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psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
March 03, 2011 - February 18, 2011
Medication errors involving oral chemotherapy.
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psnet.ahrq.gov/issue/impact-internal-service-quality-preventable-adverse-events-hospitals
September 24, 2016 - March 31, 2021
Medication errors related to computerized provider order entry systems
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psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between
February 14, 2024 - February 14, 2017
Descriptive analysis on disproportionate medication errors and associated
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psnet.ahrq.gov/issue/developing-hospital-wide-quality-and-safety-dashboard-qualitative-research-study
August 18, 2021 - June 9, 2021
Do No Harm: Are We Preventing Medication Errors in Children with Medical
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psnet.ahrq.gov/issue/health-care-professionals-tools
January 30, 2003 - Multi-use Website
Health Care Professionals Tools.
Citation Text:
Health Care Professionals Tools. Little Rock, AR: National Transitions of Care Coalition; April 2008.
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psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
May 30, 2014 - Commentary
The competent surgeon: individual accountability in the era of "systems" failure.
Citation Text:
Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93.
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psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
June 29, 2011 - Study
Excess mortality caused by medical injury.
Citation Text:
Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med. 2006;4(5):410-6.
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psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-care-setting
March 14, 2018 - Organizational Policy/Guidelines
Patient safety in the pediatric emergency care setting.
Citation Text:
Medicine AMERICANACADEMYOFPEDIATRICSC on PE, Krug SE, Frush K. Patient safety in the pediatric emergency care setting. Pediatrics. 2007;120(6):1367-1375.
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psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
October 19, 2022 - Miscommunication during transitions of care can contribute to medication errors . … 22, 2010
Reflection and analysis of how pharmacy students learn to communicate about medication … errors.
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psnet.ahrq.gov/node/41662/psn-pdf
April 05, 2013 - burnout-and-satisfaction-work-life-balance-among-us-physicians-relative-general-us-population
https://psnet.ahrq.gov/issue/rates-medication-errors-among-depressed-and-burnt-out-residents-prospective-cohort-study
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - In a study of medication errors facilitated by CPOE, researchers identified 18 fundamental problems in … Role of computerized physician order entry systems in facilitating medication errors. … Color coded medication safety system reduces community pediatric emergency nursing medication … errors.
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psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary
November 07, 2018 - The Joint Commission previously issued a sentinel event alert for medication errors relating to anticoagulant
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psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
July 17, 2024 - May 11, 2022
Facilitated self-reported anaesthetic medication errors before and after … November 17, 2021
Iatrogenic disease management: moderating medication errors and risks
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psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
April 19, 2011 - Study
An observational study of laterality errors in a sample of clinical records.
Citation Text:
Elghrably I, Fraser SG. An observational study of laterality errors in a sample of clinical records. Eye (Lond). 2008;22(3):340-3.
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psnet.ahrq.gov/issue/clinical-reasoning-generative-artificial-intelligence-model-compared-physicians
November 13, 2024 - Study
Clinical reasoning of a generative artificial intelligence model compared with physicians.
Citation Text:
Cabral S, Restrepo D, Kanjee Z, et al. Clinical reasoning of a generative artificial intelligence model compared with physicians. JAMA Intern Med. 2024;184(5):581-583. doi:10.1…
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psnet.ahrq.gov/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
September 11, 2013 - Commentary
Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies.
Citation Text:
Boehm-Davis DA, Remington R. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs an…
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psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care
September 28, 2010 - Study
Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care.
Citation Text:
Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care. Odegard S; Andersson DK. J Nurs Manag. 2006;14(2):116-127…
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psnet.ahrq.gov/issue/tech-check-tech-review-evidence-its-safety-and-benefits
September 23, 2020 - Review
"Tech-check-tech": a review of the evidence on its safety and benefits.
Citation Text:
Adams AJ, Martin SJ, Stolpe SF. "Tech-check-tech": a review of the evidence on its safety and benefits. Am J Health Syst Pharm. 2011;68(19):1824-33. doi:10.2146/ajhp110022.
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psnet.ahrq.gov/issue/staffing-teamwork-and-scope-practice-analysis-association-patient-safety-context
September 20, 2017 - the key role of appropriate nurse staffing in reducing the incidence of events such as falls and medication … errors
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Influence of unit-level staffing on medication errors and falls in military
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psnet.ahrq.gov/issue/patient-participation-current-knowledge-and-applicability-patient-safety
February 01, 2011 - been integrated into clinical decision-making, discusses examples of patient involvement in reducing medication … errors and encouraging hand hygiene, and proposes a framework for including patients in safety efforts … September 25, 2019
ISMP medication error report analysis.