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psnet.ahrq.gov/node/40711/psn-pdf
August 24, 2011 - Clinical and safety impact of an inpatient pharmacist-
directed anticoagulation service.
August 24, 2011
Schillig J, Kaatz S, Hudson M, et al. Clinical and safety impact of an inpatient pharmacist-directed
anticoagulation service. J Hosp Med. 2011;6(6):322-8. doi:10.1002/jhm.910.
https://psnet.ahrq.gov/issue/clini…
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psnet.ahrq.gov/node/861761/psn-pdf
January 31, 2024 - Adverse safety events in emergency medical services
care of children with out-of-hospital cardiac arrest.
January 31, 2024
Eriksson CO, Bahr N, Meckler G, et al. Adverse safety events in emergency medical services care of
children with out-of-hospital cardiac arrest. JAMA Netw Open. 2024;7(1):e2351535.
doi:10.1001…
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psnet.ahrq.gov/node/867525/psn-pdf
January 15, 2025 - Teaching nursing students the ethical and legal
consequences of medical errors: insights from the
RaDonda Vaught case using the jigsaw technique.
January 15, 2025
Geiselman EL, Opsahl A, Townsend C. Teaching nursing students the ethical and legal consequences of
medical errors: insights from the RaDonda Vaught cas…
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psnet.ahrq.gov/node/37241/psn-pdf
December 16, 2011 - The impact of safety organizing, trusted leadership, and
care pathways on reported medication errors in hospital
nursing units.
December 16, 2011
Vogus TJ, Sutcliffe K. The impact of safety organizing, trusted leadership, and care pathways on reported
medication errors in hospital nursing units. Med Care. 2007;45(…
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psnet.ahrq.gov/node/844992/psn-pdf
February 22, 2023 - The role of bias in clinical decision-making of people with
serious mental illness and medical co-morbidities: a
scoping review.
February 22, 2023
Crapanzano KA, Deweese S, Pham D, et al. The role of bias in clinical decision-making of people with
serious mental illness and medical co-morbidities: a scoping review…
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psnet.ahrq.gov/node/40254/psn-pdf
September 19, 2016 - Medical error: the second victim.
September 19, 2016
Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ.
2000;320(7237):726-727.
https://psnet.ahrq.gov/issue/medical-error-second-victim
This editorial coined the term "second victim" to describe clinicians who commit error…
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psnet.ahrq.gov/node/36518/psn-pdf
March 28, 2011 - Nurses' attitudes to a medical emergency team service in
a teaching hospital.
March 28, 2011
Jones D, Baldwin I, McIntyre T, et al. Nurses' attitudes to a medical emergency team service in a teaching
hospital. Qual Saf Health Care. 2006;15(6):427-32.
https://psnet.ahrq.gov/issue/nurses-attitudes-medical-emergency-…
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psnet.ahrq.gov/node/46419/psn-pdf
April 12, 2019 - Medical malpractice lawsuits involving surgical residents.
April 12, 2019
Thiels CA, Choudhry AJ, Ray-Zack MD, et al. Medical Malpractice Lawsuits Involving Surgical Residents.
JAMA Surg. 2017;153(1). doi:10.1001/jamasurg.2017.2979.
https://psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-surgical-reside…
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psnet.ahrq.gov/node/45240/psn-pdf
June 15, 2016 - Is technology the best medicine? Three practice
theoretical perspectives on medication administration
technologies in nursing.
June 15, 2016
Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical
perspectives on medication administration technologies in nursing. Nurs Inq. 2…
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psnet.ahrq.gov/node/865812/psn-pdf
May 08, 2024 - The use of artificial intelligence to optimize medication
alerts generated by clinical decision support systems: a
scoping review.
May 8, 2024
Graafsma J, Murphy RM, van de Garde EMW, et al. The use of artificial intelligence to optimize medication
alerts generated by clinical decision support systems: a scoping r…
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psnet.ahrq.gov/node/47343/psn-pdf
April 16, 2019 - Using medicolegal data to support safe medical care: a
contributing factor coding framework.
April 16, 2019
McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A
contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-18. doi:10.1002/jhrm.21348.
https://ps…
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psnet.ahrq.gov/node/37871/psn-pdf
January 06, 2017 - A controlled trial of a rapid response system in an
academic medical center.
January 6, 2017
Rothschild JM, Woolf S, Finn KM, et al. A controlled trial of a rapid response system in an academic
medical center. Jt Comm J Qual Patient Saf. 2008;34(7):417-25, 365.
https://psnet.ahrq.gov/issue/controlled-trial-rapid-r…
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psnet.ahrq.gov/node/863214/psn-pdf
February 28, 2024 - Appropriate use of medical interpreters in the breast
imaging clinic.
February 28, 2024
Feliciano-Rivera YZ, Yepes MM, Sanchez P, et al. Appropriate use of medical interpreters in the breast
imaging clinic. J Breast Imaging. 2024;27(3):296-303. doi:10.1093/jbi/wbad109.
https://psnet.ahrq.gov/issue/appropriate-use-…
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psnet.ahrq.gov/node/41703/psn-pdf
November 08, 2012 - Anatomy of an incident disclosure: the importance of
dialogue.
November 8, 2012
Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient
Saf. 2012;38(10):435-42.
https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
Physician organizations who…
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psnet.ahrq.gov/node/46031/psn-pdf
April 12, 2017 - Chief of Residents for Quality Improvement and Patient
Safety: a recipe for a new role in graduate medical
education.
April 12, 2017
Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A
Recipe for a New Role in Graduate Medical Education. Mil Med. 2017;182(3):e17…
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psnet.ahrq.gov/node/41686/psn-pdf
September 19, 2012 - The association between sepsis and potential medical
injury among hospitalized patients.
September 19, 2012
Liu V, Turk BJ, Rizk NW, et al. The association between sepsis and potential medical injury among
hospitalized patients. Chest. 2012;142(3):606-613. doi:10.1378/chest.11-2556.
https://psnet.ahrq.gov/issue/as…
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psnet.ahrq.gov/node/37655/psn-pdf
September 24, 2010 - Reducing anticoagulant medication adverse events and
avoidable patient harm.
September 24, 2010
Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and
avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200.
https://psnet.ahrq.gov/issue/reducing-anticoagulant…
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psnet.ahrq.gov/node/45701/psn-pdf
December 21, 2016 - Clinical decision support for drug related events: moving
towards better prevention.
December 21, 2016
Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards
better prevention. World J Crit Care Med. 2016;5(4):204-211.
https://psnet.ahrq.gov/issue/clinical-deci…
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psnet.ahrq.gov/node/862612/psn-pdf
February 14, 2024 - Factors influencing witnesses' perception of patient
safety during pre-hospital health care from emergency
medical services: a multi-center cross-sectional study.
February 14, 2024
Péculo-Carrasco J-A, Rodríguez-Ruiz H-J, Puerta-Córdoba A, et al. Factors influencing witnesses’
perception of patient safety during p…
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psnet.ahrq.gov/node/73181/psn-pdf
April 28, 2021 - Critical incidents involving the medical emergency team:
a 5-year retrospective assessment for healthcare
improvement.
April 28, 2021
Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5-
year retrospective assessment for healthcare improvement. Dimens Crit Care …