017 - Study Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge. Citation Text: Robson J, de Wet C, McKay J, et al. Do we know what foundation year doctors think about patient safety incident …

389. Burnout and medical errors among American surgeons. | PSNet
     psnet.ahrq.gov/issue/burnout-and-medical-errors-among-american-surgeons
     December 21, 2014 - Study Burnout and medical errors among American surgeons. Citation Text: Shanafelt TD, Balch CM, Bechamps G, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251(6):995-1000. doi:10.1097/SLA.0b013e3181bfdab3. Copy Citation Format: DOI Google Schol…

390. Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases. | PSNet
     psnet.ahrq.gov/issue/large-scale-observational-study-ai-based-patient-and-surgical-material-verification-system
     August 27, 2012 - Study Large-scale observational study of AI-based patient and surgical material verification system in ophthalmology: real-world evaluation in 37 529 cases. Citation Text: Tabuchi H, Ishitobi N, Deguchi H, et al. Large-scale observational study of AI-based patient and surgical material v…

391. Using Safety-II and resilient healthcare principles to learn from Never Events. | PSNet
     psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
     February 20, 2019 - Study Using Safety-II and resilient healthcare principles to learn from Never Events. Citation Text: Anderson JE, Watt AJ. Using Safety-II and resilient healthcare principles to learn from Never Events. Int J Qual Health Care. 2020;32(3):196-203. doi:10.1093/intqhc/mzaa009. Copy Citati…

392. Assessment of the global trigger tool to measure, monitor and evaluate patient safety in cancer patients: reliability concerns are raised. | PSNet
     psnet.ahrq.gov/issue/assessment-global-trigger-tool-measure-monitor-and-evaluate-patient-safety-cancer-patients
     April 22, 2015 - Study Assessment of the global trigger tool to measure, monitor and evaluate patient safety in cancer patients: reliability concerns are raised. Citation Text: Mattsson TO, Knudsen JL, Lauritsen J, et al. Assessment of the global trigger tool to measure, monitor and evaluate patient sa…

393. Using incident reports to assess communication failures and patient outcomes. | PSNet
     psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes
     February 06, 2019 - Study Using incident reports to assess communication failures and patient outcomes. Citation Text: Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2…

394. A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. | PSNet
     psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
     January 11, 2017 - Study A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. Citation Text: Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause ana…

395. Incorrect surgical procedures within and outside of the operating room. | PSNet
     psnet.ahrq.gov/issue/incorrect-surgical-procedures-within-and-outside-operating-room
     November 21, 2011 - Study Incorrect surgical procedures within and outside of the operating room. Citation Text: Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126. Copy Citation F…

396. Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. | PSNet
     psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
     October 24, 2018 - Study Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. Citation Text: Neily J, Soncrant C, Mills PD, et al. Assessment of Incorrect Surgical Procedures Within and Outside the Opera…

397. Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. | PSNet
     psnet.ahrq.gov/issue/hospital-rating-organizations-quality-and-patient-safety-scores-analysis-result-discrepancies
     February 22, 2017 - Study Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. Citation Text: Badr S, Nahle T, Rahman S, et al. Hospital rating organizations' quality and patient safety scores: analysis of result discrepancies. J Gen Intern Med. 2025;40(3):525-…

398. Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. | PSNet
     psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment
     March 02, 2016 - Study Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. Citation Text: Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® …

399. Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. | PSNet
     psnet.ahrq.gov/issue/evaluating-effect-safety-culture-error-reporting-comparison-managerial-and-staff-perspectives
     January 20, 2016 - Study Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. Citation Text: Richter J, McAlearney AS, Pennell ML. Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives. Am J Me…

400. System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. | PSNet
     psnet.ahrq.gov/issue/system-hazards-managing-laboratory-test-requests-and-results-primary-care-medical-protection
     November 08, 2017 - Study System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. Citation Text: Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in primary care: medical p…