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psnet.ahrq.gov/node/37513/psn-pdf
March 02, 2008 - Early prognostic value of the medical emergency team
calling criteria in patients admitted to intensive care from
the emergency department.
March 2, 2008
Etter R, Ludwig R, Lersch F, et al. Early prognostic value of the medical emergency team calling criteria in
patients admitted to intensive care from the emergen…
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psnet.ahrq.gov/node/855424/psn-pdf
November 15, 2023 - Medical students' experiences, perceptions, and
management of second victim: an interview study.
November 15, 2023
Krogh TB, Mielke-Christensen A, Madsen MD, et al. Medical students’ experiences, perceptions, and
management of second victim: an interview study. BMC Med Educ. 2023;23(1):786. doi:10.1186/s12909-
023…
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psnet.ahrq.gov/node/45284/psn-pdf
January 27, 2019 - Emergency medical services provider pediatric adverse
event rate varies by call origin pediatric emergency care.
January 27, 2019
Jones D, Hansen M, Van Otterloo J, et al. Emergency Medical Services Provider Pediatric Adverse Event
Rate Varies by Call Origin. Pediatr Emerg Care. 2018;34(12):862-865.
doi:10.1097/PE…
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psnet.ahrq.gov/node/46706/psn-pdf
March 20, 2018 - Realizing e-prescribing's potential to reduce outpatient
psychiatric medication errors.
March 20, 2018
Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric
Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps.201700269.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/36555/psn-pdf
January 05, 2017 - Registration-associated patient misidentification in an
academic medical center: causes and corrections.
January 5, 2017
Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic
medical center: causes and corrections. Jt Comm J Qual Patient Saf. 2007;33(1):25-33.
doi:…
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psnet.ahrq.gov/node/851449/psn-pdf
July 19, 2023 - Perceived disability-based discrimination in health care
for children with medical complexity.
July 19, 2023
Ames SG, Delaney RK, Houtrow AJ, et al. Perceived disability-based discrimination in health care for
children with medical complexity. Pediatrics. 2023;152(1):e2022060975. doi:10.1542/peds.2022-060975.
http…
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psnet.ahrq.gov/node/45898/psn-pdf
August 16, 2017 - Estimating hospital-related deaths due to medical error: a
perspective from patient advocates.
August 16, 2017
Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A
Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. doi:10.1097/PTS.0000000000000364.
http…
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psnet.ahrq.gov/node/42942/psn-pdf
February 22, 2024 - Targeted Medication Safety Best Practices for Hospitals.
February 22, 2024
Plymouth Meeting, PA: Institute for Safe Medication Practices; 2024.
https://psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals
This updated report outlines 22 consensus-based best practices to ensure safe medication ad…
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psnet.ahrq.gov/node/33886/psn-pdf
August 01, 2019 - Medical Scribes and Patient Safety
August 1, 2019
Woodcock D, Bergstrom R. Medical Scribes and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
Perspective
Scribes have supported physicians for thousands of years.(1) However, little is known about how to…
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psnet.ahrq.gov/node/40867/psn-pdf
October 19, 2011 - Medication error prevention in the school setting: a closer
look.
October 19, 2011
Richmond SL. Medication error prevention in the school setting: a closer look. NASN Sch Nurse.
2011;26(5):304-8.
https://psnet.ahrq.gov/issue/medication-error-prevention-school-setting-closer-look
This commentary discusses medicati…
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psnet.ahrq.gov/node/41269/psn-pdf
October 19, 2012 - Characteristics of medication errors with parenteral
cytotoxic drugs.
October 19, 2012
Fyhr A, Akselsson R. Characteristics of medication errors with parenteral cytotoxic drugs. Eur J Cancer
Care (Engl). 2012;21(5):606-613. doi:10.1111/j.1365-2354.2012.01331.x.
https://psnet.ahrq.gov/issue/characteristics-medicati…
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psnet.ahrq.gov/node/42443/psn-pdf
January 07, 2015 - Medical audible alarms: a review.
January 7, 2015
Edworthy J. Medical audible alarms: a review. J Am Med Inform Assoc. 2013;20(3):584-9.
doi:10.1136/amiajnl-2012-001061.
https://psnet.ahrq.gov/issue/medical-audible-alarms-review
This review examines design, implementation, and standardization concerns related to a…
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psnet.ahrq.gov/node/35925/psn-pdf
July 26, 2010 - Safe medication prescribing and monitoring in the
outpatient setting.
July 26, 2010
Shojania KG. Safe medication prescribing and monitoring in the outpatient setting. Can Med Assoc J.
2006;174(9). doi:10.1503/cmaj.050984.
https://psnet.ahrq.gov/issue/safe-medication-prescribing-and-monitoring-outpatient-setting
T…
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psnet.ahrq.gov/node/39596/psn-pdf
June 16, 2010 - Parents' perceptions of medical errors.
June 16, 2010
Mazor KM, Goff SL, Dodd KS, et al. Parents' Perceptions of Medical Errors. J Patient Saf. 2010;6(2).
doi:10.1097/pts.0b013e3181ddfcd0.
https://psnet.ahrq.gov/issue/parents-perceptions-medical-errors
This study found that perceived medical errors have a negative…
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psnet.ahrq.gov/node/38494/psn-pdf
January 31, 2011 - IT vulnerabilities highlighted by errors, malfunctions at
veterans' medical centers.
January 31, 2011
Kuehn BM. IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA.
2009;301(9):919. doi:10.1001/jama.2009.239.
https://psnet.ahrq.gov/issue/it-vulnerabilities-highlighted-errors-m…
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - Computerized Provider Order Entry
Citation Text:
Computerized Provider Order Entry. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
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psnet.ahrq.gov/issue/suffering-silence-medical-error-and-its-impact-health-care-providers
December 12, 2014 - Review
Suffering in silence: medical error and its impact on health care providers.
Citation Text:
Robertson JJ, Long B. Suffering in Silence: Medical Error and its Impact on Health Care Providers. J Emerg Med. 2018;54(4). doi:10.1016/j.jemermed.2017.12.001.
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Format:
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psnet.ahrq.gov/issue/coproduced-family-reporting-intervention-improve-safety-surveillance-and-reduce-disparities
September 06, 2023 - Study
A coproduced family reporting intervention to improve safety surveillance and reduce disparities.
Citation Text:
Khan A, Baird JD, Mauskar S, et al. A coproduced family reporting intervention to improve safety surveillance and reduce disparities. Pediatrics. 2024;154(4):e2023065245…
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psnet.ahrq.gov/issue/educational-strategy-reduce-medication-errors-neonatal-intensive-care-unit
November 03, 2008 - Study
Educational strategy to reduce medication errors in a neonatal intensive care unit.
Citation Text:
Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Educational strategy to reduce medication errors in a neonatal intensive care unit. Acta Paediatr. 2009;98(5):782-5. doi:10.1…
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psnet.ahrq.gov/issue/building-safety-net
December 21, 2009 - Newspaper/Magazine Article
Building a safety net.
Citation Text:
Rogoski RR. Building a safety net. By leveraging huge amounts of data and applying it to a wide array of projects and purposes, hospitals stay focused on patient safety and make headway. Health management technology. 2006…