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  1. 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…
  2. 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…
  3. 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…
  4. 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. …
  5. 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:…
  6. 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 …
  7. 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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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 …
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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 …
  20. Psn-Pdf (pdf file)

    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…

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