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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/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/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/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/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/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/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/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/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/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…
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psnet.ahrq.gov/node/35046/psn-pdf
June 22, 2009 - Patient safety: do nursing and medical curricula address
this theme?
June 22, 2009
Wakefield A, Attree M, Braidman I, et al. Patient safety: do nursing and medical curricula address this
theme? Nurse Educ Today. 2005;25(4):333-40.
https://psnet.ahrq.gov/issue/patient-safety-do-nursing-and-medical-curricula-address…
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psnet.ahrq.gov/node/47025/psn-pdf
April 11, 2018 - Chemotherapy medication errors.
April 11, 2018
Weingart SN, Zhang L, Sweeney M, et al. Chemotherapy medication errors. Lancet Oncol.
2018;19(4):e191-e199. doi:10.1016/S1470-2045(18)30094-9.
https://psnet.ahrq.gov/issue/chemotherapy-medication-errors
Chemotherapy errors can result in serious patient harm. This revi…
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psnet.ahrq.gov/node/41815/psn-pdf
July 02, 2014 - Examining the diagnostic justification abilities of fourth-
year medical students.
July 2, 2014
Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students.
Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff.
https://psnet.ahrq.gov/issue/examining-diagnostic…
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psnet.ahrq.gov/node/35758/psn-pdf
July 19, 2010 - Medication errors with the use of allopurinol and
colchicine: a retrospective study of a national,
anonymous Internet-accessible error reporting system.
July 19, 2010
Mikuls TR, Curtis JR, Allison JJ, et al. Medication errors with the use of allopurinol and colchicine: a
retrospective study of a national, anonymou…
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psnet.ahrq.gov/node/40016/psn-pdf
September 26, 2016 - Strategies used by critical care nurses to identify,
interrupt, and correct medical errors.
September 26, 2016
Henneman EA, Gawlinski A, Blank FS, et al. Strategies used by critical care nurses to identify, interrupt,
and correct medical errors. Am J Crit Care. 2010;19(6):500-9. doi:10.4037/ajcc2010167.
https://ps…