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8101. Remember that patient you saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death following ED discharge. | PSNet
      psnet.ahrq.gov/issue/remember-patient-you-saw-last-week-characteristics-and-frequency-patients-experiencing
      March 10, 2021 - July 29, 2020 Prevalence, contributory factors and severity of medication errors associated

8102. Understanding patient-centred readmission factors: a multi-site, mixed-methods study. | PSNet
      psnet.ahrq.gov/issue/understanding-patient-centred-readmission-factors-multi-site-mixed-methods-study
      May 08, 2017 - May 19, 2021 Effect of a pharmacist intervention on clinically important medication errors

8103. Effect of crew resource management training in a multidisciplinary obstetrical setting. | PSNet
      psnet.ahrq.gov/issue/effect-crew-resource-management-training-multidisciplinary-obstetrical-setting
      March 06, 2005 - March 6, 2005 Effect of a mobile app on prehospital medication errors during simulated

8104. Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. | PSNet
      psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review-implications-both
      April 22, 2017 - February 18, 2009 Nurses relate the contributing factors involved in medication errors

8105. Identifying 'avoidable harm' in family practice: a RAND/UCLA Appropriateness Method consensus study. | PSNet
      psnet.ahrq.gov/issue/identifying-avoidable-harm-family-practice-randucla-appropriateness-method-consensus-study
      December 16, 2020 - July 3, 2016 A pharmacist-led information technology intervention for medication errors

8106. The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effectiveness-improving-healthcare-teams-human-factor-skills-using-simulation-based-training
      June 08, 2022 - August 26, 2020 Differences between methods of detecting medication errors: a secondary

8107. Paid malpractice claims for adverse events in inpatient and outpatient settings. | PSNet
      psnet.ahrq.gov/issue/paid-malpractice-claims-adverse-events-inpatient-and-outpatient-settings
      June 24, 2009 - April 24, 2018 Medication errors resulting in harm: using chargemaster data to determine

8108. Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/magnitude-and-modifiers-weekend-effect-hospital-admissions-systematic-review-and-meta
      November 25, 2020 - February 18, 2009 Nurses relate the contributing factors involved in medication errors

8109. Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. | PSNet
      psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and-worker-injury
      June 23, 2021 - Associations of person-related, environment-related and communication-related factors on medication … errors in public and private hospitals: a retrospective clinical audit.

8110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40802/psn-pdf
      January 01, 2012 - Nurses' clinical reasoning: processes and practices of medication safety. December 15, 2011 Dickson GL, Flynn L. Nurses' clinical reasoning: processes and practices of medication safety. Qual Health Res. 2012;22(1):3-16. doi:10.1177/1049732311420448. https://psnet.ahrq.gov/issue/nurses-clinical-reasoning-processes…

8111. Assessing reasons for decreased primary care access for individuals on prescribed opioids: an audit study. | PSNet
      psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study
      November 17, 2021 - September 11, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

8112. CMS: your mistake, your problem. | PSNet
      psnet.ahrq.gov/issue/cms-your-mistake-your-problem
      November 16, 2022 - May 31, 2023 Do No Harm: Are We Preventing Medication Errors in Children with Medical

8113. The importance of cognitive errors in diagnosis and strategies to minimize them. | PSNet
      psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
      September 18, 2024 - July 31, 2013 Profiles in patient safety: medication errors in the emergency department

8114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49435/psn-pdf
      February 01, 2004 - implementation of bar code medication administration at Veterans hospitals was designed to reduce medication … errors.

8115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43869/psn-pdf
      November 03, 2015 - health-it-patient-safety-action-and-surveillance-plan https://psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors

8116. The Role of Health Literacy in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
      March 22, 2009 - errors that result from improper dosing administration.( 6 ) Numerous studies have found low health … December 19, 2017 Pictograms, units and dosing tools, and parent medication errors: a … November 26, 2014 Liquid medication errors and dosing tools: a randomized controlled … November 2, 2010 Medication errors in chemotherapy: incidence, types and involvement … June 2, 2010 Out-of-hospital medication errors: a 6-year analysis of the national poison

8117. Rapid response team implementation and in-hospital mortality. | PSNet
      psnet.ahrq.gov/issue/rapid-response-team-implementation-and-hospital-mortality
      December 03, 2014 - Study Rapid response team implementation and in-hospital mortality. Citation Text: Salvatierra G, Bindler RC, Corbett CF, et al. Rapid response team implementation and in-hospital mortality*. Crit Care Med. 2014;42(9):2001-6. doi:10.1097/CCM.0000000000000347. Copy Citation Format: …

8118. The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study. | PSNet
      psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning
      September 11, 2024 - Study The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study. Citation Text: Thiel H, Bolton J. The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning syst…

8119. The Child Health PSO at 10 years: an emerging learning network. | PSNet
      psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network
      July 28, 2021 - Commentary The Child Health PSO at 10 years: an emerging learning network. Citation Text: Levy FH, Conrad KA, Kemper C, et al. The Child Health PSO at 10 Years: an emerging learning network. Pediatr Qual Saf. 2021;6(4):e449. doi:10.1097/pq9.0000000000000449. Copy Citation Format: …

8120. About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. | PSNet
      psnet.ahrq.gov/issue/about-politeness-face-and-feedback-exploring-resident-and-faculty-perceptions-how
      June 03, 2020 - Study Emerging Classic About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. Citation Text: Ramani S, Könings KD, Mann K, et al. About Politeness, Face, and Feedback:…