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psnet.ahrq.gov/node/34792/psn-pdf
January 01, 2011 - Physician knowledge, attitudes, and behavior related to
reporting adverse drug events.
July 10, 2008
Rogers AS, Israel E, Smith CR, et al. Physician Knowledge, Attitudes, and Behavior Related to Reporting
Adverse Drug Events. Arch Intern Med. 2011;148(7):1596-1600.
doi:10.1001/archinte.1988.00380070090021.
https:…
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psnet.ahrq.gov/node/36003/psn-pdf
March 28, 2011 - The "To Err Is Human Report" and the patient safety
literature.
March 28, 2011
Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature.
Qual Saf Health Care. 2006;15(3):174-8.
https://psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature
This study …
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psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - A National Trauma Care System: Integrating Military and
Civilian Trauma Systems to Achieve Zero Preventable
Deaths After Injury.
October 21, 2016
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press;
2016.
https://psnet.ahrq.gov/issue/national-trauma-care-system-inte…
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psnet.ahrq.gov/node/39512/psn-pdf
June 11, 2010 - An intervention to decrease patient identification band
errors in a children's hospital.
June 11, 2010
Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a
children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qshc.2008.030288.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/36154/psn-pdf
September 29, 2010 - Harmful medication errors in children: a 5-year analysis of
data from the USP's MEDMARX(R) program.
September 29, 2010
Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from
the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8.
https://psnet.ahrq.gov/issue/har…
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psnet.ahrq.gov/node/866580/psn-pdf
August 28, 2024 - The lingering safety menace: a 10-year review of enteral
misconnection adverse events and narrative review.
August 28, 2024
Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10?year review of enteral
misconnection adverse events and narrative review. Nutr Clin Prac. 2024;39(5):1251-1258.
doi:1…
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psnet.ahrq.gov/node/47118/psn-pdf
August 08, 2018 - Wrong-site nerve blocks: a systematic literature review to
guide principles for prevention.
August 8, 2018
Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide
principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.1016/j.jclinane.2017.12.008.
https:/…
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psnet.ahrq.gov/node/36486/psn-pdf
June 13, 2011 - Design and implementation of an application and
associated services to support interdisciplinary
medication reconciliation efforts at an integrated
healthcare delivery network.
June 13, 2011
Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and Associated
Services to Support Inte…
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psnet.ahrq.gov/node/72579/psn-pdf
January 01, 2021 - Registration errors among patients receiving blood
transfusions: a national analysis from 2008 to 2017.
December 16, 2020
Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a
national analysis from 2008 to 2017. Vox Sang. 2021;116(2):225-233. doi:10.1111/vox.13…
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psnet.ahrq.gov/node/864854/psn-pdf
March 20, 2024 - Mortality and risk factors associated with misdiagnosis of
acute aortic syndrome in Ontario, Canada: a population-
based study.
March 20, 2024
Ohle R, Savage DW, Caswell J, et al. Mortality and risk factors associated with misdiagnosis of acute aortic
syndrome in Ontario, Canada: a population-based study. Emerg Me…
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psnet.ahrq.gov/node/850346/psn-pdf
June 14, 2023 - The good, the bad, and the ugly: operative staff
perspectives of surgeon coping with intraoperative
errors.
June 14, 2023
D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of
surgeon coping with intraoperative errors. Surgery. 2023;174(2):222-228. doi:10.1016/j…
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psnet.ahrq.gov/node/44552/psn-pdf
June 21, 2016 - Reducing diagnostic errors—why now?
June 21, 2016
Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-
2493. doi:10.1056/NEJMp1508044.
https://psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
Diagnostic error has recently garnered attention as a patient safety pr…
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psnet.ahrq.gov/node/37849/psn-pdf
March 23, 2011 - The incidence and nature of in-hospital adverse events: a
systematic review.
March 23, 2011
de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse
events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.2007.023622.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/46134/psn-pdf
September 24, 2017 - Sources of unsafe primary care for older adults: a mixed-
methods analysis of patient safety incident reports.
September 24, 2017
Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods
analysis of patient safety incident reports. Age Ageing. 2017;46(5):833-839. doi:…
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psnet.ahrq.gov/node/72743/psn-pdf
February 17, 2021 - Preventable medication harm across health care settings:
a systematic review and meta-analysis.
February 17, 2021
Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a
systematic review and meta-analysis. BMC Med. 2020;18(1):313. doi:10.1186/s12916-020-01774-9.
https:…
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psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
January 25, 2017 - April 12, 2011
Managing the adverse event occurring during elective, ambulatory pediatric
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psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted
July 13, 2016 - June 30, 2021
Analysis of risk factors for patient safety events occurring in the emergency
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psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
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