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psnet.ahrq.gov/issue/golden-state-medical-supply-inc-issues-voluntary-nationwide-recall-atenolol-25-mg-tablets-and
June 20, 2018 - Press Release/Announcement
Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets and Clopidogrel 75 mg Tablets Due to a Label Mix-up.
Citation Text:
Golden State Medical Supply, Inc. Issues a Voluntary Nationwide Recall of Atenolol 25 mg Tablets…
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psnet.ahrq.gov/issue/design-and-impact-novel-surgery-specific-second-victim-peer-support-program
March 09, 2022 - Study
Emerging Classic
Design and impact of a novel surgery-specific second victim peer support program.
Citation Text:
El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…
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psnet.ahrq.gov/issue/eliciting-willingness-pay-prevent-hospital-medication-administration-errors-uk-contingent
March 28, 2012 - Study
Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey.
Citation Text:
Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a continge…
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psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
December 23, 2020 - Study
Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST).
Citation Text:
Finney RE, Czinski S, Fjerstad K, et al. Evaluation …
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effectivehealthcare.ahrq.gov/sites/default/files/gibbons.pdf
January 01, 2010 - Gibbons
Slide
1: Social Media
and Health Care
Disparities
M. Chris Gibbons, M.D., M.P.H.
Associate Director
Johns Hopkins Urban Health Institute
Baltimore, MD
Slide
2: Can Social Media
Help Address Health Care
Disparities?
• Are there determinants of disparities…
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psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system-subsequent-hospital
October 20, 2021 - Study
Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis.
Citation Text:
Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national morta…
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psnet.ahrq.gov/issue/use-unit-based-interventions-improve-quality-care-hospitalized-medical-patients-national
November 01, 2023 - Study
Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey.
Citation Text:
O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A Natio…
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psnet.ahrq.gov/issue/disclosure-hospital-adverse-events-and-its-association-patients-ratings-quality-care
December 29, 2014 - Study
Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.
Citation Text:
López L, Weissman JS, Schneider EC, et al. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Arch Intern Me…
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psnet.ahrq.gov/issue/using-human-factors-and-ergonomics-principles-prevent-inpatient-falls
November 09, 2022 - Study
Using human factors and ergonomics principles to prevent inpatient falls.
Citation Text:
Kwok Y-ting, Lam M-sang. Using human factors and ergonomics principles to prevent inpatient falls. BMJ Open Qual. 2022;11(1):e001696. doi:10.1136/bmjoq-2021-001696.
Copy Citation
Format: …
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psnet.ahrq.gov/issue/nature-magnitude-and-reporting-compliance-device-related-events-intravenous-patient
March 20, 2024 - Study
The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database.
Citation Text:
Lawal OD, Mohanty M, Elder H, et al. The nature, magnitude, and reporti…
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psnet.ahrq.gov/issue/prescription-errors-related-use-computerized-provider-order-entry-system-pediatric-patients
November 07, 2018 - Study
Prescription errors related to the use of computerized provider order-entry system for pediatric patients.
Citation Text:
Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Int J Med Inf…
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psnet.ahrq.gov/issue/multispecialty-physician-online-survey-reveals-burnout-related-adverse-event-involvement-may
July 13, 2022 - Study
Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support.
Citation Text:
Gupta K, Rivadeneira NA, Lisker S, et al. Multispecialty physician online survey reveals that burnout related to adverse event involveme…
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psnet.ahrq.gov/issue/lifetime-prevalence-and-correlates-patient-perceived-medical-errors-experienced-us-ambulatory
June 09, 2021 - Study
Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study.
Citation Text:
Sundwall DN, Munger MA, Tak CR, et al. Lifetime prevalence and correlates of patient-perceived medical errors experienced in t…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-196-disposition-comments-immunotherapy-asthma.pdf
March 23, 2018 - Thanks for catching these mistakes. … We
corrected the mistakes and now it reads in
both places "uncontrolled OR poorly
controlled asthma … There are
a number of grammatical mistakes throughout… some are noted
below, but an exhaustive list
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psnet.ahrq.gov/node/33649/psn-pdf
May 01, 2007 - We have produced guidelines on reporting systems so that people
didn't make the mistakes of some of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - Slide 18
SAY:
System design
Humans are fallible and occasionally make mistakes, either through inadvertent
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
July 01, 2023 - Work Together To Improve Outcomes
Say:
System design
Humans are fallible and occasionally make mistakes
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psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - analyses of
wrong site surgeries reveal that most emanate from the OR itself, but it is clear that mistakes
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www.ahrq.gov/sites/default/files/2024-09/linzer-schwartz-report.pdf
January 01, 2024 - directed at evaluating how workplace conditions that exacerbate
physician stress could produce medical mistakes … work control not only will be more satisfied but also will
provide higher-quality care and make fewer mistakes … It is
possible that stressed physicians are more likely to assume that they will make mistakes, … Understanding the interaction of physician and ambulatory
practice in medical mistakes: results from … Understanding the interaction of physician and ambulatory
practice in medical mistakes: results from
-
psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - and families impacted by
the error.21 This practice allows health team members to learn from their mistakes