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psnet.ahrq.gov/issue/poor-resident-attending-intraoperative-communication-may-compromise-patient-safety
September 23, 2020 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … July 21, 2010
Framing family conversation after early diagnosis of iatrogenic injury
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psnet.ahrq.gov/issue/clinical-clerkship-students-perceptions-unsafe-transitions-every-patient
October 19, 2022 - This qualitative analysis of medical students' perceptions revealed persistent concerns related to the … September 23, 2020
A randomized trial of a multifactorial strategy to prevent serious fall injuries … July 29, 2020
Changes in medical errors after implementation of a handoff program. … November 26, 2014
Improving teamwork: impact of structured interdisciplinary rounds on a medical … February 15, 2011
Teaching but not learning: how medical residency programs handle errors
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psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
October 04, 2023 - efflux of solutions from a vessel into the surrounding tissue during an infusion” and may cause grave injury … Outcomes and management of peripheral intravenous infiltration injuries. Hand (NY) . … Vascular access, fluid resuscitation, and blood transfusion in pediatric trauma. … June 2, 2015
Implementation of the World Health Organization Trauma Care Checklist Program … September 21, 2016
Opioid prescribing patterns among medical providers in the United
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psnet.ahrq.gov/issue/development-high-value-care-culture-survey-modified-delphi-process-and-psychometric
December 22, 2018 - validated High-Value Care Culture Survey and found that administering the survey at two large academic medical … September 2, 2010
Role-modeling and medical error disclosure: a national survey of trainees … April 24, 2014
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/issue/surgical-never-events-united-states
September 10, 2014 - Download Citation
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Catastrophic medical … June 29, 2009
Intensive care unit safety incidents for medical versus surgical patients … May 24, 2012
Needlestick injuries among surgeons in training. … More
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Identifying resilience: a system safety review of trauma
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psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
December 24, 2008 - May 25, 2022
Medical Office Survey: 2020 User Database Report. … November 1, 2016
Preventing Falls With Injury.
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psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
March 27, 2005 - October 5, 2022
Advances in Human Factors and Ergonomics in Healthcare and Medical Devices … February 17, 2019
Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel
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psnet.ahrq.gov/issue/just-culture-after-mid-staffordshire
February 11, 2009 - Citation
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Laparoscopic bile duct injury … December 15, 2011
Criminalization of medical error: who draws the line?
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psnet.ahrq.gov/node/36364/psn-pdf
February 14, 2017 - national-surveillance-emergency-department-visits-outpatient-adverse-drug-
events
This study reports data from the National Electronic Injury … a representative sample of
63 hospitals that provide data on emergency department (ED) visits for injuries
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psnet.ahrq.gov/issue/harm-caused-delays-transferring-patients-right-place-care
March 01, 2023 - Handoffs between prehospital emergency medical services (EMS) providers and hospital emergency departments … May 31, 2023
Non-accidental Injuries in Infants Attending the Emergency Department. … Roudebush VA Medical Center in Indianapolis, Indiana.
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psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional
December 02, 2020 - Patients with cognitive impairment (such as dementia, delirium , traumatic brain injury, or stroke) … July 14, 2010
"Near miss": a mixed-methods analysis of medical student assignments in … 2024
Assessment of physician sleep and wellness, burnout, and clinically significant medical
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psnet.ahrq.gov/issue/putting-action-rca2-analysis-intervention-strength-after-adverse-events
April 17, 2024 - This analysis of 67 safety events reported at one academic medical center between 2020 and 2021 explored … between organizational communication and patients' experience of prolonged emotional impact following medical … Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries … August 5, 2020
Registration-associated patient misidentification in an academic medical
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psnet.ahrq.gov/issue/strengthening-open-disclosure-after-incidents-maternity-care-realist-synthesis-international
September 18, 2024 - Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury … Labor and Delivery
Quality and Safety Professionals
Obstetrics
Obstetrical Nursing
Medical
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psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event
July 24, 2024 - September 22, 2010
Framing family conversation after early diagnosis of iatrogenic injury … August 23, 2023
Medical errors kill thousands of people each year.
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psnet.ahrq.gov/issue/impact-automated-alerts-discharge-opioid-overprescribing-after-general-surgery
September 29, 2017 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … June 30, 2011
Adverse safety events in emergency medical services care of children with … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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psnet.ahrq.gov/web-mm/raise-bar
May 29, 2024 - Ultimately, the patient didn't experience any significant injury and he had his lipoma removed the following … recovery more difficult.( 5 ) Though relatively uncommon, falls expose patients to potentially preventable injury … and can lead to costly medical-legal actions. … is dependent on Nurse Practice Act stipulations and/or institutional procedures credentialed by the medical … Safety Manager Patient Safety and Quality Services University of California, San Francisco Medical
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psnet.ahrq.gov/issue/paradoxical-effects-hospital-based-multi-intervention-programme-aimed-reducing-medication
September 13, 2023 - Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical … September 24, 2016
Do nurse and patient injuries share common antecedents?
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psnet.ahrq.gov/issue/evaluation-web-based-education-program-reducing-medication-dosing-error-multicenter
May 18, 2022 - The effects of leadership curricula with and without implicit bias training on graduate medical … June 23, 2009
Injury and liability associated with monitored anesthesia care: a closed
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psnet.ahrq.gov/issue/assessing-safety-electronic-health-records-national-longitudinal-study-medication-related
July 29, 2020 - Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical … February 18, 2011
A computer alert system to prevent injury from adverse drug events:
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psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals
December 09, 2009 - April 11, 2012
Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting … July 14, 2021
Ways You Can Help Your Family Prevent Medical Errors!