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psnet.ahrq.gov/node/43293/psn-pdf
June 25, 2014 - Health-care providers want patients to read medical
records, spot errors.
June 25, 2014
Landro L. Wall Street Journal. June 9, 2014.
https://psnet.ahrq.gov/issue/health-care-providers-want-patients-read-medical-records-spot-errors
As they become more prevalent, electronic medical records (EMRs) are being used to i…
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digital.ahrq.gov/sites/default/files/docs/page/health-information-technology-evaluation-toolkit-2009-update.pdf
January 01, 2009 - Medication errors Patient Safety Chart review
Prescription review
Direct observations
May also
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psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review
March 13, 2013 - May 22, 2019
Human-simulation-based learning to prevent medication error: a systematic
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psnet.ahrq.gov/issue/what-are-unintended-patient-safety-consequences-healthcare-technologies-qualitative-study
February 26, 2020 - machine learning-based clinical decision support system to identify prescriptions with a high risk of medication … error.
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www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
January 01, 2024 - Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care
O’Connor, Patrick J.
Final Report
MOVES: Patient-Based Strategy to Reduce Errors in Diabetes Care
Patrick J. O’Connor MD MPH, Principal Investigator
Research Team Members: JoAnn Sperl-Hillen MD, Paul E. Johnson PhD†, William A. …
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psnet.ahrq.gov/issue/pediatric-obesity-and-safety-inpatient-settings-systematic-literature-review
November 12, 2014 - Elevated risks of medication errors , venous thromboembolism , surgical complications , and airway
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psnet.ahrq.gov/issue/impact-teamwork-and-communication-training-interventions-safety-culture-and-patient-safety
October 07, 2020 - Review
Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review.
Citation Text:
Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on safety culture and pat…
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psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation
October 27, 2021 - Study
When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship.
Citation Text:
Bell SK, Mejilla R, Anselmo M, et al. When doctors share visit notes with patients: a study of p…
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psnet.ahrq.gov/issue/use-patient-complaints-identify-diagnosis-related-safety-concerns-mixed-method-evaluation
April 13, 2022 - Study
Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation.
Citation Text:
Giardina TD, Korukonda S, Shahid U, et al. Use of patient complaints to identify diagnosis-related safety concerns: a mixed-method evaluation. BMJ Qual Saf. 2021;30(12…
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psnet.ahrq.gov/issue/peers-without-fears-barriers-effective-communication-among-primary-care-physicians-and
October 27, 2021 - Study
Peers without fears? Barriers to effective communication among primary care physicians and oncologists about diagnostic delays in cancer.
Citation Text:
Lipitz-Snyderman A, Kale M, Robbins L, et al. Peers without fears? Barriers to effective communication among primary care physici…
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psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
May 12, 2021 - Commentary
The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy.
Citation Text:
Kanter MH, Ghobadi A, Lurvey LD, et al. The e-Autopsy/e-Biopsy: a systematic chart review to increase safety and diagnostic accuracy. Diagnosis (Berl). 2022;9(4):430-43…
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psnet.ahrq.gov/issue/do-work-condition-interventions-affect-quality-and-errors-primary-care-results-healthy-work
September 04, 2016 - Study
Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study.
Citation Text:
Linzer M, Poplau S, Brown RL, et al. Do Work Condition Interventions Affect Quality and Errors in Primary Care? Results from the Healthy Work Place S…
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digital.ahrq.gov/sites/default/files/docs/lesson/10-0051-ef-medication-reconciliation.pdf
February 01, 2010 - points in time;
and to use that information to inform prescribing decisions and identify and prevent medication … errors.1 This report illustrates the different approaches that AHRQ-funded health information
technology
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psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions
April 12, 2011 - Related Resources From the Same Author(s)
Field test results of a new ambulatory care Medication … Error and Adverse Drug Event Reporting System—MEADERS. … session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication … errors.
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psnet.ahrq.gov/issue/effect-interventions-improve-safety-culture-healthcare-workers-hospital-settings-systematic
September 06, 2023 - December 8, 2021
Potential costs and consequences associated with medication error at … February 1, 2023
Medication errors among adults and children with cancer in the outpatient
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psnet.ahrq.gov/issue/association-nurse-work-environment-and-patient-safety-pediatric-acute-care
July 12, 2017 - Diagnostic Safety and Quality
April 26, 2023
Nearing zero...reducing grade C medication … errors. … February 2, 2011
Nighttime and weekend medication error rates in an inpatient pediatric
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psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
October 16, 2024 - December 16, 2008
Iatrogenic disease management: moderating medication errors and risks
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psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
January 12, 2022 - May 24, 2015
Preventing medication errors in hospitals through a systems approach and
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psnet.ahrq.gov/node/867137/psn-pdf
November 13, 2024 - Enteral nutrition: an underappreciated source of patient
safety events.
November 13, 2024
Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events.
Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153.
https://psnet.ahrq.gov/issue/enteral-nutrition-underapprec…
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psnet.ahrq.gov/node/35645/psn-pdf
February 24, 2011 - Voluntary electronic reporting of medical errors and
adverse events.
February 24, 2011
Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events.
An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):165-70.
https://psnet.ahrq.gov/is…