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psnet.ahrq.gov/issue/handling-anticipated-exceptions-clinical-care-investigating-clinician-use-exit-strategies
March 24, 2019 - Study
Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system.
Citation Text:
Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…
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psnet.ahrq.gov/primer/telehealth-and-patient-safety
July 27, 2022 - Telehealth and Patient Safety.
Citation Text:
O'Malley G, Shaikh U, Marcin JP. Telehealth and Patient Safety.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical-0
October 09, 2019 - Journal Article
Published October 9, 2019
What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Academic Medical Center?
Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. American journal of medical quality : the official journal of the American College of Medical Quality . 20…
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psnet.ahrq.gov/issue/critical-supply
June 16, 2019 - Audiovisual
Critical supply.
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April 3, 2013
View more articles from the same authors.
This news series reports on the drug shor…
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psnet.ahrq.gov/issue/what-drugs-do-you-take-hospitals-seek-collect-better-data-and-prevent-errors
August 17, 2016 - Newspaper/Magazine Article
What drugs do you take? Hospitals seek to collect better data and prevent errors.
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June 13, 2011
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psnet.ahrq.gov/issue/suit-filed-over-virginia-mason-medical-centers-error
July 05, 2006 - Newspaper/Magazine Article
Suit filed over Virginia Mason Medical Center's error.
Citation Text:
Suit filed over Virginia Mason Medical Center's error. Ostrom CM
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psnet.ahrq.gov/issue/extra-dose-safety
June 16, 2019 - Newspaper/Magazine Article
An extra dose of safety.
Citation Text:
An extra dose of safety. Installation of a bar-coding system drives an entire workflow redesign at a non-profit hospital and healthcare network. Health management technology. 2007;28(4):30-2, 34.
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psnet.ahrq.gov/issue/best-medicine-fixing-modern-hospital
February 06, 2008 - Newspaper/Magazine Article
The best medicine for fixing the modern hospital.
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December 12, 2012
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psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations
March 11, 2015 - Book/Report
Physician's Guide to Patient Safety Organizations.
Citation Text:
Physician's Guide to Patient Safety Organizations. Chicago, IL: American Medical Association; 2009.
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psnet.ahrq.gov/issue/medication-related-fda-patient-safety-videos-provided-cooperation-ismp
March 14, 2007 - Audiovisual
Medication-related FDA patient safety videos provided in cooperation with ISMP.
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September 20, 2006
This Web site site provides links to selections…
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psnet.ahrq.gov/node/47120/psn-pdf
July 18, 2018 - Complicated: medical missteps are not inevitable.
July 18, 2018
Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-
1181. doi:10.1377/hlthaff.2017.1550.
https://psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
This commentary provides a clini…
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psnet.ahrq.gov/node/40417/psn-pdf
April 27, 2011 - Medication-Related Adverse Outcomes in U.S. Hospitals
and Emergency Departments, 2008.
April 27, 2011
Lucado J, Paez K, Elixhauser A. HCUP Statistical Brief #109. Rockville, MD: Agency for Healthcare
Research and Quality; April 2011.
https://psnet.ahrq.gov/issue/medication-related-adverse-outcomes-us-hospitals-and…
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psnet.ahrq.gov/node/39817/psn-pdf
March 18, 2011 - Checking it twice: an evaluation of checklists for
detecting medication errors at the bedside using a
chemotherapy model.
March 18, 2011
White RE, Trbovich PL, Easty AC, et al. Checking it twice: an evaluation of checklists for detecting
medication errors at the bedside using a chemotherapy model. Qual Saf Health …
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psnet.ahrq.gov/node/39198/psn-pdf
June 27, 2011 - Potential medical adverse events associated with death: a
forensic pathology perspective.
June 27, 2011
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 Care. 2009;22(1).
doi:10.1093/intqhc/mz…
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psnet.ahrq.gov/node/38413/psn-pdf
November 25, 2009 - Incidence of adverse drug events and medication errors
in intensive care units: a prospective multicenter study.
November 25, 2009
Benkirane RR, Abouqal R, R-Abouqal R, et al. Incidence of adverse drug events and medication errors in
intensive care units: a prospective multicenter study. J Patient Saf. 2009;5(1):16…
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psnet.ahrq.gov/node/39360/psn-pdf
March 17, 2010 - Medical error reduction and tort reform through private
contractually-based quality medicine societies.
March 17, 2010
MacCourt D, Bernstein J. Medical error reduction and tort reform through private, contractually-based
quality medicine societies. Am J Law Med. 2009;35(4):505-61.
https://psnet.ahrq.gov/issue/medi…
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psnet.ahrq.gov/node/47378/psn-pdf
February 22, 2019 - Taking the blame: appropriate responses to medical error.
February 22, 2019
Tigard DW. Taking the blame: appropriate responses to medical error. J Med Ethics. 2019;45(2):101-105.
doi:10.1136/medethics-2017-104687.
https://psnet.ahrq.gov/issue/taking-blame-appropriate-responses-medical-error
Balancing between expli…
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psnet.ahrq.gov/node/38597/psn-pdf
June 12, 2009 - A patient safety curriculum for graduate medical
education: results from a needs assessment of educators
and patient safety experts.
June 12, 2009
Varkey P, Karlapudi S, Rose S, et al. A patient safety curriculum for graduate medical education: results
from a needs assessment of educators and patient safety expert…
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psnet.ahrq.gov/node/48167/psn-pdf
August 28, 2019 - ASHP guidelines on perioperative pharmacy services.
August 28, 2019
Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J
Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073.
https://psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services
Pharm…
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psnet.ahrq.gov/node/34681/psn-pdf
February 09, 2011 - No-fault compensation for medical injuries: the prospect
for error prevention.
February 9, 2011
Studdert DM, Brennan TA. No-Fault Compensation for Medical Injuries. JAMA. 2003;286(2).
doi:10.1001/jama.286.2.217.
https://psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention
The auth…