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psnet.ahrq.gov/issue/normalization-deviance-threat-patient-safety
December 21, 2016 - September 24, 2016
Descriptive analysis on disproportionate medication errors and associated
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psnet.ahrq.gov/issue/one-stop-diagnostic-breast-clinics-how-often-are-breast-cancers-missed
August 04, 2021 - , 2011
Care homes' use of medicines study: prevalence, causes and potential harm of medication … errors in care homes for older people.
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psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
March 25, 2020 - June 7, 2018
Medication errors: the school nurse as second victim.
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psnet.ahrq.gov/issue/call-action-addressing-pediatric-fall-safety-ambulatory-environments
June 30, 2021 - November 3, 2021
Nursing interventions to reduce medication errors in paediatrics and
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psnet.ahrq.gov/issue/minimizing-bias-when-using-artificial-intelligence-critical-care-medicine
September 23, 2020 - September 28, 2016
Interventions to reduce medication errors in pediatric intensive care
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psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study
April 19, 2017 - March 27, 2017
Prevalence and Economic Burden of Medication Errors in the NHS England
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psnet.ahrq.gov/issue/guidelines-human-factors-critical-situations-2023
November 29, 2023 - About The Topic
Outpatient Surgery
Operating Room
Anesthesiology
Anesthesia Nursing
Medication … Errors/Preventable Adverse Drug Events
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psnet.ahrq.gov/issue/opportunities-diagnostic-improvement-among-pediatric-hospital-readmissions
August 30, 2023 - October 28, 2020
Impact of pharmacist interventions on medication errors in hospitalized
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psnet.ahrq.gov/issue/support-strategies-health-care-professionals-who-are-second-victims
December 22, 2021 - June 27, 2018
Making an infusion error: the second victims of infusion therapy-related medication … errors.
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psnet.ahrq.gov/issue/diagnostic-errors-primary-care-pediatrics-project-redde
April 08, 2018 - Study
Diagnostic errors in primary care pediatrics: Project RedDE.
Citation Text:
Rinke ML, Singh H, Heo M, et al. Diagnostic Errors in Primary Care Pediatrics: Project RedDE. Acad Peds. 2018;18(2):220-227. doi:10.1016/j.acap.2017.08.005.
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psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care
December 30, 2014 - Study
Classic
Measuring errors and adverse events in health care.
Citation Text:
Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x.
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psnet.ahrq.gov/issue/strategies-reduce-diagnostic-errors-systematic-review
February 02, 2022 - Review
Strategies to reduce diagnostic errors: a systematic review
Citation Text:
Abimanyi-Ochom J, Mudiyanselage SB, Catchpool M, et al. Strategies to reduce diagnostic errors: a systematic review. BMC Med Inform Decis Mak. 2019;19(1):174. doi:10.1186/s12911-019-0901-1.
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psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes
May 26, 2011 - Study
Radiology errors: are we learning from our mistakes?
Citation Text:
Mankad K, Hoey ETD, Jones JB, et al. Radiology errors: are we learning from our mistakes? Clin Radiol. 2009;64(10):988-93. doi:10.1016/j.crad.2009.06.002.
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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
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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.
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psnet.ahrq.gov/issue/should-we-disclose-harmful-medical-errors-patients-if-so-how
November 23, 2016 - Review
Should we disclose harmful medical errors to patients? If so, how?
Citation Text:
Should we disclose harmful medical errors to patients? If so, how? Gallagher TH, Lucas MH. J Clin Outcomes Manag. 2005;2(5):253-259.
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psnet.ahrq.gov/node/60591/psn-pdf
June 17, 2020 - National trends in the safety performance of electronic
health record systems from 2009 to 2018.
June 17, 2020
Classen DC, Holmgren AJ, Co Z, et al. National trends in the safety performance of electronic health record
systems from 2009 to 2018. JAMA Netw Open. 2020;3(5). doi:10.1001/jamanetworkopen.2020.5547.
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psnet.ahrq.gov/node/864386/psn-pdf
March 13, 2024 - Time for prefilled syringes - everywhere.
March 13, 2024
Whitaker DK, Lomas JP. Time for prefilled syringes – everywhere. Anaesthesia. 2024;79(2):119-122.
doi:10.1111/anae.16181.
https://psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere
Simplifying complex processes is a strategy to engineer safety into heal…
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psnet.ahrq.gov/node/61127/psn-pdf
November 11, 2020 - Drug error at Eskenazi Hospital killed prominent cancer
researcher. Here's how it happened.
November 11, 2020
Evans T. Indianapolis Star. October 30, 2020.
https://psnet.ahrq.gov/issue/drug-error-eskenazi-hospital-killed-prominent-cancer-researcher-heres-how-it-
happened
Fentanyl is a high-alert medication that c…
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psnet.ahrq.gov/node/41652/psn-pdf
September 30, 2012 - Discontinuation of antihyperglycemic therapy after acute
myocardial infarction: medical necessity or medical
error?
September 30, 2012
Lovig KO, Horwitz LI, Lipska K, et al. Discontinuation of antihyperglycemic therapy after acute myocardial
infarction: medical necessity or medical error? Jt Comm J Qual Patient Sa…