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9281. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. | PSNet
      psnet.ahrq.gov/issue/handling-anticipated-exceptions-clinical-care-investigating-clinician-use-exit-strategies
      March 24, 2019 - Study Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. Citation Text: Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…

9282. We are going to name names and call you out! Improving the team in the academic operating room environment. | PSNet
      psnet.ahrq.gov/issue/we-are-going-name-names-and-call-you-out-improving-team-academic-operating-room-environment
      September 23, 2020 - Study We are going to name names and call you out! Improving the team in the academic operating room environment. Citation Text: Bodor R, Nguyen BJ, Broder K. We Are Going to Name Names and Call You Out! Improving the Team in the Academic Operating Room Environment. Ann Plast Surg. 2017;…

9283. A usability and safety analysis of electronic health records: a multi-center study. | PSNet
      psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study
      October 13, 2018 - Study Emerging Classic A usability and safety analysis of electronic health records: a multi-center study. Citation Text: Ratwani RM, Savage E, Will A, et al. A usability and safety analysis of electronic health records: a multi-center study. J Am Med Inform Ass…

9284. Prescribers' responses to alerts during medication ordering in the long term care setting. | PSNet
      psnet.ahrq.gov/issue/prescribers-responses-alerts-during-medication-ordering-long-term-care-setting
      February 26, 2009 - Study Prescribers' responses to alerts during medication ordering in the long term care setting. Citation Text: Judge J, Field T, DeFlorio M, et al. Prescribers' responses to alerts during medication ordering in the long term care setting. J Am Med Inform Assoc. 2006;13(4):385-90. Co…

9285. 'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy. | PSNet
      psnet.ahrq.gov/issue/its-all-about-patient-safety-ethnographic-study-how-pharmacy-staff-construct-medicines-safety
      October 06, 2021 - Study 'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy. Citation Text: Fudge N, Swinglehurst D. ‘It's all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety in…

9286. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38435/psn-pdf
      February 25, 2009 - Prescribing discrepancies likely to cause adverse drug events after patient transfer. February 25, 2009 Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc.2007.025957. https://psnet.ah…

9287. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73371/psn-pdf
      June 09, 2021 - Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. June 9, 2021 Leeftink AG, Visser J, de Laat JM, et al. Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. Ergonomics. …

9288. MGH death spurs review of patient monitors. | PSNet
      psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors
      October 05, 2011 - August 24, 2016 Report faults Children's Hospital for medication errors.

9289. Hospitals study when to apologize to patients. | PSNet
      psnet.ahrq.gov/issue/hospitals-study-when-apologize-patients
      August 24, 2016 - August 24, 2016 Report faults Children's Hospital for medication errors.

9290. Hospitals cutting nurses' long shifts. | PSNet
      psnet.ahrq.gov/issue/hospitals-cutting-nurses-long-shifts
      August 24, 2016 - August 24, 2016 Report faults Children's Hospital for medication errors.

9291. Reducing Diagnostic Error: Measurement Considerations. | PSNet
      psnet.ahrq.gov/issue/reducing-diagnostic-error-measurement-considerations
      September 06, 2011 - April 15, 2005 Preventing Medication Errors: A $21 Billion Opportunity.

9292. Just Bag It. | PSNet
      psnet.ahrq.gov/issue/just-bag-it
      November 04, 2020 - July 5, 2016 Medication errors reported in a pediatric intensive care unit for oncologic

9293. Medical malpractice: why is it so hard for doctors to apologize? | PSNet
      psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
      August 24, 2011 - May 1, 2015 Hospital Medication Errors Commonplace.

9294. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. | PSNet
      psnet.ahrq.gov/issue/patient-safety-home-hemodialysis-quality-assurance-and-serious-adverse-events-home-setting
      January 23, 2017 - Commentary Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Citation Text: Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Hemodial Int. 2015;1…

9295. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. | PSNet
      psnet.ahrq.gov/issue/integrating-patient-safety-education-early-medical-education-utilizing-cadaver-sponges-and
      September 23, 2020 - February 15, 2023 Field test results of a new ambulatory care Medication Error and Adverse

9296. Toward safer practice in otology: a report on 15 years of clinical negligence claims. | PSNet
      psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims
      January 21, 2015 - October 26, 2022 Infusion medication error reduction by two-person verification: a quality

9297. The morbidity and mortality meeting: time for a different approach? | PSNet
      psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
      August 30, 2023 - July 10, 2008 The VHA New England Medication Error Prevention Initiative as a model for

9298. The wrong patient. | PSNet
      psnet.ahrq.gov/issue/wrong-patient
      December 23, 2008 - : Evaluating a Near-Miss Wrong Transfusion Event January 29, 2020 ISMP medication … error report analysis.

9299. In Conversation With...Donald A. Norman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
      November 01, 2006 - Nicole Werner, PhD November 16, 2022 Systemic defenses to prevent intravenous medication … errors in hospitals: a systematic review.

9300. A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. | PSNet
      psnet.ahrq.gov/issue/comprehensive-patient-safety-program-can-significantly-reduce-preventable-harm-associated
      October 27, 2010 - 2018 An internal quality improvement collaborative significantly reduces hospital-wide medication … error related adverse drug events.