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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838254/psn-pdf
    October 05, 2022 - Embedded bias: how medical records sow discrimination. October 5, 2022 Tahir D. Kaiser Health News. September 26, 2022.  https://psnet.ahrq.gov/issue/embedded-bias-how-medical-records-sow-discrimination Negative patient representations in medical records perpetuate stereotypes that can affect care over ti…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42314/psn-pdf
    May 19, 2014 - "Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error. May 19, 2014 Dewar R, Parkash V, Forrow L, et al. "Apologies" from pathologists: why, when, and how to say "sorry" after committing a medical error. Int J Surg Pathol. 2014;22(3):242-6. doi:10.1177/1066896913487986. h…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46742/psn-pdf
    March 14, 2018 - Evidence-based guidelines for fatigue risk management in emergency medical services. March 14, 2018 Patterson D, Higgins S, Van Dongen HPA, et al. Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. Prehosp Emerg Care. 2018;22(sup1):89-101. doi:10.1080/10903127.2017.1376137. https…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40511/psn-pdf
    June 08, 2011 - A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. June 8, 2011 Jansma JD, Wagner C, Bijnen AB. A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. J Patient Saf. 2011;7(2):99-105. doi:10.1097/PTS.0b013e318…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44014/psn-pdf
    March 20, 2019 - Patient Centered Medical Home Resource Center: Quality and Safety. March 20, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety The Patient Centered Medical Home (PCMH) concept reorganizes primary care services to ensure th…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38068/psn-pdf
    March 10, 2011 - The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. March 10, 2011 Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am Med Inform Assoc. 2008;15(5):585-600. …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41948/psn-pdf
    January 09, 2013 - Implementation of computerized prescriber order entry in four academic medical centers. January 9, 2013 Cooley TW, May D, Alwan M, et al. Implementation of computerized prescriber order entry in four academic medical centers. Am J Health Syst Pharm. 2012;69(24):2166-73. doi:10.2146/ajhp120108. https://psnet.ahrq.g…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37290/psn-pdf
    February 15, 2011 - Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. February 15, 2011 Singh H, Thomas EJ, Petersen L, et al. Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. Arch Intern Med. 2007;167(19):2030-6. https://psnet.ahrq.gov/issue/medical-error…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43904/psn-pdf
    October 13, 2015 - Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration. October 13, 2015 Baqir W, Jones K, Horsley W, et al. Reducing unacceptable missed doses: pharmacy assistant-supported medicine administration. Int J Pharm Pract. 2015;23(5):327-332. doi:10.1111/ijpp.12172. https://psnet.ahrq.…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41478/psn-pdf
    June 20, 2014 - 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. June 20, 2014 Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHRQ Publication No. 12-0052. https://psnet.ahrq.gov/issue/2012-user-comparative-database-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45375/psn-pdf
    September 27, 2016 - Association of a web-based handoff tool with rates of medical errors. September 27, 2016 Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258. https://psnet.ahrq.gov/issue/association-web-ba…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41669/psn-pdf
    November 26, 2014 - Patient safety perceptions of primary care providers after implementation of an electronic medical record system. November 26, 2014 McGuire MJ, Noronha G, Samal L, et al. Patient safety perceptions of primary care providers after implementation of an electronic medical record system. J Gen Intern Med. 2013;28(2):18…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42816/psn-pdf
    October 31, 2014 - Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. October 31, 2014 Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a reside…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34112/psn-pdf
    February 09, 2011 - Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. February 9, 2011 Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. 2003;290(14):1868-74. https://psnet.ahrq.gov/issue/excess-length-st…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41935/psn-pdf
    December 19, 2012 - Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. December 19, 2012 Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. Health Aff (…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46435/psn-pdf
    August 20, 2018 - Patients' experiences with communication-and-resolution programs after medical injury. August 20, 2018 Moore J, Bismark M, Mello MM. Patients' Experiences With Communication-and-Resolution Programs After Medical Injury. JAMA Intern Med. 2017;177(11):1595-1603. doi:10.1001/jamainternmed.2017.4002. https://psnet.ahr…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40695/psn-pdf
    December 31, 2014 - Factors contributing to an increase in duplicate medication order errors after CPOE implementation. December 31, 2014 Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. 2011;18(6):774-782. doi:10.113…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866320/psn-pdf
    January 01, 2025 - Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. July 17, 2024 Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementati…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38206/psn-pdf
    January 15, 2009 - The medical emergency team system and not-for- resuscitation orders: results from the MERIT Study. January 15, 2009 Chen J, Flabouris A, Bellomo R, et al. The Medical Emergency Team System and not-for-resuscitation orders: results from the MERIT study. Resuscitation. 2008;79(3):391-7. doi:10.1016/j.resuscitation.2…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36530/psn-pdf
    January 07, 2011 - Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. January 7, 2011 Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487. https://psnet.ahrq.gov/issue/impact-extended-…
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