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My brother's keeper: must a physician disclose another's medical error and potential negligence? | PSNet

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February 01, 2023 - Commentary My brother's keeper: must a physician disclose another's medical error and potential negligence? Citation Text: Liang BA, Smith C by DS. My brother's keeper: must a physician disclose another's medical error and potential negligence? J Clin Anesth. 2007;19(7):558-562. doi:10…

Description of inpatient medication management using cognitive work analysis. | PSNet

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October 19, 2022 - Study Description of inpatient medication management using cognitive work analysis. Citation Text: Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181b…

Tamiflu (oseltamivir) for oral suspension: potential medication errors. | PSNet

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November 07, 2012 - Government Resource Tamiflu (oseltamivir) for oral suspension: potential medication errors. Citation Text: Tamiflu (oseltamivir) for oral suspension: potential medication errors. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 25, 2009. …

Hope modified the association between distress and incidence of self-perceived medical errors among practicing physicians: prospective cohort study. | PSNet

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June 07, 2018 - Study Hope modified the association between distress and incidence of self-perceived medical errors among practicing physicians: prospective cohort study. Citation Text: Hayashino Y, Utsugi-Ozaki M, Feldman MD, et al. Hope modified the association between distress and incidence of self-…

Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations. | PSNet

psnet.ahrq.gov/issue/disclosure-coaching-ask-tell-ask-model-support-clinicians-disclosure-conversations

December 18, 2014 - Commentary Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations. Citation Text: Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1…

Nursing perception of the impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center. | PSNet

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September 27, 2016 - Study Nursing perception of the impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center. Citation Text: Rochais E, Atkinson S, Guilbeault M, et al. Nursing perception of the impact of automated dispensing cabinets on patient safety and er…

Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? | PSNet

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May 18, 2022 - Review Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? Citation Text: Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J Patien…

Medical groups' adoption of electronic health records and information systems. | PSNet

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January 14, 2011 - Study Medical groups' adoption of electronic health records and information systems. Citation Text: Gans DN, Kralewski J, Hammons T, et al. Medical Groups’ Adoption Of Electronic Health Records And Information Systems. Health Aff. 2005;24(5):1323-1333. doi:10.1377/hlthaff.24.5.1323. …

Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. | PSNet

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July 31, 2013 - Study Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Citation Text: Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Arch …

A living will misinterpreted as a DNR order: confusion compromises patient care. | PSNet

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September 11, 2019 - Commentary A living will misinterpreted as a DNR order: confusion compromises patient care. Citation Text: Katsetos AD, Mirarchi FL. A living will misinterpreted as a DNR order: confusion compromises patient care. J Emerg Med. 2011;40(6):629-32. doi:10.1016/j.jemermed.2008.11.014. Co…

Potential medical adverse events associated with death: a forensic pathology perspective. | PSNet

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July 31, 2019 - Study Potential medical adverse events associated with death: a forensic pathology perspective. Citation Text: Sakai K, Takatsu A, Shigeta A, et al. Potential medical adverse events associated with death: a forensic pathology perspective. International Journal for Quality in Health Car…

Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. | PSNet

psnet.ahrq.gov/issue/diagnostic-delays-and-errors-head-and-neck-cancer-patients-opportunities-improvement

March 14, 2022 - Study Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. Citation Text: Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335. do…

Electronic prescribing in pediatrics: toward safer and more effective medication management. | PSNet

psnet.ahrq.gov/issue/electronic-prescribing-pediatrics-toward-safer-and-more-effective-medication-management

October 04, 2011 - Organizational Policy/Guidelines Electronic prescribing in pediatrics: toward safer and more effective medication management. Citation Text: Committee 2011–2012 AA of PC on CITE. Electronic prescribing in pediatrics: toward safer and more effective medication management. Pediatrics. 2…

Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. | PSNet

psnet.ahrq.gov/issue/kadcyla-ado-trastuzumab-emtansine-drug-safety-communication-potential-medication-errors

October 09, 2013 - Press Release/Announcement Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. Citation Text: Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. …

Medical emergency teams: a strategy for improving patient care and nursing work environments. | PSNet

psnet.ahrq.gov/issue/medical-emergency-teams-strategy-improving-patient-care-and-nursing-work-environments

March 24, 2011 - Study Medical emergency teams: a strategy for improving patient care and nursing work environments. Citation Text: Galhotra S, Scholle CC, Dew MA, et al. Medical emergency teams: a strategy for improving patient care and nursing work environments. J Adv Nurs. 2006;55(2):180-7. Copy C…

Another surgeon's error: must you tell the patient? | PSNet

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October 02, 2013 - Commentary Another surgeon's error: must you tell the patient? Citation Text: Moffatt-Bruce SD, Denlinger CE, Sade RM. Another surgeon's error: must you tell the patient? Ann Thorac Surg. 2014;98(2):396-401. doi:10.1016/j.athoracsur.2014.04.073. Copy Citation Format: DOI Go…

The association between EMS workplace safety culture and safety outcomes. | PSNet

psnet.ahrq.gov/issue/association-between-ems-workplace-safety-culture-and-safety-outcomes

November 10, 2010 - Study The association between EMS workplace safety culture and safety outcomes. Citation Text: Weaver MD, Wang HE, Fairbanks RJ, et al. The association between EMS workplace safety culture and safety outcomes. Prehosp Emerg Care. 2012;16(1):43-52. doi:10.3109/10903127.2011.614048. Co…

Disclosure of harmful medical error to patients: a review with recommendations for pathologists. | PSNet

psnet.ahrq.gov/issue/disclosure-harmful-medical-error-patients-review-recommendations-pathologists

September 21, 2022 - Review Disclosure of harmful medical error to patients: a review with recommendations for pathologists. Citation Text: Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/P…

Pediatric medication safety and the media: what does the public see? | PSNet

psnet.ahrq.gov/issue/pediatric-medication-safety-and-media-what-does-public-see

November 25, 2009 - Study Pediatric medication safety and the media: what does the public see? Citation Text: Stebbing C, Kaushal R, Bates DW. Pediatric medication safety and the media: what does the public see? Pediatrics. 2006;117(6):1907-1914. doi:10.1542/peds.2005-2017. Copy Citation Format: …

Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries. | PSNet

psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health-information-systems

January 07, 2015 - Review Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries. Citation Text: Ludwick DA, Doucette J. Adopting electronic medical records in primary care: lessons learned from health information …

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