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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37006/psn-pdf
    May 04, 2015 - A proposal to use common ground that exists between the medical and legal professions to promote a culture of safety. May 4, 2015 Pegalis SE, 51 N.Y.L. SCH. L. REV. 1057 (2006-2007). https://psnet.ahrq.gov/issue/proposal-use-common-ground-exists-between-medical-and-legal-professions- promote-culture The author p…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39723/psn-pdf
    February 01, 2011 - Barriers and facilitators to chemotherapy patients' engagement in medical error prevention. February 1, 2011 Schwappach DLB, Wernli M. Barriers and facilitators to chemotherapy patients' engagement in medical error prevention. Ann Oncol. 2011;22(2):424-30. doi:10.1093/annonc/mdq346. https://psnet.ahrq.gov/issue/ba…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49425/psn-pdf
    November 01, 2003 - Misread Label November 1, 2003 Franklin BD. Misread Label. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/misread-label The Case An infant was born with sluggish respirations. During labor the infant’s mother had received meperidine [Demerol, a pain medication], a narcotic with a half-life of 2.5-4.0 hours…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72755/psn-pdf
    February 17, 2021 - Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. February 17, 2021 Shah SN, Amato MG, Garlo KG, et al. Renal medication-related clinical decisio…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34684/psn-pdf
    May 27, 2011 - Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. May 27, 2011 Bates DW, Leape L, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998;280(15):1311-6. https://psne…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46584/psn-pdf
    December 06, 2017 - Alterations in Spanish language interpretation during pediatric critical care family meetings. December 6, 2017 Sinow CS, Corso I, Lorenzo J, et al. Alterations in Spanish Language Interpretation During Pediatric Critical Care Family Meetings. Crit Care Med. 2017;45(11):1915-1921. doi:10.1097/CCM.0000000000002650. …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47153/psn-pdf
    October 12, 2018 - Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. October 12, 2018 Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Support Care Ca…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60934/psn-pdf
    September 23, 2020 - Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. September 23, 2020 Auerbach AD, O'Leary KJ, Greysen SR, et al. Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. J Hosp Med. 2020;15(8):483-488. doi:10.12788/jhm.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855429/psn-pdf
    November 15, 2023 - Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patients: a pragmatic controlled trial. November 15, 2023 O’Leary KJ, Johnson JK, Williams MV, et al. Effect of complementary interventions to redesign care on teamwork and quality for hospitalized medical patie…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39315/psn-pdf
    March 21, 2017 - Risk managers, physicians, and disclosure of harmful medical errors. March 21, 2017 Loren DJ, Garbutt J, Dunagan C, et al. Risk managers, physicians, and disclosure of harmful medical errors. Jt Comm J Qual Patient Saf. 2010;36(3):101-8. https://psnet.ahrq.gov/issue/risk-managers-physicians-and-disclosure-harmful-…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37787/psn-pdf
    May 28, 2008 - Adoption of health information technology for medication safety in US hospitals, 2006. May 28, 2008 Furukawa MF, Raghu TS, Spaulding TJ, et al. Adoption of health information technology for medication safety in U.S. Hospitals, 2006. Health Aff (Millwood). 2008;27(3):865-75. doi:10.1377/hlthaff.27.3.865. https://ps…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844787/psn-pdf
    September 11, 2019 - TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records. September 11, 2019 Mirarchi FL, Juhasz K, Cooney TE, et al. TRIAD XII: Are Patients Aware of and Agree With DNR or POLST Orders in Their Medical Records. J Patient Saf. 2019;15(3):230-237. doi:10.1097/PTS.0000000000000631.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857453/psn-pdf
    December 06, 2023 - Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. December 6, 2023 Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. J Am M…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866646/psn-pdf
    September 04, 2024 - Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. September 4, 2024 Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. doi:10.1136/bmjoq-2024- 002848…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40750/psn-pdf
    September 07, 2011 - Are temporary staff associated with more severe emergency department medication errors? September 7, 2011 Pham JC, Andrawis M, Shore AD, et al. Are temporary staff associated with more severe emergency department medication errors? J Healthc Qual. 2011;33(4):9-18. doi:10.1111/j.1945-1474.2010.00116.x. https://psne…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50751/psn-pdf
    December 18, 2019 - Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation. December 18, 2019 Rozenblum R, Rodriguez-Monguio R, Volk LA, et al. Using a machine learning system to identify and prevent medication prescribing errors: A clinical and cost analysis eva…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44453/psn-pdf
    June 21, 2016 - Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. June 21, 2016 Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Adverse Events: A Collection of Vignettes. Am J Med. 2015;128(12):1322-4.e…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37974/psn-pdf
    March 04, 2011 - The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. March 4, 2011 Encinosa W, Hellinger FJ. The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. Health Serv Res. 2008;43(6):2067-85. doi:10.1111/j.1475-6773.2008.00882.x. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35927/psn-pdf
    February 17, 2011 - Claims, errors, and compensation payments in medical malpractice litigation. February 17, 2011 Studdert DM, Mello MM, Gawande AA, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024-33. https://psnet.ahrq.gov/issue/claims-errors-and-compensation-payme…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42882/psn-pdf
    November 23, 2016 - Structuring patient and family involvement in medical error event disclosure and analysis. November 23, 2016 Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. doi:10.1377/hlthaff.2013.0831. …

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