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psnet.ahrq.gov/node/851350/psn-pdf
July 12, 2023 - A scoping review of legibility of hand-written
prescriptions and drug-orders: the writing on the wall.
July 12, 2023
Ariaga A, Balzan D, Falzon S, et al. A scoping review of legibility of hand-written prescriptions and drug-
orders: the writing on the wall. Expert Rev Clin Pharmacol. 2023;16(7):617-621.
doi:10.108…
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psnet.ahrq.gov/node/860387/psn-pdf
January 10, 2024 - An analysis of medical malpractice claims against
medical oncologists from a national database:
implications for safer practice.
January 10, 2024
Doolin JW, Schaffer AC, Tishler RB, et al. An analysis of medical malpractice claims against medical
oncologists from a national database: implications for safer practic…
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psnet.ahrq.gov/node/48161/psn-pdf
January 01, 2021 - Investigating the impact of intensive care unit
interruptions on patient safety events and electronic
health records use: an observational study.
July 24, 2019
Khairat S, Whitt S, Craven CK, et al. Investigating the Impact of Intensive Care Unit Interruptions on Patient
Safety Events and Electronic Health Records …
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psnet.ahrq.gov/node/45510/psn-pdf
October 19, 2016 - How to perform a root cause analysis for workup and
future prevention of medical errors: a review.
October 19, 2016
Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future
prevention of medical errors: a review. Patient Saf Surg. 2016;10:20. doi:10.1186/s13037-016-0107-8.
…
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psnet.ahrq.gov/node/37400/psn-pdf
June 30, 2011 - Errors in cancer diagnosis: current understanding and
future directions.
June 30, 2011
Singh H, Sethi S, Raber M, et al. Errors in cancer diagnosis: current understanding and future directions. J
Clin Oncol. 2007;25(31):5009-18.
https://psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-…
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psnet.ahrq.gov/node/47483/psn-pdf
March 04, 2019 - Drs Bramhall and Bawa-Garba and the rightful domain of
the criminal law.
March 4, 2019
Ost S. Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law. J Med Ethics.
2019;45(3):151-155. doi:10.1136/medethics-2018-105135.
https://psnet.ahrq.gov/issue/drs-bramhall-and-bawa-garba-and-rightful-domain-cr…
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psnet.ahrq.gov/node/36890/psn-pdf
February 24, 2011 - Disclosing medical errors to patients: attitudes and
practices of physicians and trainees.
February 24, 2011
Kaldjian LC, Jones EW, Wu BJ, et al. Disclosing medical errors to patients: attitudes and practices of
physicians and trainees. J Gen Intern Med. 2007;22(7):988-96.
https://psnet.ahrq.gov/issue/disclosing-m…
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psnet.ahrq.gov/node/866959/psn-pdf
October 16, 2024 - A review of incidents related to health information
technology in Swedish healthcare to characterise system
issues as a basis for improvement in clinical practice.
October 16, 2024
Pan D, Nilsson E, Rahman Jabin MS. A review of incidents related to health information technology in
Swedish healthcare to characteris…
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psnet.ahrq.gov/node/72798/psn-pdf
March 03, 2021 - Perceptual gaps between clinicians and technologists on
health information technology-related errors in hospitals:
observational study.
March 3, 2021
Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health
information technology-related errors in hospitals: observationa…
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psnet.ahrq.gov/issue/centre-patient-safety-and-service-quality
August 01, 2024 - Multi-use Website
Centre for Patient Safety and Service Quality.
Save
Save to your library
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February 17, 2009
This research program was established to explo…
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psnet.ahrq.gov/node/46347/psn-pdf
December 22, 2018 - Medication errors in pediatric anesthesia: a report from
the Wake Up Safe quality improvement initiative.
December 22, 2018
M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the
Wake Up Safe quality improvement initiative. Anesth Analg. 2017;125(3):936-942.
do…
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psnet.ahrq.gov/node/60640/psn-pdf
July 01, 2020 - Standardizing opioid prescriptions to patients after
ambulatory oncologic surgery reduces overprescription.
July 1, 2020
Fearon NJ, Benfante N, Assel M, et al. Standardizing Opioid Prescriptions to Patients After Ambulatory
Oncologic Surgery Reduces Overprescription. Jt Comm J Qual Patient Saf. 2020;46(7):410-416.
…
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psnet.ahrq.gov/node/46357/psn-pdf
May 17, 2018 - Safe labeling practices to minimize medication errors in
anesthesia: 5 case reports and review of the literature.
May 17, 2018
Prakash S, Mullick P, Kumar A, et al. Safe Labeling Practices to Minimize Medication Errors in Anesthesia.
A & A Practice. 2017;10(10). doi:10.1213/xaa.0000000000000680.
https://psnet.ahrq…
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psnet.ahrq.gov/node/848042/psn-pdf
April 26, 2023 - Clinicians' perspectives on proactive patient safety
behaviors in the perioperative environment.
April 26, 2023
Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the
perioperative environment. JAMA Netw Open. 2023;6(4):e237621.
doi:10.1001/jamanetworkopen.2023.7621…
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psnet.ahrq.gov/node/46962/psn-pdf
April 25, 2018 - Implementation of an integrated computerized prescriber
order-entry system for chemotherapy in a multisite safety-
net health system.
April 25, 2018
Chung C, Patel S, Lee R, et al. Implementation of an integrated computerized prescriber order-entry
system for chemotherapy in a multisite safety-net health system. A…
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psnet.ahrq.gov/node/36668/psn-pdf
June 29, 2011 - Language proficiency and adverse events in US
hospitals: a pilot study.
June 29, 2011
Divi C, Koss RG, Schmaltz SP, et al. Language proficiency and adverse events in US hospitals: a pilot
study. Int J Qual Health Care. 2007;19(2):60-67. doi:10.1093/intqhc/mzl069.
https://psnet.ahrq.gov/issue/language-proficiency-a…
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psnet.ahrq.gov/node/867521/psn-pdf
April 01, 2024 - Patient safety trends in 2023: an analysis of 287,997
serious events and incidents from the nation’s largest
event reporting database.
April 1, 2024
Kepner S, Jones RM. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents
from the nation’s largest event reporting database. Patient Saf…
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psnet.ahrq.gov/node/45100/psn-pdf
June 15, 2016 - Impact of errors in paper-based and computerized
diabetes management with decision support for
hospitalized patients with type 2 diabetes. A post-hoc
analysis of a before and after study.
June 15, 2016
Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerized diabetes management
with decisi…
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psnet.ahrq.gov/node/850932/psn-pdf
June 21, 2023 - Evaluation of detected medication errors within the
operating room at an academic medical center.
June 21, 2023
Wolf M, Rolf J, Nelson D, et al. Evaluation of detected medication errors within the operating room at an
academic medical center. Hosp Pharm. 2023;58(3):309-314. doi:10.1177/00185787221145110.
https://p…
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psnet.ahrq.gov/node/45365/psn-pdf
August 03, 2016 - Workarounds and test results follow-up in electronic
health record–based primary care.
August 3, 2016
Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health
Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015-10-RA-0135.
https://psnet.ahrq.g…