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psnet.ahrq.gov/node/35946/psn-pdf
July 26, 2010 - A review of educational philosophies as applied to
radiation safety training at medical institutions.
July 26, 2010
Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at
medical institutions. Health Phys. 2006;90(5 Suppl):S67-72.
https://psnet.ahrq.gov/issue/review…
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psnet.ahrq.gov/node/35698/psn-pdf
July 13, 2010 - Patterns of medical and nursing staff communication in
nursing homes: implications and insights from
complexity science.
July 13, 2010
Colón-Emeric CS, Ammarell N, Bailey D, et al. Patterns of medical and nursing staff communication in
nursing homes: implications and insights from complexity science. Qual Health R…
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psnet.ahrq.gov/node/40571/psn-pdf
February 24, 2012 - The disclosure of unanticipated outcomes of care and
medical errors: what does this mean for
anesthesiologists?
February 24, 2012
Souter KJ, Gallagher TH. The Disclosure of Unanticipated Outcomes of Care and Medical Errors. Anesth
Analg. 2011;114(3):615-621. doi:10.1213/ane.0b013e3182228604.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/35999/psn-pdf
May 09, 2014 - Internally-developed online adverse drug reaction and
medication error reporting systems.
May 9, 2014
Smith KM, Trapskin PJ, Empey PE, et al. Internally-Developed Online Adverse Drug Reaction and
Medication Error Reporting Systems. Hosp Pharm. 2010;41(5):428-436. doi:10.1310/hpj4105-428.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/35325/psn-pdf
July 14, 2009 - A safe haven for nurses to report medication errors?
Clarian and Spectrum Health Systems prove it is
possible!
July 14, 2009
Paparella S. A Safe Haven for Nurses to Report Medication Errors? Clarian and Spectrum Health Systems
Prove It Is Possible!. J Emerg Nurs. 2005;31(4). doi:10.1016/j.jen.2005.04.029.
https:/…
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psnet.ahrq.gov/node/40560/psn-pdf
June 22, 2011 - Medication errors resulting from confusion between
risperidone (Risperdal) and ropinirole (Requip).
June 22, 2011
MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug
Administration; June 13, 2011.
https://psnet.ahrq.gov/issue/medication-errors-resulting-confusion-between-rispe…
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psnet.ahrq.gov/node/33679/psn-pdf
January 01, 2009 - Disclosure of Medical Error
January 1, 2009
Kachalia A. Disclosure of Medical Error. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/disclosure-medical-error
Perspective
Disclosure of medical error is inextricably linked to today's patient safety efforts. Health care experts
advocate that greater discl…
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psnet.ahrq.gov/issue/scaling-pharmacist-led-information-technology-intervention-pincer-reduce-hazardous
December 16, 2020 - Study
Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study.
Citation Text:
Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology interven…
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psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event-diagnosis-or
October 18, 2023 - Review
Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic review.
Citation Text:
Yasrebi-de Kom IAR, Dongelmans DA, de Keizer NF, et al. Electronic health record-based prediction models for in-hospital adverse drug ev…
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psnet.ahrq.gov/issue/prescribing-errors-post-covid-19-patients-prevalence-severity-and-risk-factors-patients
June 29, 2022 - Study
Prescribing errors in post-COVID-19 patients: prevalence, severity, and risk factors in patients visiting a post-COVID-19 outpatient clinic.
Citation Text:
Mahomedradja RF, van den Beukel TO, van den Bos M, et al. Prescribing errors in post - COVID-19 patients: prevalence, severity…
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psnet.ahrq.gov/issue/safety-electronic-prescribing-manifestations-mechanisms-and-rates-system-related-errors
February 15, 2012 - Study
The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals.
Citation Text:
Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and rates…
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psnet.ahrq.gov/issue/exploring-roots-unintended-safety-threats-associated-introduction-hospital-eprescribing
December 21, 2022 - Study
Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study.
Citation Text:
Mozaffar H, Cresswell K, Williams R, et al. Exploring the roots of unintended…
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors
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March 3, 2021
Innovation…
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psnet.ahrq.gov/node/42520/psn-pdf
August 21, 2013 - Validity of Agency for Healthcare Research and Quality
Patient Safety Indicators at an academic medical center.
August 21, 2013
Ramanathan R, Leavell P, Stockslager G, et al. Validity of Agency for Healthcare Research and Quality
Patient Safety Indicators at an academic medical center. Am Surg. 2013;79(6):578-582.
…
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psnet.ahrq.gov/node/36841/psn-pdf
December 31, 2014 - Using medical malpractice closed claims data to reduce
surgical risk and improve patient safety.
December 31, 2014
Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and
improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30.
https://psnet.ahrq.gov/issue/using-medica…
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psnet.ahrq.gov/node/41050/psn-pdf
January 19, 2012 - Association between implementation of an intensivist-led
medical emergency team and mortality.
January 19, 2012
Karvellas CJ, de Souza IAO, Gibney RTN, et al. Association between implementation of an intensivist-led
medical emergency team and mortality. BMJ Qual Saf. 2012;21(2):152-9. doi:10.1136/bmjqs-2011-000393.…
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psnet.ahrq.gov/node/44510/psn-pdf
October 08, 2016 - Wisdom in medicine: what helps physicians after a
medical error?
October 8, 2016
Plews-Ogan M, May NB, Owens J, et al. Wisdom in Medicine. Academic Medicine. 2015;91(2).
doi:10.1097/acm.0000000000000886.
https://psnet.ahrq.gov/issue/wisdom-medicine-what-helps-physicians-after-medical-error
This interview study wi…
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psnet.ahrq.gov/node/41818/psn-pdf
July 02, 2014 - Perspective: a business school view of medical
interprofessional rounds: transforming rounding groups
into rounding teams.
July 2, 2014
Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional
rounds: transforming rounding groups into rounding teams. Acad Med. 2012;87(1…
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psnet.ahrq.gov/node/37497/psn-pdf
February 15, 2011 - Reporting medical errors to improve patient safety: a
survey of physicians in teaching hospitals.
February 15, 2011
Kaldjian LC, Jones EW, Wu BJ, et al. Reporting medical errors to improve patient safety: a survey of
physicians in teaching hospitals. Arch Intern Med. 2008;168(1):40-6. doi:10.1001/archinternmed.2007…
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psnet.ahrq.gov/node/37746/psn-pdf
May 14, 2008 - Reducing preventable medication safety events by
recognizing renal risk.
May 14, 2008
Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal
risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476.2f.
https://psnet.ahrq.gov/issue/red…