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8461. Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/performance-evaluation-chatgpt-detecting-diagnostic-errors-and-their-contributing-factors
      September 13, 2023 - February 3, 2021 Reduction of medication errors related to sliding scale insulin by the

8462. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
      April 14, 2008 - error might be a component), direct contact reports (MedWatch),12 reports from the U.S. … Pharmacopeia (USP) and the Institute for Safe Medication Practices (ISMP) USP-ISMP Medication Errors … Preventing medication errors: Quality chasm series. … Committee on Identifying and Preventing Medication Errors. … Medication error reporting systems. In: Medication errors. 2nd ed.

8463. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49635/psn-pdf
      September 01, 2011 - overview of intravenous-related medication administration errors as reported to MEDMARX, a national medication … error-reporting program.

8464. Fatal errors in nitrous oxide delivery. | PSNet
      psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery
      March 02, 2011 - Review Fatal errors in nitrous oxide delivery. Citation Text: Herff H, Paal P, Von Goedecke A, et al. Fatal errors in nitrous oxide delivery. Anaesthesia. 2007;62(12):1202-1206. doi:10.1111/j.1365-2044.2007.05193.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

8465. Preventing communication errors in telephone medicine. | PSNet
      psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine
      December 01, 2004 - Commentary Preventing communication errors in telephone medicine. Citation Text: Reisman AB, Brown KE. Preventing communication errors in telephone medicine. J Gen Intern Med. 2005;20(10):959-63. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

8466. Disclosing adverse events: you said it, now write it. | PSNet
      psnet.ahrq.gov/issue/disclosing-adverse-events-you-said-it-now-write-it
      July 14, 2010 - Commentary Disclosing adverse events: you said it, now write it. Citation Text: Monson MS. Disclosing adverse events: you said it, now write it. Nurs Manage. 2006;37(8):16-7, 55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

8467. Adverse drug events and medication problems in "Hospital at Home" patients. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-and-medication-problems-hospital-home-patients
      December 16, 2020 - January 21, 2019 Analgesic-related medication errors reported to US Poison Control Centers

8468. Ornstein, Steven | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/ornstein-steven
      January 01, 2023 - Ornstein, Steven Learning From Primary Care EHR Exemplars About Health IT Safety - Final Report Citation Ornstein S. Learning From Primary Care EHR Exemplars About Health IT Safety - Final Report. (Prepared by Medical University of South Carolina under Grant No. R21 HS024327).…

8469. Meaningful use's benefits and burdens for US family physicians. | PSNet
      psnet.ahrq.gov/issue/meaningful-uses-benefits-and-burdens-us-family-physicians
      November 30, 2011 - Study Meaningful use's benefits and burdens for US family physicians. Citation Text: Holman T, Waldren SE, Beasley JW, et al. Meaningful use's benefits and burdens for US family physicians. J Am Med Inform Assoc. 2018;25(6):694-701. doi:10.1093/jamia/ocx158. Copy Citation Format: …

8470. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. | PSNet
      psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
      December 09, 2020 - March 9, 2022 Intervention study for the reduction of medication errors in elderly trauma

8471. ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. | PSNet
      psnet.ahrq.gov/issue/ed-revamp-team-approach-care-reduces-errors-boosts-patient-and-clinician-satisfaction
      June 14, 2023 - May 22, 2019 Preventing medication errors during codes.

8472. To reduce risks, hospitals enlist 'proceduralists.' | PSNet
      psnet.ahrq.gov/issue/reduce-risks-hospitals-enlist-proceduralists
      August 17, 2016 - May 22, 2019 Preventing medication errors during codes.

8473. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
      January 01, 2004 - Preventing medication errors in ambulatory care: the importance of establishing regimen concordance.

8474. Assessing teamwork and communication in the authentic patient care learning environment. | PSNet
      psnet.ahrq.gov/issue/assessing-teamwork-and-communication-authentic-patient-care-learning-environment
      July 02, 2014 - January 18, 2012 Field test results of a new ambulatory care Medication Error and Adverse … December 21, 2014 Nursing student medication errors involving tubing and catheters: a

8475. Double checking: a second look. | PSNet
      psnet.ahrq.gov/issue/double-checking-second-look
      August 28, 2017 - July 29, 2020 ISMP medication error report analysis. … March 13, 2019 ISMP medication error report analysis.

8476. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
      June 02, 2025 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce

8477. Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members (pdf file)
      pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
      January 01, 2010 - • PSO Alert – High Alert Medications ► 1 in 5 medication errors reported to PSO in 2014 involved

8478. HIT Based Regional Medication Management Pharmacy System (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014965-schmidt-final-report-2007.pdf
      January 01, 2007 - safe use of medications.3 IOM estimates that a patient in the hospital is subject to at least one medication … error per day; fully one-quarter of all of these medication errors are preventable. 4 The National … Preventing Medication Errors.

8479. Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. | PSNet
      psnet.ahrq.gov/issue/who-gets-benefit-doubt-performance-evaluations-medical-errors-and-production-gender
      May 01, 2012 - Study Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. Citation Text: Brewer A, Osborne M, Mueller AS, et al. Who Gets the Benefit of the Doubt? Performance Evaluations, Medical Errors, an…

8480. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
      June 01, 2005 - systems and greater participation of pharmacists in clinical activities may play roles in detecting medication … errors, not just reducing them. … Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors. … Role of computerized physician order entry systems in facilitating medication errors.