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psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
January 11, 2017 - Study
A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers.
Citation Text:
Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause ana…
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psnet.ahrq.gov/issue/physician-burnout-well-being-and-work-unit-safety-grades-relationship-reported-medical-errors
June 01, 2022 - Study
Classic
Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors.
Citation Text:
Tawfik DS, Profit J, Morgenthaler TI, et al. Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reporte…
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psnet.ahrq.gov/issue/video-based-communication-assessment-physician-error-disclosure-skills-crowdsourced-laypeople
August 21, 2024 - Study
Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory.
Citation Text:
White AA, King AM, D’Addario AE, et al. Video-based communicat…
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psnet.ahrq.gov/issue/health-literacy-related-safety-events-qualitative-study-health-literacy-failures-patient
August 24, 2022 - Study
Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events.
Citation Text:
Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. …
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psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning
December 15, 2021 - Study
Use of a structured approach and virtual simulation practice to improve diagnostic reasoning.
Citation Text:
Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…
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psnet.ahrq.gov/issue/diagnostic-accuracy-physician-staffed-emergency-medical-teams-retrospective-observational
December 22, 2021 - Study
Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval.
Citation Text:
Schewe J-C, Kappler J, Dovermann K, et al. Diagnostic accuracy of physician-staffed emergency …
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psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
January 15, 2025 - Study
Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system.
Citation Text:
Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident r…
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psnet.ahrq.gov/node/33560/psn-pdf
June 15, 2024 - Disclosure of Errors
June 15, 2024
Disclosure of Errors. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/disclosure-errors
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed…
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psnet.ahrq.gov/node/37319/psn-pdf
January 05, 2012 - Winning the battle for standardization.
January 5, 2012
Durkee RP, Richard LW. Winning the battle for standardization. The U.S. Army Medical Department
examines the EMR to develop a standardized process for medication reconciliation documentation. Health
Manag Technol. 2007;28(10):34-37.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/36516/psn-pdf
January 07, 2011 - Examining medication errors in a tertiary hospital.
January 7, 2011
Maricle K, Whitehead L, Rhodes M. Examining medication errors in a tertiary hospital. J Nurs Care Qual.
2007;22(1):20-27.
https://psnet.ahrq.gov/issue/examining-medication-errors-tertiary-hospital
The researchers used observational methods to iden…
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psnet.ahrq.gov/node/37691/psn-pdf
April 16, 2008 - Medication errors in a neonatal intensive care unit.
April 16, 2008
Lerner RB de ME, de Carvalho M, Vieira AA, et al. Medication errors in a neonatal intensive care unit. J
Pediatr (Rio J). 2008;84(2):166-70. doi:10.2223/JPED.1757.
https://psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit
A high …
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psnet.ahrq.gov/node/35173/psn-pdf
June 27, 2016 - Medication Safety: A Guide for Health Care Facilities.
June 27, 2016
Manasse HR Jr, Thompson KK. Bethesda, MD: American Society of Health-System Pharmacists; 2005.
ISBN 9781585280896.
https://psnet.ahrq.gov/issue/medication-safety-guide-health-care-facilities
This book provides an in-depth introduction to implemen…
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psnet.ahrq.gov/node/36748/psn-pdf
September 27, 2017 - Medication safety in a psychiatric hospital.
September 27, 2017
Rothschild JM, Mann K, Keohane C, et al. Medication safety in a psychiatric hospital. Gen Hosp Psychiatry.
2007;29(2):156-62.
https://psnet.ahrq.gov/issue/medication-safety-psychiatric-hospital
The authors analyzed the incidence and type of medication…
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psnet.ahrq.gov/node/36216/psn-pdf
August 03, 2012 - Hospital Medication Errors Commonplace.
August 3, 2012
Berwick D; Lassman S; Bates D. National Public Radio. July 28, 2006.
https://psnet.ahrq.gov/issue/hospital-medication-errors-commonplace
This segment features Donald Berwick, David Bates, and other experts discussing the Institute of Medicine
(IOM) report Prev…
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psnet.ahrq.gov/node/41129/psn-pdf
February 08, 2012 - Reducing medical errors and adverse events.
February 8, 2012
Pham JC, Aswani MS, Rosen MA, et al. Reducing medical errors and adverse events. Annu Rev Med.
2012;63:447-63. doi:10.1146/annurev-med-061410-121352.
https://psnet.ahrq.gov/issue/reducing-medical-errors-and-adverse-events
This article provides an overvie…
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psnet.ahrq.gov/node/39901/psn-pdf
January 19, 2011 - Barriers to reporting medication errors: a measurement
equivalence perspective.
January 19, 2011
Etchegaray J, Throckmorton T. Barriers to reporting medication errors: a measurement equivalence
perspective. Qual Saf Health Care. 2010;19(6):e14. doi:10.1136/qshc.2008.031534.
https://psnet.ahrq.gov/issue/barriers-re…
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psnet.ahrq.gov/node/34828/psn-pdf
January 15, 2009 - Profiles in patient safety: medication errors in the
emergency department.
January 15, 2009
Croskerry P, Shapiro MJ, Campbell S, et al. Profiles in patient safety: medication errors in the emergency
department. Acad Emerg Med. 2004;11(3):289-99.
https://psnet.ahrq.gov/issue/profiles-patient-safety-medication-error…
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psnet.ahrq.gov/node/34016/psn-pdf
July 03, 2013 - Profiles in patient safety: authority gradients in medical
error.
July 3, 2013
Cosby K, Croskerry P. Profiles in patient safety: authority gradients in medical error. Acad Emerg Med.
2004;11(12):1341-5.
https://psnet.ahrq.gov/issue/profiles-patient-safety-authority-gradients-medical-error
The authors apply the av…
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psnet.ahrq.gov/node/36972/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR. ISMP medication error report analysis. Hosp Pharm. 2010;42(6):498-499. doi:10.1310/hpj4206-
498.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-14
This monthly selection of medication error reports includes an error averted because …
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psnet.ahrq.gov/node/38516/psn-pdf
April 08, 2009 - Current status of the monitoring of medication practice.
April 8, 2009
Cousins D. Current status of the monitoring of medication practice. Am J Health Syst Pharm. 2009;66(5
Suppl 3):S49-56. doi:10.2146/ajhp080605.
https://psnet.ahrq.gov/issue/current-status-monitoring-medication-practice
Reporting on proceedings f…