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  1. psnet.ahrq.gov/issue/why-hospitals-still-make-serious-medical-errors-and-how-they-are-trying-reduce-them
    October 04, 2023 - Newspaper/Magazine Article Why hospitals still make serious medical errors—and how they are trying to reduce them. Citation Text: Why hospitals still make serious medical errors—and how they are trying to reduce them. Landro L. Wall Street Journal. March 12, 2023. Copy Citation …
  2. psnet.ahrq.gov/issue/administrative-compensation-medical-injuries-lessons-three-foreign-systems
    September 29, 2017 - Newspaper/Magazine Article Administrative compensation for medical injuries: lessons from three foreign systems. Citation Text: Mello MM, Kachalia A, Studdert DM. Administrative compensation for medical injuries: lessons from three foreign systems. Issue brief (Commonwealth Fund). 2011;1…
  3. psnet.ahrq.gov/issue/does-malpractice-liability-make-healthcare-safer-aligning-law-and-policy-evidence
    August 26, 2020 - Commentary Does malpractice liability make healthcare safer? Aligning law and policy with evidence. Citation Text: Does malpractice liability make healthcare safer? Aligning law and policy with evidence. Saks MJ, Landsman S. Wake Forest J Law Policy. 2022;12:205-257.   Copy C…
  4. psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and-warnings
    May 03, 2023 - Newspaper/Magazine Article Patients with low health literacy make more errors interpreting instructions and warnings. Citation Text: Patients with low health literacy make more errors interpreting instructions and warnings. ISMP Medication Safety Alert! Acute Care. 2023;28(24):1-3. Cop…
  5. psnet.ahrq.gov/issue/misadministration-iv-insulin-associated-dose-measurement-and-hyperkalemia-treatment
    August 24, 2016 - Newspaper/Magazine Article Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. Citation Text: Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment. ISMP Medication Safety Alert! Acute Care Edition. August 11,…
  6. psnet.ahrq.gov/issue/electronic-medical-record-based-interventions-encourage-opioid-prescribing-best-practices
    September 01, 2021 - Study Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department. Citation Text: Smalley CM, Willner MA, Muir MKR, et al. Electronic medical record-based interventions to encourage opioid prescribing best practices in the emer…
  7. psnet.ahrq.gov/issue/initiative-reduce-insulin-related-adverse-drug-events-childrens-hospital
    March 24, 2021 - Study An initiative to reduce insulin-related adverse drug events in a children's hospital. Citation Text: Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds…
  8. psnet.ahrq.gov/issue/prevalence-nature-severity-and-preventability-adverse-drug-events-mental-health-settings
    December 18, 2017 - Study Prevalence, nature, severity and preventability of adverse drug events in mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. Citation Text: Alshehri GH, Ashcroft DM, Nguyen J, et al. Prevalence, nature, severity and preventabi…
  9. psnet.ahrq.gov/issue/development-and-piloting-ambulatory-electronic-health-record-evaluation-tool-lessons-learned
    July 29, 2020 - Study The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned. Citation Text: Co Z, Holmgren AJ, Classen DC, et al. The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned. Appl Clin Inform.…
  10. psnet.ahrq.gov/issue/tall-man-lettering-and-potential-prescription-errors-time-series-analysis-42-childrens
    January 12, 2012 - Study Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. Citation Text: Zhong W, Feinstein JA, Patel NS, et al. Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hosp…
  11. psnet.ahrq.gov/issue/comparative-effectiveness-serious-game-and-e-module-support-patient-safety-knowledge-and
    September 08, 2010 - Study Comparative effectiveness of a serious game and an e-module to support patient safety knowledge and awareness. Citation Text: Dankbaar MEW, Richters O, Kalkman CJ, et al. Comparative effectiveness of a serious game and an e-module to support patient safety knowledge and awareness. …
  12. psnet.ahrq.gov/issue/attitudes-and-barriers-medical-emergency-team-system-tertiary-paediatric-hospital
    April 11, 2011 - Study Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital. Citation Text: Azzopardi P, Kinney S, Moulden A, et al. Attitudes and barriers to a Medical Emergency Team system at a tertiary paediatric hospital. Resuscitation. 2011;82(2):167-74. doi:…
  13. psnet.ahrq.gov/issue/patient-safety-perceptions-pediatric-out-hospital-emergency-care-childrens-safety-initiative
    March 22, 2017 - Study Patient safety perceptions in pediatric out-of-hospital emergency care: Children's Safety Initiative. Citation Text: Guise J-M, Meckler G, O'Brien K, et al. Patient Safety Perceptions in Pediatric Out-of-Hospital Emergency Care: Children's Safety Initiative. J Pediatr. 2015;167(5):…
  14. psnet.ahrq.gov/issue/associations-between-organizational-communication-and-patients-experience-prolonged-emotional
    October 27, 2021 - Study Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors. Citation Text: Sokol-Hessner L, Dechen T, Folcarelli P, et al. Associations between organizational communication and patients' experience of prolonged …
  15. psnet.ahrq.gov/issue/how-medical-error-shapes-physicians-perceptions-learning-exploratory-study
    August 16, 2023 - Study How medical error shapes physicians' perceptions of learning: an exploratory study. Citation Text: Shepherd L, LaDonna KA, Cristancho SM, et al. How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. Acad Med. 2019;94(8):1157-1163. doi:10.1097/ACM.00000…
  16. psnet.ahrq.gov/issue/integrative-systematic-review-promoting-patient-safety-within-prehospital-emergency-medical
    June 10, 2020 - Review An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective. Citation Text: Strandås M, Vizcaya-Moreno M, Ingstad K, et al. An integrative systematic review of promoting patient safety within p…
  17. psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
    December 30, 2014 - Commentary Estimating deaths due to medical error: the ongoing controversy and why it matters. Citation Text: Shojania KG, Dixon-Woods M. Estimating deaths due to medical error: the ongoing controversy and why it matters. BMJ Qual Saf. 2017;26(5):423-428. doi:10.1136/bmjqs-2016-006144. …
  18. psnet.ahrq.gov/issue/time-dependent-drug-drug-interaction-alerts-care-provider-order-entry-software-may-inhibit
    March 10, 2011 - Study Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions. Citation Text: van der Sijs H, Lammers L, van den Tweel A, et al. Time-dependent drug-drug interaction alerts in care provider order entry: software may inh…
  19. psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients
    June 11, 2008 - Study Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network. Citation Text: Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: R…
  20. psnet.ahrq.gov/issue/effect-digital-tools-promote-hospital-quality-and-safety-adverse-events-after-discharge
    October 16, 2024 - Study Effect of digital tools to promote hospital quality and safety on adverse events after discharge. Citation Text: Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on adverse events after discharge. J Am Med Inform Assoc. 2024;…

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