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psnet.ahrq.gov/node/34669/psn-pdf
June 26, 2015 - coaching, perceived unit performance, and quality of unit relationship had significantly higher
rates of medication … errors.
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psnet.ahrq.gov/node/46396/psn-pdf
August 15, 2018 - guide-reducing-unintended-consequences-electronic-health-records
https://psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and
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psnet.ahrq.gov/node/37592/psn-pdf
May 07, 2008 - 1):1-292
https://psnet.ahrq.gov/issue/iatrogenic-disease
This special issue covers topics such as medication … errors in obstetrics, anesthetic complications, and a
variety of iatrogenic conditions affecting neonates
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psnet.ahrq.gov/node/36143/psn-pdf
June 05, 2013 - issue includes articles on the relationship between low health literacy and outcomes,
disparities, and medication … errors.
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psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
March 28, 2012 - September 13, 2023
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/health-services-safety-investigations-body
February 04, 2015 - August 7, 2019
Medication error prevention by clinical pharmacists in two children's
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psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory-setting
January 31, 2024 - Improving Diagnostic Safety and Quality
April 26, 2023
ISMP medication … error report analysis.
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psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports
June 13, 2015 - August 28, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/nurses-perceptions-open-disclosure-processes-cancer-care-cross-sectional-study
December 01, 2019 - December 16, 2020
Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.
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psnet.ahrq.gov/issue/error-disclosure-neonatal-intensive-care-multicentre-prospective-observational-study
November 29, 2023 - April 12, 2011
Improving cancer patient care with combined medication error reviews and
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psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department
October 30, 2019 - March 13, 2013
Medication-error reporting and pharmacy resident experience during implementation
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psnet.ahrq.gov/node/854818/psn-pdf
October 25, 2023 - The nature, causes, and clinical impact of errors in the
clinical laboratory testing process leading to diagnostic
error: a voluntary incident report analysis.
October 25, 2023
van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical
laboratory testing process lea…
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psnet.ahrq.gov/node/49771/psn-pdf
July 01, 2016 - In a study of medication errors facilitated by CPOE, researchers identified 18
fundamental problems … Role of computerized physician order entry systems in facilitating
medication errors.
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psnet.ahrq.gov/issue/development-proactive-process-harmonize-policy-infusion-pump-library-and-electronic-health
October 19, 2022 - Study
Development of a proactive process to harmonize policy, infusion pump library, and electronic health record entries for continuous infusions at an academic medical center.
Citation Text:
Christensen SM, Andrews SR, Fox ER. Development of a proactive process to harmonize policy, inf…
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psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective
November 21, 2021 - Study
Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study.
Citation Text:
Jarrett P, Keogh S, Roberts JA, et al. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Inte…
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psnet.ahrq.gov/issue/how-many-too-many-using-cognitive-load-theory-determine-maximum-safe-number-inpatient
October 19, 2022 - Study
How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees.
Citation Text:
Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient…
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psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
January 26, 2022 - Study
Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements?
Citation Text:
Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525.
C…
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psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning
June 19, 2018 - Commentary
The problem with…using stories as a source of evidence and learning.
Citation Text:
Iedema R. The problem with … using stories as a source of evidence and learning. BMJ Qual Saf. 2022;31(3):234-237. doi:10.1136/bmjqs-2021-014221.
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psnet.ahrq.gov/issue/influence-personality-psychological-safety-presence-stress-and-chosen-professional-roles
September 22, 2021 - Study
The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment.
Citation Text:
Grailey K, Lound A, Murray E, et al. The influence of personality on psychological safety, the presence of stress and chosen prof…
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psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
September 15, 2021 - Study
Central venous catheter guidewire retention: lessons from England's never event database.
Citation Text:
Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…