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  1. A systems approach to error prevention in medicine. | PSNet

    psnet.ahrq.gov/issue/systems-approach-error-prevention-medicine
    February 15, 2017 - Commentary A systems approach to error prevention in medicine. Citation Text: Wieman TJ, Wieman EA. A systems approach to error prevention in medicine. J Surg Oncol. 2004;88(3):115-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  2. Are long physician working hours harmful to patient safety? | PSNet

    psnet.ahrq.gov/issue/are-long-physician-working-hours-harmful-patient-safety
    June 24, 2020 - Review Are long physician working hours harmful to patient safety? Citation Text: Ehara A. Pediatr Int. 2008;50:175-178.   Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  3. Practice makes perfect: planning considerations for medical simulation centers. | PSNet

    psnet.ahrq.gov/issue/practice-makes-perfect-planning-considerations-medical-simulation-centers
    December 08, 2010 - Newspaper/Magazine Article Practice makes perfect: planning considerations for medical simulation centers. Citation Text: Ross K. Practice makes perfect. Planning considerations for medical simulation centers. Health Facilities Management. 2012;25(11):23-28. Copy Citation Format: …

  4. Cultural transformation toward patient safety: one conversation at a time. | PSNet

    psnet.ahrq.gov/issue/cultural-transformation-toward-patient-safety-one-conversation-time
    November 16, 2022 - Commentary Cultural transformation toward patient safety: one conversation at a time. Citation Text: Moore ML, Putman PA. Cultural transformation toward patient safety: one conversation at a time. Nurs Admin Q. 2008;32(2):102-108. doi:10.1097/01.NAQ.0000314538.36865.09. Copy Citation…

  5. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-443
    May 29, 2024 - June 5, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, a…

  6. Psn-Pdf (pdf file)

    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…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49596/psn-pdf
    December 01, 2009 - Round-Trip Service December 1, 2009 McGrath MH. Round-Trip Service. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/round-trip-service The Case A 70-year-old man with a long history of degenerative joint disease was experiencing increased symptoms in his left knee. He was referred by his primary care provid…

  8. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
    October 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case October 2007 Do Not Disturb! Source and Credits This presentation is based on the October 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available online Commentary by: F. Daniel Duffy, MD, University of Oklahoma, and…

  9. Minor mistakes, deadly results. | PSNet

    psnet.ahrq.gov/issue/minor-mistakes-deadly-results
    April 02, 2008 - Newspaper/Magazine Article Minor mistakes, deadly results. Save Save to your library Print Share Facebook Twitter Linkedin Copy URL February 8, 2012 View more articles from the same authors. This magazine article discu…

  10. Teaching but not learning: how medical residency programs handle errors. | PSNet

    psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-programs-handle-errors
    December 18, 2008 - Study Teaching but not learning: how medical residency programs handle errors. Citation Text: Hoff T, Pohl H, Bartfield J. Teaching but not learning: how medical residency programs handle errors. J Organ Behav. 2006;27(7). doi:10.1002/job.395. Copy Citation Format: DOI Go…

  11. Addressing patient safety in rapid response activations for nonhospitalized persons. | PSNet

    psnet.ahrq.gov/issue/addressing-patient-safety-rapid-response-activations-nonhospitalized-persons
    June 18, 2014 - Study Addressing patient safety in rapid response activations for nonhospitalized persons. Citation Text: Lakshminarayana PH, Darby JM, Simmons RL. Addressing Patient Safety in Rapid Response Activations for Nonhospitalized Persons. J Patient Saf. 2017;13(1):14-19. doi:10.1097/PTS.000000…

  12. Mandatory pharmacy residencies: one way to reduce medication errors. | PSNet

    psnet.ahrq.gov/issue/mandatory-pharmacy-residencies-one-way-reduce-medication-errors
    July 23, 2008 - Commentary Mandatory pharmacy residencies: one way to reduce medication errors. Citation Text: Ibrahim RB, Bahgat-Ibrahim L, Reeves D. Mandatory pharmacy residencies: One way to reduce medication errors. Am J Health Syst Pharm. 2010;67(6):477-81. doi:10.2146/ajhp090138. Copy Citation …

  13. A systematic review of patient tracking systems for use in the pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/systematic-review-patient-tracking-systems-use-pediatric-emergency-department
    August 03, 2022 - Review A systematic review of patient tracking systems for use in the pediatric emergency department. Citation Text: Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jem…

  14. Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. | PSNet

    psnet.ahrq.gov/issue/investigating-prevalence-and-causes-prescribing-errors-general-practice-practice-study
    May 24, 2015 - Book/Report Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. Citation Text: Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. Avery T, Barber N, Ghaleb M, et al. London, UK: Gener…

  15. Computer based medication error reporting: insights and implications. | PSNet

    psnet.ahrq.gov/issue/computer-based-medication-error-reporting-insights-and-implications
    August 02, 2010 - Study Computer based medication error reporting: insights and implications. Citation Text: Miller MR, Clark JS, Lehmann CU. Computer based medication error reporting: insights and implications. Qual Saf Health Care. 2006;15(3):208-13. Copy Citation Format: Google Scholar …

  16. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. | PSNet

    psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-medical-office-survey-2022-user-database-report
    June 01, 2022 - Book/Report Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. Citation Text: Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare R…

  17. Prescribing errors resulting in adverse drug events: how can they be prevented? | PSNet

    psnet.ahrq.gov/issue/prescribing-errors-resulting-adverse-drug-events-how-can-they-be-prevented
    May 10, 2023 - Commentary Prescribing errors resulting in adverse drug events: how can they be prevented? Citation Text: Thürmann PA. Prescribing errors resulting in adverse drug events: how can they be prevented? Expert Opin Drug Saf. 2006;5(4):489-93. Copy Citation Format: Google Scho…

  18. Association of physician burnout with suicidal ideation and medical errors. | PSNet

    psnet.ahrq.gov/issue/association-physician-burnout-suicidal-ideation-and-medical-errors
    December 02, 2020 - Study Association of physician burnout with suicidal ideation and medical errors. Citation Text: Menon NK, Shanafelt TD, Sinsky CA, et al. Association of Physician Burnout With Suicidal Ideation and Medical Errors. JAMA Netw Open. 2020;3(12):e2028780. doi:10.1001/jamanetworkopen.2020.287…

  19. Reducing inappropriate polypharmacy: the process of deprescribing. | PSNet

    psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-process-deprescribing
    September 23, 2020 - Commentary Reducing inappropriate polypharmacy: the process of deprescribing. Citation Text: Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324. Copy Citation …

  20. Medication errors in the management of anaphylaxis in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/medication-errors-management-anaphylaxis-pediatric-emergency-department
    April 24, 2018 - Study Medication errors in the management of anaphylaxis in a pediatric emergency department. Citation Text: Benkelfat R, Gouin S, Larose G, et al. Medication errors in the management of anaphylaxis in a pediatric emergency department. J Emerg Med. 2013;45(3):419-425. doi:10.1016/j.jem…
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