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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. 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. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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:/…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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/…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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. …
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35110/psn-pdf
    April 06, 2011 - Medication safety program reduces adverse drug events in a community hospital. April 6, 2011 Cohen MM, Kimmel NL, Benage MK, et al. Medication safety program reduces adverse drug events in a community hospital. Qual Saf Health Care. 2005;14(3):169-74. https://psnet.ahrq.gov/issue/medication-safety-program-reduces-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34741/psn-pdf
    December 19, 2018 - Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. December 19, 2018 Gibson R, Singh JP. Washington DC, LifeLine Press; 2003. https://psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans Written by a program officer at…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37379/psn-pdf
    March 28, 2012 - Identifying modifiable barriers to medication error reporting in the nursing home setting. March 28, 2012 Handler S, Perera S, Olshansky EF, et al. Identifying modifiable barriers to medication error reporting in the nursing home setting. J Am Med Dir Assoc. 2007;8(9):568-74. https://psnet.ahrq.gov/issue/identifyi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42276/psn-pdf
    May 15, 2013 - Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion. May 15, 2013 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; May 6, 2013. https://psnet.ahrq.gov/issue/kadcyla-ado-trastuzumab-emtansine-drug-safety-communication-pot…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40775/psn-pdf
    September 14, 2011 - Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. September 14, 2011   Grissinger M, Dabliz R. Pa Patient Saf Advis 2011 Sep;8(3):85-93. https://psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports- pennsylvania Anal…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37962/psn-pdf
    September 12, 2016 - Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. September 12, 2016 Talsma AN, Bahl V, Campbell D. Exploratory analyses of the "failure to rescue" measure: evaluation through medical record review. J Nurs Care Qual. 2008;23(3):202-210. doi:10.1097/01.NCQ.0000324583…

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