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psnet.ahrq.gov/node/73366/psn-pdf
June 09, 2021 - Medicine self-administration errors in the older adult
population: a systematic review.
June 9, 2021
Aldila F, Walpola RL. Medicine self-administration errors in the older adult population: a systematic review.
Res Social Adm Pharm. 2021;17(11):1877-1886. doi:10.1016/j.sapharm.2021.03.008.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/73107/psn-pdf
April 07, 2021 - Crisis checklists in emergency medicine: another step
forward for cognitive aids.
April 7, 2021
Chen Y-YK, Arriaga AF. Crisis checklists in emergency medicine: another step forward for cognitive aids.
BMJ Qual Saf. 2021;30(9):689-693. doi:10.1136/bmjqs-2021-013203.
https://psnet.ahrq.gov/issue/crisis-checklists-em…
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psnet.ahrq.gov/node/857456/psn-pdf
December 06, 2023 - When mistakes multiply: how inadequate responses to
medical mishaps erode trust in American medicine.
December 6, 2023
Schlesinger M, Grob R. When mistakes multiply: how inadequate responses to medical mishaps erode
trust in American medicine. Hastings Cent Rep. 2023;53(S2):s22-s32. doi:10.1002/hast.1520.
https://…
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psnet.ahrq.gov/node/36025/psn-pdf
March 28, 2011 - Understanding diagnostic errors in medicine: a lesson
from aviation.
March 28, 2011
Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation.
Qual Saf Health Care. 2006;15(3):159-64.
https://psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
T…
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psnet.ahrq.gov/node/48020/psn-pdf
July 17, 2019 - 'I think this medicine actually killed my wife': patient and
family perspectives on shared decision-making to
optimize medications and safety.
July 17, 2019
Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family
perspectives on shared decision-making to optimize …
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psnet.ahrq.gov/node/44874/psn-pdf
July 11, 2017 - Establishing an ambulatory medicine quality and safety
oversight structure: leveraging the fractal model.
July 11, 2017
Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight
Structure: Leveraging the Fractal Model. Acad Med. 2016;91(7):962-6.
doi:10.1097/ACM.0000000…
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psnet.ahrq.gov/issue/education-outcomes-duty-hour-flexibility-trial-internal-medicine
December 12, 2012 - Study
Classic
Education outcomes from a duty-hour flexibility trial in internal medicine.
Citation Text:
Desai SV, Asch DA, Bellini LM, et al. Education Outcomes in a Duty-Hour Flexibility Trial in Internal Medicine. New Engl J Med. 2018;378(16):1494-1508. doi:1…
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psnet.ahrq.gov/issue/getting-wrong-persons-medicine-pharmacy-easy-steps-consumers-can-take-help-eliminate-these
August 07, 2024 - Newspaper/Magazine Article
Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors.
Citation Text:
Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors. ISMP Safe Medici…
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psnet.ahrq.gov/issue/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine
July 18, 2018 - Book/Report
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.
Citation Text:
2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine. Ruoff G, ed. Cambridge, MA: CRICO Strategies; 2012.
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psnet.ahrq.gov/node/39116/psn-pdf
April 30, 2014 - Diagnostic error in medicine: analysis of 583 physician-
reported errors.
April 30, 2014
Schiff G, Hasan O, Kim S, et al. Diagnostic error in medicine: analysis of 583 physician-reported errors.
Arch Intern Med. 2009;169(20):1881-1887. doi:10.1001/archinternmed.2009.333.
https://psnet.ahrq.gov/issue/diagnostic-err…
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psnet.ahrq.gov/node/40578/psn-pdf
July 06, 2011 - Implementing the 2009 Institute of Medicine
recommendations on resident physician work hours,
supervision, and safety.
July 6, 2011
Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on
resident physician work hours, supervision, and safety. Nat Sci Sleep. 2011;3:47-8…
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psnet.ahrq.gov/node/852275/psn-pdf
January 01, 2024 - Improving emergency medicine clinician awareness of
prehospital-administered medications.
August 9, 2023
Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-
administered medications. Prehosp Emerg Care. 2024;28(3):506-512.
doi:10.1080/10903127.2023.2238815.
https://p…
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psnet.ahrq.gov/node/867693/psn-pdf
March 05, 2025 - Leveraging artificial intelligence to reduce diagnostic
errors in emergency medicine: challenges, opportunities,
and future directions.
March 5, 2025
Taylor RA, Sangal RB, Smith ME, et al. Leveraging artificial intelligence to reduce diagnostic errors in
emergency medicine: challenges, opportunities, and future di…
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psnet.ahrq.gov/node/843320/psn-pdf
February 01, 2023 - Society for Maternal-Fetal Medicine Special Statement:
telemedicine in obstetrics-quality and safety
considerations.
February 1, 2023
Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine
in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023…
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psnet.ahrq.gov/node/862155/psn-pdf
February 07, 2024 - Society of Critical Care Medicine Guidelines on
Recognizing and Responding to Clinical Deterioration
Outside the ICU: 2023.
February 7, 2024
Honarmand K, Wax RS, Penoyer D, et al. Society of Critical Care Medicine Guidelines on Recognizing and
Responding to Clinical Deterioration Outside the ICU: 2023. Crit Care M…
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psnet.ahrq.gov/node/72847/psn-pdf
March 17, 2021 - Barriers to accessing nighttime supervisors: a national
survey of internal medicine residents.
March 17, 2021
Catalanotti JS, O’Connor AB, Kisielewski M, et al. Barriers to accessing nighttime supervisors: a national
survey of internal medicine residents. J Gen Intern Med. 2021;36(7):1974-1979. doi:10.1007/s11606-0…
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psnet.ahrq.gov/node/855092/psn-pdf
November 08, 2023 - Using in situ simulation to identify latent safety threats in
emergency medicine: a systematic review.
November 8, 2023
Grace MA, O'Malley R. Using in situ simulation to identify latent safety threats in emergency medicine: a
systematic review. Simul Healthc. 2023;19(4):243-253. doi:10.1097/sih.0000000000000748.
h…
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psnet.ahrq.gov/node/45699/psn-pdf
December 21, 2016 - Towards a new paradigm in laboratory medicine: the five
rights.
December 21, 2016
Plebani M. Towards a new paradigm in laboratory medicine: the five rights. Clin Chem Lab Med.
2016;54(12):1881-1891. doi:10.1515/cclm-2016-0848.
https://psnet.ahrq.gov/issue/towards-new-paradigm-laboratory-medicine-five-rights
Error…
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psnet.ahrq.gov/node/837699/psn-pdf
July 20, 2022 - Influence of a general practice pharmacist on medication
management for patients at risk of medicine-related harm:
a qualitative evaluation.
July 20, 2022
Jordan M, Young-Whitford M, Mullan J, et al. Influence of a general practice pharmacist on medication
management for patients at risk of medicine-related harm: …
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psnet.ahrq.gov/node/46656/psn-pdf
February 07, 2018 - Autopsy interrogation of emergency medicine dispute
cases: how often are clinical diagnoses incorrect?
February 7, 2018
Liu D, Gan R, Zhang W, et al. Autopsy interrogation of emergency medicine dispute cases: how often are
clinical diagnoses incorrect? J Clin Pathol. 2018;71(1):67-71. doi:10.1136/jclinpath-2017-204…