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psnet.ahrq.gov/node/34829/psn-pdf
April 06, 2011 - Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests.
April 6, 2011
Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4.
https://psnet.ahrq.gov/issue/use-medical-emerg…
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psnet.ahrq.gov/node/73283/psn-pdf
May 19, 2021 - Assessment of overuse of medical tests and treatments at
US hospitals using Medicare claims.
May 19, 2021
Chalmers K, Smith P, Garber J, et al. Assessment of overuse of medical tests and treatments at US
hospitals using Medicare claims. JAMA Netw Open. 2021;4(4):e218075.
doi:10.1001/jamanetworkopen.2021.8075.
htt…
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psnet.ahrq.gov/node/847728/psn-pdf
April 19, 2023 - Development and interrater agreement of a novel
classification system combining medical and surgical
adverse event reporting.
April 19, 2023
Stone A, Jiang ST, Stahl MC, et al. Development and interrater agreement of a novel classification system
combining medical and surgical adverse event reporting. JAMA Otolary…
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psnet.ahrq.gov/node/72639/psn-pdf
January 13, 2021 - Assessment of physician sleep and wellness, burnout,
and clinically significant medical errors.
January 13, 2021
Trockel MT, Menon NK, Rowe SG, et al. Assessment of Physician Sleep and Wellness, Burnout, and
Clinically Significant Medical Errors. JAMA Netw Open. 2020;3(12):e2028111.
doi:10.1001/jamanetworkopen.202…
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psnet.ahrq.gov/node/73217/psn-pdf
May 05, 2021 - Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel
survey questionnaire.
May 5, 2021
Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel survey questi…
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psnet.ahrq.gov/node/34067/psn-pdf
January 04, 2017 - Does full disclosure of medical errors affect malpractice
liability? The jury is still out.
January 4, 2017
Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability?
The jury is still out. Jt Comm J Qual Saf. 2003;29(10):503-11.
https://psnet.ahrq.gov/issue/does…
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psnet.ahrq.gov/node/47755/psn-pdf
July 24, 2019 - Animated stories of medical error as a means of teaching
undergraduates patient safety: an evaluation study.
July 24, 2019
Cooper K, Hatfield E, Yeomans J. Animated stories of medical error as a means of teaching
undergraduates patient safety: an evaluation study. Perspect Med Edu. 2019;8(2):118-122.
doi:10.1007/s…
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psnet.ahrq.gov/node/45787/psn-pdf
February 01, 2017 - Infusion medication error reduction by two-person
verification: a quality improvement initiative.
February 1, 2017
Subramanyam R, Mahmoud M, Buck D, et al. Infusion Medication Error Reduction by Two-Person
Verification: A Quality Improvement Initiative. Pediatrics. 2016;138(6).
https://psnet.ahrq.gov/issue/infusio…
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psnet.ahrq.gov/node/40873/psn-pdf
November 26, 2014 - Inappropriate medication in a national sample of US
elderly patients receiving home health care.
November 26, 2014
Bao Y, Shao H, Bishop TF, et al. Inappropriate medication in a national sample of US elderly patients
receiving home health care. J Gen Intern Med. 2012;27(3):304-310. doi:10.1007/s11606-011-1905-4.
h…
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psnet.ahrq.gov/node/867180/psn-pdf
November 20, 2024 - Medical error: using storytelling and reflection to impact
error response factors in family medicine residents.
November 20, 2024
Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response
factors in family medicine residents. J Med Educ Curric Dev. 2024;11:238212…
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psnet.ahrq.gov/node/46550/psn-pdf
November 15, 2017 - "It's the difference between life and death": the views of
professional medical interpreters on their role in the
delivery of safe care to patients with limited English
proficiency.
November 15, 2017
Wu MS, Rawal S. "It's the difference between life and death": The views of professional medical
interpreters on th…
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psnet.ahrq.gov/node/45765/psn-pdf
April 05, 2017 - Clinical reasoning in the context of active decision
support during medication prescribing.
April 5, 2017
Horsky J, Aarts J, Verheul L, et al. Clinical reasoning in the context of active decision support during
medication prescribing. Int J Med Inform. 2017;97:1-11. doi:10.1016/j.ijmedinf.2016.09.004.
https://psne…
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psnet.ahrq.gov/node/50882/psn-pdf
February 12, 2020 - Association of default electronic medical record settings
with health care professional patterns of opioid
prescribing in emergency departments: A randomized
quality improvement study
February 12, 2020
Montoy JCC, Coralic Z, Herring AA, et al. Association of Default Electronic Medical Record Settings With
Health …
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psnet.ahrq.gov/node/843085/psn-pdf
January 25, 2023 - Assessment of the use of patient vital sign data for
preventing misidentification and medical errors.
January 25, 2023
Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and
medical errors. Healthcare (Basel). 2022;10(12):2440. doi:10.3390/healthcare10122440.
https:…
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psnet.ahrq.gov/node/46291/psn-pdf
July 26, 2017 - Experiences with Lean Six Sigma as improvement
strategy to reduce parenteral medication administration
errors and associated potential risk of harm.
July 26, 2017
van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to
reduce parenteral medication administration erro…
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psnet.ahrq.gov/node/36675/psn-pdf
January 18, 2011 - Target-focused medical emergency team training using a
human patient simulator: effects on behaviour and
attitude.
January 18, 2011
Wallin C-J, Meurling L, Hedman L, et al. Target-focused medical emergency team training using a human
patient simulator: effects on behaviour and attitude. Med Educ. 2007;41(2):173-80…
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psnet.ahrq.gov/node/853615/psn-pdf
September 20, 2023 - Are physician assistants able to correctly identify
prescribing errors? A cross-sectional study.
September 20, 2023
Gillette C, Perry CJ, Ferreri SP, et al. Are physician assistants able to correctly identify prescribing errors?
A cross-sectional study. J Physician Assist Educ. 2023;34(3):231-234.
doi:10.1097/jpa.…
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psnet.ahrq.gov/node/46979/psn-pdf
January 01, 2021 - Improving patient safety in public hospitals: developing
standard measures to track medical errors and process
breakdowns.
April 4, 2018
Ackerman SL, Gourley G, Le G, et al. Improving Patient Safety in Public Hospitals: Developing Standard
Measures to Track Medical Errors and Process Breakdowns. J Patient Saf. 202…
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psnet.ahrq.gov/node/60301/psn-pdf
January 01, 2021 - Association of surgical resident wellness with medical
errors and patient outcomes.
May 6, 2020
Hewitt DB, Ellis RJ, Chung JW, et al. Association of surgical resident wellness with medical errors and
patient outcomes. Ann Surg. 2021;274(2):396-402. doi:10.1097/sla.0000000000003909.
https://psnet.ahrq.gov/issue/ass…
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psnet.ahrq.gov/node/35471/psn-pdf
September 21, 2009 - Medication safety in the ambulatory chemotherapy
setting.
September 21, 2009
Gandhi TK, Bartel SB, Shulman LN, et al. Medication safety in the ambulatory chemotherapy setting.
Cancer. 2005;104(11). doi:10.1002/cncr.21442.
https://psnet.ahrq.gov/issue/medication-safety-ambulatory-chemotherapy-setting
Chemotherapeu…