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psnet.ahrq.gov/node/40892/psn-pdf
February 06, 2012 - Four years' experience with a hospitalist-led medical
emergency team: an interrupted time series.
February 6, 2012
Rothberg MB, Belforti R, Fitzgerald J, et al. Four years' experience with a hospitalist-led medical
emergency team: an interrupted time series. J Hosp Med. 2012;7(2):98-103. doi:10.1002/jhm.953.
https…
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psnet.ahrq.gov/node/60992/psn-pdf
October 14, 2020 - Another medical malpractice crisis?: Try something
different.
October 14, 2020
Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different.
JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557.
https://psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-d…
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psnet.ahrq.gov/node/41169/psn-pdf
May 19, 2014 - Risk factors for patient-reported medical errors in eleven
countries.
May 19, 2014
Schwappach DLB. Risk factors for patient-reported medical errors in eleven countries. Health Expect.
2014;17(3):321-31. doi:10.1111/j.1369-7625.2011.00755.x.
https://psnet.ahrq.gov/issue/risk-factors-patient-reported-medical-errors-…
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psnet.ahrq.gov/node/37993/psn-pdf
August 20, 2008 - Peer support: healthcare professionals supporting each
other after adverse medical events.
August 20, 2008
van Pelt F. Peer support: healthcare professionals supporting each other after adverse medical events.
Qual Saf Health Care. 2008;17(4):249-52. doi:10.1136/qshc.2007.025536.
https://psnet.ahrq.gov/issue/peer-…
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psnet.ahrq.gov/node/866256/psn-pdf
July 10, 2024 - Disclosure programmes in the US--an inadequate
response to medical error.
July 10, 2024
Handley GM. Disclosure programmes in the US—an inadequate response to medical error. BMJ.
2024;385:q1318. doi:10.1136/bmj.q1318.
https://psnet.ahrq.gov/issue/disclosure-programmes-us-inadequate-response-medical-error
Communica…
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psnet.ahrq.gov/node/42921/psn-pdf
February 05, 2014 - Medication injection safety knowledge and practices
among anesthesiologists: New York State, 2011.
February 5, 2014
Gounder P, Beers R, Bornschlegel K, et al. Medication injection safety knowledge and practices among
anesthesiologists: New York State, 2011. J Clin Anesth. 2013;25(7):521-8.
doi:10.1016/j.jclinane.2…
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psnet.ahrq.gov/node/34644/psn-pdf
December 23, 2008 - Medication-prescribing errors in a teaching hospital: a 9-
year experience.
December 23, 2008
Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year
experience. Arch Intern Med. 1997;157(14):1569-76.
https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospita…
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psnet.ahrq.gov/node/40278/psn-pdf
March 09, 2011 - Safety issues related to the electronic medical record
(EMR): synthesis of the literature from the last decade,
2000–2009.
March 9, 2011
Harrington L, Kennerly DA, Johnson C. Safety issues related to the electronic medical record (EMR):
synthesis of the literature from the last decade, 2000-2009. J Healthc Manag. …
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psnet.ahrq.gov/node/41361/psn-pdf
May 09, 2012 - Tolerance of uncertainty and fears of making mistakes
among fifth-year medical students.
May 9, 2012
Nevalainen M, Kuikka L, Sjoberg L, et al. Tolerance of uncertainty and fears of making mistakes among
fifth-year medical students. Fam Med. 2012;44(4):240-6.
https://psnet.ahrq.gov/issue/tolerance-uncertainty-and-f…
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psnet.ahrq.gov/node/852284/psn-pdf
August 09, 2023 - ‘Medical errors are the third leading cause of death’ and
other statistics you should question.
August 9, 2023
Jaklevic MC. HealthJournalism.org. July 27, 2023.
https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-
question
Published rates of medical errors con…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
October 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case October 2007
Do Not Disturb!
Source and Credits
This presentation is based on the October 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available online
Commentary by: F. Daniel Duffy, MD, University of Oklahoma, and…
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psnet.ahrq.gov/node/49596/psn-pdf
December 01, 2009 - Round-Trip Service
December 1, 2009
McGrath MH. Round-Trip Service. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/round-trip-service
The Case
A 70-year-old man with a long history of degenerative joint disease was experiencing increased symptoms
in his left knee. He was referred by his primary care provid…
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psnet.ahrq.gov/node/40726/psn-pdf
July 03, 2014 - Automated identification of postoperative complications
within an electronic medical record using natural
language processing.
July 3, 2014
Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within an
electronic medical record using natural language processing. JAMA. …
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psnet.ahrq.gov/node/39986/psn-pdf
November 10, 2010 - Impact of health information technology interventions to
improve medication laboratory monitoring for ambulatory
patients: a systematic review.
November 10, 2010
Fischer SH, Tjia J, Field T. Impact of health information technology interventions to improve medication
laboratory monitoring for ambulatory patients: a…
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psnet.ahrq.gov/node/47102/psn-pdf
June 26, 2018 - Transition to a new electronic health record and pediatric
medication safety: lessons learned in pediatrics within a
large academic health system.
June 26, 2018
Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication
safety: lessons learned in pediatrics within a l…
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psnet.ahrq.gov/node/45425/psn-pdf
December 22, 2018 - Automated identification of antibiotic overdoses and
adverse drug events via analysis of prescribing alerts and
medication administration records.
December 22, 2018
Kirkendall ES, Kouril M, Dexheimer JW, et al. Automated identification of antibiotic overdoses and adverse
drug events via analysis of prescribing ale…
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psnet.ahrq.gov/node/43091/psn-pdf
May 30, 2014 - Development of a professionalism committee approach to
address unprofessional medical staff behavior at an
academic medical center.
May 30, 2014
Speck RM, Foster JJ, Mulhern VA, et al. Development of a professionalism committee approach to address
unprofessional medical staff behavior at an academic medical center…
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psnet.ahrq.gov/node/841479/psn-pdf
December 14, 2022 - Fast does not imply flawed: analyzing emergency
physician productivity and medical errors.
December 14, 2022
Hoot NR, Barbosa TJ, Chan HK, et al. Fast does not imply flawed: analyzing emergency physician
productivity and medical errors. J Am Coll Emerg Physicians Open. 2022;3(6):e12849.
doi:10.1002/emp2.12849.
ht…
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psnet.ahrq.gov/node/838130/psn-pdf
September 21, 2022 - Medical malpractice lawsuits involving trainees in
obstetrics and gynecology in the USA.
September 21, 2022
Ghaith S, Campbell RL, Pollock JR, et al. Medical malpractice lawsuits involving trainees in obstetrics and
gynecology in the USA. Healthcare (Basel). 2022;10(7):1328. doi:10.3390/healthcare10071328.
https:/…
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psnet.ahrq.gov/node/43425/psn-pdf
July 03, 2016 - Graduate medical education's new focus on resident
engagement in quality and safety: will it transform the
culture of teaching hospitals?
July 3, 2016
Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and
Safety. Acad Med. 2014;89(10):1328-1330. doi:10.1097/acm.00000000000…