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psnet.ahrq.gov/node/866854/psn-pdf
January 01, 2025 - Charting diagnostic safety: exploring patient-provider
discordance in medical record documentation.
October 2, 2024
Giardina TD, Vaghani V, Upadhyay DK, et al. Charting diagnostic safety: exploring patient-provider
discordance in medical record documentation. J Gen Intern Med. 2025;40(4):773-781. doi:10.1007/s11606…
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psnet.ahrq.gov/node/836719/psn-pdf
March 09, 2022 - Prevalence and factors associated with patient-requested
corrections to the medical record through use of a patient
portal: findings from a national survey.
March 9, 2022
Nguyen OT, Hong Y-R, Alishahi Tabriz A, et al. Prevalence and factors associated with patient-requested
corrections to the medical record throug…
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psnet.ahrq.gov/node/39252/psn-pdf
August 08, 2010 - Where errors occur in the preparation and administration
of intravenous medicines: a systematic review and
Bayesian analysis.
August 8, 2010
McDowell SE, Mt-Isa S, Ashby D, et al. Where errors occur in the preparation and administration of
intravenous medicines: a systematic review and Bayesian analysis. Qual Saf …
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - The Unfamiliar Catheter
Citation Text:
Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Algorithm-Based Decision Support System Guides
Trauma Staff During Initial Treatment, Leading to Fewer
Medical Errors
Originally published on March 3, 2021
Last updated on March 16, 2021
https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-
initial-treatment
Summar…
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psnet.ahrq.gov/node/841139/psn-pdf
December 14, 2022 - Open wider: Failure to use an interpreter results in
fractured teeth and hypoxia during a simple elective
operation.
December 14, 2022
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia
during a simple elective operation. PSNet [internet]. 2022.
https://psnet.ah…
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psnet.ahrq.gov/node/34785/psn-pdf
February 18, 2011 - Diseases of medical progress.
February 18, 2011
MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14.
https://psnet.ahrq.gov/issue/diseases-medical-progress
This review shares a perspective that the history of medicine provides numerous examples of how
emerging illnesses develop from sound the…
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psnet.ahrq.gov/node/35654/psn-pdf
June 14, 2011 - Medical error and human factors engineering: where are
we now?
June 14, 2011
Gawron VJ, Drury CG, Fairbanks RJ, et al. Medical error and human factors engineering: where are we
now? Am J Med Qual. 2006;21(1):57-67.
https://psnet.ahrq.gov/issue/medical-error-and-human-factors-engineering-where-are-we-now
The autho…
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psnet.ahrq.gov/node/39663/psn-pdf
June 09, 2011 - Value of human factors to medication and patient safety
in the intensive care unit.
June 9, 2011
Scanlon M, Karsh B-T. Value of human factors to medication and patient safety in the intensive care unit.
Crit Care Med. 2010;38. doi:10.1097/ccm.0b013e3181dd8de2.
https://psnet.ahrq.gov/issue/value-human-factors-medic…
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psnet.ahrq.gov/node/36264/psn-pdf
October 21, 2010 - The importance of establishing regimen concordance in
preventing medication errors in anticoagulant care.
October 21, 2010
Schillinger D, Wang F, Rodriguez M, et al. The importance of establishing regimen concordance in
preventing medication errors in anticoagulant care. J Health Commun. 2006;11(6):555-67.
https:/…
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psnet.ahrq.gov/node/38785/psn-pdf
September 02, 2009 - An ethnographic study of classifying and accounting for
risk at the sharp end of medical wards.
September 2, 2009
Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk
at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362-9. doi:10.1016/j.socscimed.2009.…
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psnet.ahrq.gov/node/43293/psn-pdf
June 25, 2014 - Health-care providers want patients to read medical
records, spot errors.
June 25, 2014
Landro L. Wall Street Journal. June 9, 2014.
https://psnet.ahrq.gov/issue/health-care-providers-want-patients-read-medical-records-spot-errors
As they become more prevalent, electronic medical records (EMRs) are being used to i…
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psnet.ahrq.gov/node/41707/psn-pdf
November 26, 2014 - Electronic medical record availability and primary care
depression treatment.
November 26, 2014
Harman JS, Rost KM, Harle CA, et al. Electronic medical record availability and primary care depression
treatment. J Gen Intern Med. 2012;27(8):962-7. doi:10.1007/s11606-012-2001-0.
https://psnet.ahrq.gov/issue/electron…
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psnet.ahrq.gov/node/39472/psn-pdf
April 21, 2010 - Characteristics of medical professional liability claims in
patients with cardiovascular diseases.
April 21, 2010
Oetgen WJ, Parikh D, Cacchione JG, et al. Characteristics of medical professional liability claims in
patients with cardiovascular diseases. Am J Cardiol. 2010;105(5):745-52.
doi:10.1016/j.amjcard.2009…
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psnet.ahrq.gov/node/61052/psn-pdf
April 01, 2019 - Inadvertent Administration of an Oral Liquid Medicine into
a Vein.
April 1, 2019
Farnborough, UK; Healthcare Safety Investigation Branch: April 2019.
https://psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
Wrong route medication administration is a never event. This report examined the co…
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psnet.ahrq.gov/node/42025/psn-pdf
February 06, 2013 - Medical malpractice: why is it so hard for doctors to
apologize?
February 6, 2013
Sanghavi D.
https://psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
Discussing barriers to physician error disclosure, this article details how an apology-and-offer approach and
analyzing claims data can im…
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psnet.ahrq.gov/node/41668/psn-pdf
December 21, 2014 - A surgical simulation curriculum for senior medical
students based on TeamSTEPPS.
December 21, 2014
Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students
based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/41013/psn-pdf
January 01, 2012 - Patient safety in emergency medical services: a
systematic review of the literature.
December 21, 2011
Bigham BL, Buick JE, Brooks SC, et al. Patient safety in emergency medical services: a systematic review
of the literature. Prehosp Emerg Care. 2012;16(1):20-35. doi:10.3109/10903127.2011.621045.
https://psnet.ah…
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psnet.ahrq.gov/node/39899/psn-pdf
October 06, 2010 - Comparison of the clinical diagnosis and subsequent
autopsy findings in medical malpractice.
October 6, 2010
Pakis I, Polat O, Yayci N, et al. Comparison of the clinical diagnosis and subsequent autopsy findings in
medical malpractice. Am J Forensic Med Pathol. 2010;31(3):218-21. doi:10.1097/PAF.0b013e3181e040d4.
…
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psnet.ahrq.gov/node/35725/psn-pdf
July 14, 2010 - Characteristics of medication errors made by students
during the administration phase: a descriptive study.
July 14, 2010
Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the
administration phase: a descriptive study. J Prof Nurs. 2006;22(1):39-51.
https://psnet.ahrq.gov…