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9421. Performance of a fail-safe system to follow up abnormal mammograms in primary care. | PSNet
      psnet.ahrq.gov/issue/performance-fail-safe-system-follow-abnormal-mammograms-primary-care
      September 11, 2013 - Study Performance of a fail-safe system to follow up abnormal mammograms in primary care. Citation Text: Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal mammograms in primary care. J Patient Saf. 2010;6(3):172-179. Copy Citation Format:…

9422. Testimonial injustice: linguistic bias in the medical records of black patients and women. | PSNet
      psnet.ahrq.gov/issue/testimonial-injustice-linguistic-bias-medical-records-black-patients-and-women
      July 28, 2021 - Study Testimonial injustice: linguistic bias in the medical records of black patients and women. Citation Text: Beach MC, Saha S, Park J, et al. Testimonial injustice: linguistic bias in the medical records of black patients and women. J Gen Intern Med. 2021;36(6):1708-1714. doi:10.1007/…

9423. Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. | PSNet
      psnet.ahrq.gov/issue/patient-and-caregiver-perspectives-causes-and-prevention-ambulatory-adverse-events
      November 24, 2021 - Study Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. Citation Text: Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitati…

9424. The Case of Mistaken Intubation | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-intubation
      July 01, 2016 - WebM&M Cases Syringe Swap During Regional Block: A Case of Medication … Error and Recovery January 31, 2024 Intervention study for the reduction of … medication errors in elderly trauma patients. … August 23, 2017 Medication errors in the care transition of trauma patients December … 18, 2019 Using Healthcare Failure Mode and Effect Analysis to reduce medication errors

9425. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50630/psn-pdf
      November 06, 2019 - Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care. November 6, 2019 Hazen ACM, Zwart DLM, Poldervaart JM, et al. Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary car…

9426. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35928/psn-pdf
      June 09, 2011 - Clinical pharmacists and inpatient medical care: a systematic review. June 9, 2011 Kaboli PJ, Hoth AB, McClimon BJ, et al. Clinical pharmacists and inpatient medical care: a systematic review. Arch Intern Med. 2006;166(9):955-64. https://psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systemat…

9427. Implementing patient safety and quality improvement in dermatology. | PSNet
      psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology
      September 30, 2015 - Part 1 of this series provides examples of patient safety concerns in dermatology (e.g., medication errors

9428. Hospital safety: your responsibility or theirs? | PSNet
      psnet.ahrq.gov/issue/hospital-safety-your-responsibility-or-theirs
      October 23, 2019 - May 8, 2013 Fatal mistakes: why do ten-fold medication errors in children keep happening

9429. Serious Reportable Events | PSNet
      psnet.ahrq.gov/issue/patient-safety-serious-reportable-events-healthcare
      September 06, 2011 - April 15, 2005 Preventing Medication Errors: A $21 Billion Opportunity.

9430. Patient Safety. | PSNet
      psnet.ahrq.gov/issue/patient-safety-5
      February 22, 2006 - Safety Professionals Discontinuities, Gaps, and Hand-Off Problems Fatigue and Sleep Deprivation Medication … Errors/Preventable Adverse Drug Events Nosocomial Infections View More

9431. Use of color-coded patient wristbands creates unnecessary risk. | PSNet
      psnet.ahrq.gov/issue/use-color-coded-patient-wristbands-creates-unnecessary-risk
      November 28, 2018 - July 24, 2013 Perioperative medication errors: uncovering risk from behind the drapes

9432. Do no harm: hospital care in Las Vegas. | PSNet
      psnet.ahrq.gov/issue/do-no-harm-hospital-care-las-vegas
      October 02, 2013 - March 24, 2016 Successful remediation of patient safety incidents: a tale of two medication … errors.

9433. Defining optimal length of opioid pain medication prescription after common surgical procedures. | PSNet
      psnet.ahrq.gov/issue/defining-optimal-length-opioid-pain-medication-prescription-after-common-surgical-procedures
      August 15, 2018 - Study Defining optimal length of opioid pain medication prescription after common surgical procedures. Citation Text: Scully RE, Schoenfeld AJ, Jiang W, et al. Defining Optimal Length of Opioid Pain Medication Prescription After Common Surgical Procedures. JAMA Surg. 2018;153(1):37-43. d…

9434. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. | PSNet
      psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist
      September 23, 2020 - Study Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Citation Text: Hart EM, Owen H. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Anesth Analg. 2005;101(1):246-50, table of contents. Copy Citation Format: Googl…

9435. Over Not So Easy | PSNet
      psnet.ahrq.gov/web-mm/over-not-so-easy
      April 01, 2005 - Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors. … Medication-Induced Hemolysis in a Patient With a Known Allergy October 1, 2015 ISMP medication … error report analysis.

9436. Delivering the truth: challenges and opportunities for error disclosure in obstetrics. | PSNet
      psnet.ahrq.gov/issue/delivering-truth-challenges-and-opportunities-error-disclosure-obstetrics
      December 01, 2021 - 27, 2019 Shaping systems for better behavioral choices: lessons learned from a fatal medication … error.

9437. Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. | PSNet
      psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
      April 03, 2017 - February 5, 2020 ISMP medication error report analysis.

9438. Skin tears: the clinical challenge. | PSNet
      psnet.ahrq.gov/issue/skin-tears-clinical-challenge
      March 18, 2010 - March 13, 2013 Ambulatory surgery facilities: a comprehensive review of medication error

9439. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. | PSNet
      psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm
      January 15, 2020 - Study Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. Citation Text: Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in…

9440. Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? | PSNet
      psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
      July 01, 2016 - Study Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? Citation Text: Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they wo…