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psnet.ahrq.gov/node/33908/psn-pdf
February 04, 2018 - 20 Tips to Help Prevent Medical Errors.
February 4, 2018
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/20-tips-help-prevent-medical-errors
This fact sheet for patients provides recommendations to help them prevent medical errors when taking
medications, during a hospital stay, and …
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psnet.ahrq.gov/node/33909/psn-pdf
February 05, 2018 - Twenty Tips to Help Prevent Medical Errors in Children.
February 5, 2018
Rockville, MD: Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/twenty-tips-help-prevent-medical-errors-children
This consumer fact sheet advises parents on how to help their children avoid medical errors pertaining to
…
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psnet.ahrq.gov/node/45313/psn-pdf
September 27, 2016 - An acetaminophen icon helps reduce medication decision
errors in an experimental setting.
September 27, 2016
Shiffman S, Cotton H, Jessurun C, et al. An acetaminophen icon helps reduce medication decision errors in
an experimental setting. J Am Pharm Assoc (2003). 2016;56(5):495-503.e4.
doi:10.1016/j.japh.2016.04.…
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psnet.ahrq.gov/node/74735/psn-pdf
February 02, 2022 - Addressing intimate partner violence and helping to
protect patients.
February 2, 2022
Quick Safety. January 18, 2022(63):1-3.
https://psnet.ahrq.gov/issue/addressing-intimate-partner-violence-and-helping-protect-patients
Patients may not always reveal underlying causes of ill health such as alcohol and drug misus…
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psnet.ahrq.gov/node/41847/psn-pdf
November 28, 2012 - Improving organizational climate for quality and quality of
care: does membership in a collaborative help?
November 28, 2012
Nembhard IM, Northrup V, Shaller D, et al. Improving organizational climate for quality and quality of care:
does membership in a collaborative help? Med Care. 2012;50 Suppl:S74-82.
doi:10.1…
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psnet.ahrq.gov/node/35742/psn-pdf
July 15, 2010 - Physician evaluation after medical errors: does having a
computer decision aid help or hurt in hindsight?
July 15, 2010
Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help
or hurt in hindsight? Med Decis Making. 2006;26(1):48-56.
https://psnet.ahrq.gov/issue/physi…
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psnet.ahrq.gov/node/39399/psn-pdf
February 17, 2011 - Can electronic clinical documentation help prevent
diagnostic errors?
February 17, 2011
Schiff G, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? New Engl J
Med. 2010;362(12):1066-1069. doi:10.1056/NEJMp0911734.
https://psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help…
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psnet.ahrq.gov/node/41099/psn-pdf
December 30, 2014 - Finding and fixing diagnosis errors: can triggers help?
December 30, 2014
Schiff GD. Finding and fixing diagnosis errors: can triggers help? BMJ Qual Saf. 2011;21(2):89-92.
doi:10.1136/bmjqs-2011-000590.
https://psnet.ahrq.gov/issue/finding-and-fixing-diagnosis-errors-can-triggers-help
This editorial discusses the…
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psnet.ahrq.gov/node/46082/psn-pdf
February 25, 2019 - The opioid crisis: can improving diagnosis help solve the
problem?
February 25, 2019
Carr S. ImproveDx. April 2017;4:1-4.
https://psnet.ahrq.gov/issue/opioid-crisis-can-improving-diagnosis-help-solve-problem
The opioid epidemic has been widely discussed, but little research has examined how misdiagnosis can
contr…
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psnet.ahrq.gov/node/50425/psn-pdf
September 04, 2019 - Why doctors still offer treatments that may not help.
September 4, 2019
Frakt A. New York Times. August 26, 2019.
https://psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help
The slow adoption of improvement innovations is a persistent challenge to high-quality and safe patient
care. This newspaper…
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psnet.ahrq.gov/node/37188/psn-pdf
September 19, 2007 - Teaming up to prevent 'crashes': some hospitals give
patients the power to get extra help, stat.
September 19, 2007
Wang SS. Washington Post. August 31, 2007.
https://psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-
stat
This article discusses the advent of rapid res…
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psnet.ahrq.gov/node/40288/psn-pdf
December 21, 2014 - Helping patients simplify and safely use complex
prescription regimens.
December 21, 2014
Wolf MS, Curtis LM, Waite K, et al. Helping patients simplify and safely use complex prescription regimens.
Arch Intern Med. 2011;171(4):300-5. doi:10.1001/archinternmed.2011.39.
https://psnet.ahrq.gov/issue/helping-patients-…
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psnet.ahrq.gov/node/43680/psn-pdf
November 19, 2014 - FDA Pharmacists Help Consumers Use Medicines Safely.
November 19, 2014
Silver Spring, MD: United States Food and Drug Administration; October 31, 2014.
https://psnet.ahrq.gov/issue/fda-pharmacists-help-consumers-use-medicines-safely
Studies have shown that pharmacist involvement can prevent medication errors. To he…
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psnet.ahrq.gov/node/37154/psn-pdf
September 02, 2015 - Health Literacy and Patient Safety: Help Patients
Understand. Manual for Clinicians. 2nd ed.
September 2, 2015
Weiss BD. Chicago, IL: American Medical Association Foundation; 2007.
https://psnet.ahrq.gov/issue/health-literacy-and-patient-safety-help-patients-understand-manual-clinicians-
2nd-ed
This book provides…
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psnet.ahrq.gov/node/37119/psn-pdf
March 24, 2011 - Patient safety: helping medical students understand error
in healthcare.
March 24, 2011
Patey R, Flin R, Cuthbertson BH, et al. Patient safety: helping medical students understand error in
healthcare. Qual Saf Health Care. 2007;16(4):256-9.
https://psnet.ahrq.gov/issue/patient-safety-helping-medical-students-under…
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psnet.ahrq.gov/node/37432/psn-pdf
November 29, 2009 - The Pennsylvania Learning Exchange: Helping States
Improve and Integrate Patient Safety
Initiatives—Summary Report.
November 29, 2009
Hanlon C; Rosenthal J. Portland, ME: National Academy for State Health Policy; 2007.
https://psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate…
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psnet.ahrq.gov/node/74691/psn-pdf
January 01, 2021 - U.S. Department of Veterans Affairs Medical Center,
Houston, TX, and Baylor College of Medicine Revised
Safer Diagnosis (Safer Dx) Instrument
January 26, 2022
https://psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-
college-medicine
Summary
The Revised Safer Dx Instr…
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psnet.ahrq.gov/node/34048/psn-pdf
May 27, 2011 - Computerized physician order entry: helpful or harmful?
May 27, 2011
Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc.
2004;11(2):100-3.
https://psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful
The authors critically review the published …
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psnet.ahrq.gov/node/40013/psn-pdf
July 24, 2011 - Patient participation in surgical site marking: can this be
an additional tool to help avoid wrong-site surgery?
July 24, 2011
Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an
additional tool to help avoid wrong-site surgery? J Patient Saf. 2010;6(4):221-5.
h…
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psnet.ahrq.gov/node/43043/psn-pdf
September 19, 2016 - "Second victim" casualties and how physician leaders
can help.
September 19, 2016
MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8-
12.
https://psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help
Second victims are clinicians who …