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psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
April 03, 2019 - March 25, 2015
Perioperative medication errors: uncovering risk from behind the drapes
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psnet.ahrq.gov/issue/walgreens-will-stop-judging-its-pharmacy-staffers-how-fast-they-work
May 05, 2021 - June 17, 2020
At Walgreens, complaints of medication errors go missing.
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psnet.ahrq.gov/issue/nurse-led-approach-developing-and-implementing-collaborative-count-policy
January 18, 2012 - December 19, 2018
The impact of computerized provider order entry on medication errors
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psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
July 28, 2013 - July 28, 2013
Preventing Medication Errors: Quality Chasm Series.
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psnet.ahrq.gov/periodic-issue/periodic-issue-320
November 30, 2021 - December 1, 2021 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors
November 06, 2013 - Commentary
The CARE approach to reducing diagnostic errors.
Citation Text:
Rush JL, Helms SE, Mostow EN. The CARE approach to reducing diagnostic errors. Int J Dermatol. 2017;56(6):669-673. doi:10.1111/ijd.13532.
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psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors
April 01, 2010 - Study
Organizational costs of preventable medical errors.
Citation Text:
Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9.
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psnet.ahrq.gov/issue/errors-surgery-case-control-study
May 01, 2024 - Study
Errors in surgery: a case control study.
Citation Text:
Marsh KM, Turrentine FE, Schenk WG, et al. Errors in surgery: a case control study. Ann Surg. 2022;276(5):e347-e352. doi:10.1097/sla.0000000000005664.
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psnet.ahrq.gov/issue/risk-reduction-strategy-decrease-incidence-retained-surgical-items
July 06, 2022 - machine learning-based clinical decision support system to identify prescriptions with a high risk of medication … error.
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psnet.ahrq.gov/issue/types-and-effects-feedback-emergency-ambulance-staff-systematic-mixed-studies-review-and-meta
April 06, 2022 - July 20, 2022
Field test results of a new ambulatory care Medication Error and Adverse
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psnet.ahrq.gov/issue/outcomes-daytime-procedures-performed-attending-surgeons-after-night-work
December 18, 2014 - November 18, 2016
National incidence of medication error in surgical patients before
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psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
February 28, 2018 - Press Release/Announcement
2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.
Citation Text:
2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Joint Commission.
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psnet.ahrq.gov/issue/disease-management-mid-decade-evolution-toward-patient-safety
January 28, 2010 - Commentary
Disease management: a mid-decade evolution toward patient safety.
Citation Text:
Disease management: a mid-decade evolution toward patient safety. Heckinger E; Chappell H; Downes D; Fitzner K.
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psnet.ahrq.gov/issue/sterile-compounding-tragedy-symptom-broken-system-many-levels
February 13, 2019 - Newspaper/Magazine Article
Sterile compounding tragedy is a symptom of a broken system on many levels.
Citation Text:
Sterile compounding tragedy is a symptom of a broken system on many levels. ISMP Medication Safety Alert! Acute Care Edition. October 18, 2012;17:1-4.
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psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
January 22, 2020 - Book/Report
Inadvertent Administration of an Oral Liquid Medicine into a Vein.
Citation Text:
Inadvertent Administration of an Oral Liquid Medicine into a Vein. Farnborough, UK; Healthcare Safety Investigation Branch: April 2019.
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psnet.ahrq.gov/issue/frequency-and-characteristics-errors-artificial-intelligence-ai-reading-screening-mammography
February 03, 2016 - Review
Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review.
Citation Text:
Zeng A, Houssami N, Noguchi N, et al. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammogra…
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psnet.ahrq.gov/issue/timing-diagnosis-attention-deficithyperactivity-disorder-and-autism-spectrum-disorder
February 03, 2016 - Study
Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder.
Citation Text:
Miodovnik A, Harstad E, Sideridis G, et al. Timing of the Diagnosis of Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder. Pediatrics. 2015;136(4):e83…
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-emergency-medicine-residencies-and-culture-safety
November 16, 2022 - Study
Morbidity and mortality conference in emergency medicine residencies and the culture of safety.
Citation Text:
Aaronson E, Wittels KA, Nadel ES, et al. Morbidity and Mortality Conference in Emergency Medicine Residencies and the Culture of Safety. West J Emerg Med. 2015;16(6):810-7…
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psnet.ahrq.gov/issue/front-line-staff-perspectives-opportunities-improving-safety-and-efficiency-hospital-work
February 04, 2009 - Study
Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems.
Citation Text:
Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. H…
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psnet.ahrq.gov/issue/how-reduce-stigma-and-bias-clinical-communication-narrative-review
July 27, 2022 - Review
How to reduce stigma and bias in clinical communication: a narrative review.
Citation Text:
Healy M, Richard A, Kidia K. How to reduce stigma and bias in clinical communication: a narrative review. J Gen Intern Med. 2022;37(10):2533-2540. doi:10.1007/s11606-022-07609-y.
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