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9021. How safe is primary care? A systematic review. | PSNet
      psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
      December 18, 2013 - Review Classic How safe is primary care? A systematic review. Citation Text: Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178. Copy Citation Format…

9022. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. | PSNet
      psnet.ahrq.gov/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports-patient-safety
      November 24, 2021 - Study What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. Citation Text: Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety org…

9023. Theorizing about systems: an ecological task for patient safety research. | PSNet
      psnet.ahrq.gov/issue/theorizing-about-systems-ecological-task-patient-safety-research
      August 20, 2008 - Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type of medication … errors and risk factors.

9024. Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. | PSNet
      psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-1
      October 17, 2018 - January 9, 2008 Medication errors at hospital admission and discharge: risk factors and

9025. Wireless technologies and patient safety in hospitals. | PSNet
      psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
      August 30, 2023 - October 21, 2015 Interventions to reduce medication errors in pediatric intensive care

9026. Assessment of physician sleep and wellness, burnout, and clinically significant medical errors. | PSNet
      psnet.ahrq.gov/issue/assessment-physician-sleep-and-wellness-burnout-and-clinically-significant-medical-errors
      January 27, 2021 - December 13, 2013 Factors associated with medication errors in the pediatric emergency

9027. Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals. | PSNet
      psnet.ahrq.gov/issue/patient-involvement-evaluation-safety-oral-antineoplastic-treatment-failure-mode-and-effects
      June 18, 2013 - September 24, 2010 Medication errors in chemotherapy: incidence, types and involvement

9028. Fatigue in radiology: a fertile area for future research. | PSNet
      psnet.ahrq.gov/issue/fatigue-radiology-fertile-area-future-research
      August 29, 2018 - April 19, 2011 Spike in fatal medication errors at the beginning of each month.

9029. Diagnostic errors in hospitalized adults who died or were transferred to intensive care. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care
      October 13, 2021 - May 26, 2021 Medication errors in anesthesiology: is it time to train by example?

9030. Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. | PSNet
      psnet.ahrq.gov/issue/toward-patient-centered-cancer-care-patient-perceptions-problematic-events-impact-and
      March 11, 2013 - breast cancer care: providers' attitudes, experiences, and advice January 22, 2020 Medication … errors in the home: a multisite study of children with cancer.

9031. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. | PSNet
      psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic
      January 12, 2022 - 8, 2023 Multicomponent pharmacist intervention did not reduce clinically important medication … errors for ambulatory patients initiating direct oral anticoagulants.

9032. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. | PSNet
      psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission
      April 11, 2011 - Ambulatory Care Risk Managers Quality and Safety Professionals Diagnostic Errors Medication … Errors/Preventable Adverse Drug Events View More

9033. Not just "getting by": factors influencing providers' choice of interpreters. | PSNet
      psnet.ahrq.gov/issue/not-just-getting-factors-influencing-providers-choice-interpreters
      August 23, 2023 - The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medication … errors in pharmacists during the COVID-19 pandemic.

9034. Medical error disclosure training: evidence for values-based ethical environments. | PSNet
      psnet.ahrq.gov/issue/medical-error-disclosure-training-evidence-values-based-ethical-environments
      October 15, 2016 - January 26, 2022 Spike in fatal medication errors at the beginning of each month.

9035. The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. | PSNet
      psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and
      September 01, 2018 - September 20, 2011 Successful remediation of patient safety incidents: a tale of two medication … errors.

9036. Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. | PSNet
      psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause
      June 22, 2022 - Hospital Readmissions and Improve Health Outcomes March 29, 2023 Detectability of medication … errors with a STOPP/START-based medication review in older people prior to a potentially preventable

9037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37528/psn-pdf
      February 13, 2008 - Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. February 13, 2008 Hayden RT, Patterson DJ, Jay DW, et al. Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a …

9038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33738/psn-pdf
      December 01, 2012 - For example, design around medication errors. … Then we made a chart of ideas around all latent conditions and adverse events: medication errors, noise … For example, we thought putting medications at the bedside would lower medication errors, and it would … errors. … For example, data for medication errors has shown that reducing interruptions and having a quiet "pharmacy

9039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43897/psn-pdf
      August 21, 2015 - Guidelines for Adult IV Push Medications. August 21, 2015 Horsham, PA: The Institute for Safe Medication Practices; July 2015. https://psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications To address the lack of standards on intravenous (IV) push medication administration, this guidance reflects applied expert…

9040. A surgeon so bad it was criminal. | PSNet
      psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal
      October 24, 2018 - September 16, 2020 Report faults Children's Hospital for medication errors.