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9761. Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice. | PSNet
      psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
      September 29, 2018 - medical students participating in a high-fidelity simulation session based on open disclosure after medication … error.

9762. Measurement of diagnostic errors is a key first step to their reduction. | PSNet
      psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction
      June 27, 2016 - Government Resource Measurement of diagnostic errors is a key first step to their reduction. Citation Text: Measurement of diagnostic errors is a key first step to their reduction. Singh H. National Quality Measures Expert Commentaries. November 23, 2015. Copy Citation …

9763. Quality indicators to detect pre-analytical errors in laboratory testing. | PSNet
      psnet.ahrq.gov/issue/quality-indicators-detect-pre-analytical-errors-laboratory-testing
      December 21, 2016 - Commentary Quality indicators to detect pre-analytical errors in laboratory testing. Citation Text: Plebani M. Quality indicators to detect pre-analytical errors in laboratory testing. Clin Biochem Rev. 2012;33(3):85-8. Copy Citation Format: Google Scholar PubMed BibTeX E…

9764. Reduction in pediatric identification band errors: a quality collaborative. | PSNet
      psnet.ahrq.gov/issue/reduction-pediatric-identification-band-errors-quality-collaborative
      March 14, 2022 - Study Reduction in pediatric identification band errors: a quality collaborative. Citation Text: Phillips SC, Saysana M, Worley S, et al. Reduction in pediatric identification band errors: a quality collaborative. Pediatrics. 2012;129(6):e1587-93. doi:10.1542/peds.2011-1911. Copy Cit…

9765. Report focuses on risk to patients from ED errors. | PSNet
      psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
      June 26, 2019 - Newspaper/Magazine Article Report focuses on risk to patients from ED errors. Citation Text: Report focuses on risk to patients from ED errors. Palmer J. Patient Saf Qual Healthcare. Sept/Oct 2019. Copy Citation Save Save to your library Print Download…

9766. Involvement of patients with cancer in patient safety: a qualitative study of current practices, potentials and barriers. | PSNet
      psnet.ahrq.gov/issue/involvement-patients-cancer-patient-safety-qualitative-study-current-practices-potentials-and
      September 27, 2017 - Study Involvement of patients with cancer in patient safety: a qualitative study of current practices, potentials and barriers. Citation Text: Martin HM, Navne LE, Lipczak H. Involvement of patients with cancer in patient safety: a qualitative study of current practices, potentials and…

9767. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment | PSNet
      psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
      June 01, 2018 - WebM&M Cases Febrile Neutropenia and an Almost Fatal Medication … Error June 1, 2018 Perspective Balancing Supervision

9768. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73865/psn-pdf
      September 22, 2021 - million-potential-second-victims-how-many-could-nursing-education-prevent https://psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription

9769. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837960/psn-pdf
      August 31, 2022 - This review identified eight categories of hospital-acquired conditions (i.e., overall medical error, medication … error, diagnostic error, patient falls, healthcare-associated infections, transfusion and testing errors

9770. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73087/psn-pdf
      March 31, 2021 - medical students participating in a high-fidelity simulation session based on open disclosure after medication … error.

9771. Effective use of medication-related decision support in CPOE. | PSNet
      psnet.ahrq.gov/issue/effective-use-medication-related-decision-support-cpoe
      May 26, 2011 - Newspaper/Magazine Article Effective use of medication-related decision support in CPOE. Citation Text: Effective use of medication-related decision support in CPOE. Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.   Copy Citatio…

9772. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. | PSNet
      psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
      March 01, 2023 - diagnostic error; inadequate maternal birth position; organizational errors; inadequate fetal monitoring; medication … error) and 19 associated risk factors, including language barriers , missed diagnosis of a preexisting

9773. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44337/psn-pdf
      July 22, 2015 - Patient Safety Supplement. July 22, 2015 Middleton J, ed. Nursing Times and Health Service Journal. July 2015:s1-s20. https://psnet.ahrq.gov/issue/patient-safety-supplement Drawing from presentations at an annual conference in the United Kingdom, articles in this supplement discuss barcode technologies, the Sign u…

9774. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44566/psn-pdf
      October 14, 2015 - FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. October 14, 2015 ISMP Medication Safety Alert! Acute Care Edition. September 24, 2015;20:1,4-5. https://psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa Describing incidents involving abbreviation confusion for ACTIVASE (alt…

9775. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38171/psn-pdf
      June 29, 2009 - An educational and audit tool to reduce prescribing error in intensive care. June 29, 2009 Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242. https://psnet.ahrq.gov/issue/educationa…

9776. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43238/psn-pdf
      June 04, 2014 - Administering just the diluent or one of two vaccine components leaves patients unprotected. June 4, 2014 ISMP Medication Safety Alert! Acute care edition. May 22, 2014;19:1-2. https://psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients- unprotected Errors occur frequentl…

9777. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33684/psn-pdf
      May 01, 2009 - Patient Safety: A Perspective from Office Practice May 1, 2009 Baron RJ. Patient Safety: A Perspective from Office Practice. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice Perspective Most patient interactions with the health care system occur in the outpatien…

9778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33729/psn-pdf
      May 01, 2012 - Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285:2114-2120.

9779. The effect of physicians' long-term use of CPOE on their test management work practices. | PSNet
      psnet.ahrq.gov/issue/effect-physicians-long-term-use-cpoe-their-test-management-work-practices
      March 23, 2011 - February 15, 2012 Analysis of Australian newspaper coverage of medication errors.

9780. Assessing the patient safety competencies of healthcare professionals: a systematic review. | PSNet
      psnet.ahrq.gov/issue/assessing-patient-safety-competencies-healthcare-professionals-systematic-review
      March 05, 2014 - Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type of medication … errors and risk factors.