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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39767/psn-pdfAugust 18, 2010 - Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. August 18, 2010 Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TO… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34811/psn-pdfMarch 28, 2005 - Medication error prevention by clinical pharmacists in two children's hospitals. March 28, 2005 Folli HL; Poole RL; Benitz WE; Russo JC https://psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals This prospective study recorded the rate and potential for harm caused by err… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39003/psn-pdfJanuary 28, 2010 - Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. January 28, 2010 Konrad D, Jäderling G, Bell M, et al. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Intensive Care Med. 2010;36(1):100-6. doi:10.1007/s00134-00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38679/psn-pdfMarch 01, 2011 - Improving alarm performance in the medical intensive care unit using delays and clinical context. March 1, 2011 Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546-52. doi:10.1213/ane.0b013e31819bdfb… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73222/psn-pdfMay 05, 2021 - Fatal mistakes: why do ten-fold medication errors in children keep happening? May 5, 2021 Parry C. The Pharmaceutical Journal. April 22 2021. https://psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening Weight-based prescribing in children harbors challenges to accura… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60628/psn-pdfJuly 14, 2020 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. June 24, 2020 Cambridge, MA; CRICO Strategies: July 14, 2020. https://psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and- financial-loss Malpractice claims can generate … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46899/psn-pdfMarch 21, 2018 - Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital. March 21, 2018 Disability Law Center. Boston, MA: February 2018. https://psnet.ahrq.gov/issue/patient-deaths-arbour-health-systems-westwood-lodge-hospital-and- pembroke-hospital Patients with mental health concerns are vulnerab… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852277/psn-pdfAugust 09, 2023 - Physician burnout and medical errors: exploring the relationship, cost, and solutions received. August 9, 2023 Li CJ, Shah YB, Harness ED, et al. Physician burnout and medical errors: exploring the relationship, cost, and solutions received. Am J Med Qual. 2023;38(4):196-202. doi:10.1097/jmq.0000000000000131. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37911/psn-pdfJuly 16, 2008 - Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of- hospital care: an ethnographic view. July 16, 2008 Fairbanks RJ, Crittenden CN, O’Gara KG, et al. Emergency Medical Services Provider Perceptions of the Nature of Adverse Events and Near-misses in Out-of-hos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34868/psn-pdfFebruary 03, 2011 - Role of computerized physician order entry systems in facilitating medication errors. February 3, 2011 Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):1197-203. https://psnet.ahrq.gov/issue/role-computerized-physician-ord… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43159/psn-pdfMay 07, 2014 - Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. May 7, 2014 Jenkins RC, Smillov AE, Goodwin MA. Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. J Healthc Risk Manag. 2014;33(4):15-22. doi:10.1002/jhrm.21138. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836993/psn-pdfApril 27, 2022 - Factors associated with workplace violence among healthcare workers in an academic medical center. April 27, 2022 Otachi JK, Robertson H, Okoli CTC. Factors associated with workplace violence among healthcare workers in an academic medical center. Perspect Psychiatr Care. 2022;58(4):2383-2393. doi:10.1111/ppc.13072… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61089/psn-pdfJanuary 01, 2021 - Cognitive bias impact on management of postoperative complications, medical error, and standard of care. November 4, 2020 Antonacci AC, Dechario SP, Antonacci C, et al. Cognitive bias impact on management of postoperative complications, medical error, and standard of care. J Surg Res. 2021;258:47-53. doi:10.1016/j… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50829/psn-pdfJanuary 22, 2020 - How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. January 22, 2020 Ganguli I. Washington Post. January 5, 2020. https://psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm- good Overdiagnosis and uncertainty can result in a range of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40084/psn-pdfDecember 15, 2010 - Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. December 15, 2010 Hansen RA, Cornell PY, Ryan PB, et al. Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867746/psn-pdfMarch 12, 2025 - Medical large language models are vulnerable to data- poisoning attacks. March 12, 2025 Alber DA, Yang Z, Alyakin A, et al. Medical large language models are vulnerable to data-poisoning attacks. Nat Med. 2025;31(2):618-626. doi:10.1038/s41591-024-03445-1. https://psnet.ahrq.gov/issue/medical-large-language-models… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36788/psn-pdfAugust 26, 2011 - Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. August 26, 2011 Buckley MS, Erstad BL, Kopp BJ, et al. Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit. Pediatr Crit Care Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41724/psn-pdfJanuary 01, 2013 - Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. December 31, 2012 Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, et al. Using Healthcare Failure Mode and Effect Analysis to reduc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40874/psn-pdfOctober 26, 2011 - Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. October 26, 2011 Maiden J, Georges JM, Connelly CD. Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses. Dimens Crit Care Nurs. 2011;30(6):339-45. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44072/psn-pdfAugust 02, 2015 - The rise of the medical scribe industry: implications for the advancement of electronic health records. August 2, 2015 Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA. 2015;313(13):1315-1316. doi:10.1001/jama.2014.17128. …
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