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561. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38902/psn-pdf
     November 13, 2009 - nonprescription medications such as cough and cold medications, and dosing errors were frequently reported … steep-increase-domestic-fatal-medication-errors-use-alcohol-andor-street-drugs https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers … https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers

562. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46297/psn-pdf
     March 21, 2018 - The reasons for order cancellation were more accurately reported during provider interviews rather than … in the reasons reported within the CPOE system. … https://psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and

563. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. | PSNet
     psnet.ahrq.gov/issue/disclosure-medical-errors-ethical-considerations-development-facility-policy-and
     August 30, 2017 - , 2018 Unintentional therapeutic errors involving insulin in the ambulatory setting reported … July 19, 2023 Physician specialty differences in unprofessional behaviors observed and reported … July 17, 2024 Therapeutic errors involving diabetes medications reported to United States … October 30, 2024 Pediatric ADHD medication errors reported to United States poison centers

564. Development and implementation of a patient safety program in an academic, urban emergency department. | PSNet
     psnet.ahrq.gov/issue/development-and-implementation-patient-safety-program-academic-urban-emergency-department
     December 12, 2012 - October 3, 2011 Voluntarily reported emergency department errors. … January 20, 2015 Pediatric emergency nurses self-reported medication safety practices … May 24, 2010 Voluntarily reported emergency department errors. … March 2, 2010 The nature and causes of unintended events reported at ten emergency departments

565. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38837/psn-pdf
     June 28, 2011 - detection of adverse events in hospitals using the AHRQ patient safety indicators (PSIs), provider-reported … For instance, only 6.2% of hospitalizations with a PSI also had a provider-reported event, and only … 10.5% of provider-reported events had a PSI.

566. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41461/psn-pdf
     April 05, 2013 - Other notable findings included that 43% reported no change in the quality of care, more than half believed … Not surprisingly, 72% reported increased handoffs, and only interns reported improvements in their quality

567. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39948/psn-pdf
     December 21, 2014 - wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported … wrong-patient procedures in the universal protocol era: analysis of a prospective database of physician self-reported … However, this analysis of WSPEs that were voluntarily reported to a Colorado malpractice insurance company

568. Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency. | PSNet
     psnet.ahrq.gov/issue/development-and-testing-objective-structured-clinical-exam-osce-assess-socio-cultural
     January 15, 2014 - February 19, 2014 Self-reported patient safety competence among new graduates in medicine … August 2, 2012 Undergraduate baccalaureate nursing students' self-reported confidence … December 4, 2015 Self-reported patient safety competence among Canadian medical students … May 28, 2015 Self-reported patient safety competence among Canadian medical students

569. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
     November 21, 2012 - November 21, 2012 Root cause analysis of reported patient falls in ORs in the Veterans … April 25, 2016 Anesthesia adverse events voluntarily reported in the Veterans Health … January 17, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal … January 17, 2019 Root cause analysis of reported patient falls in ORs in the Veterans

570. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet
     psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
     July 16, 2015 - November 21, 2012 Root cause analysis of reported patient falls in ORs in the Veterans … October 24, 2018 Anesthesia adverse events voluntarily reported in the Veterans Health … April 12, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal … wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported

571. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34791/psn-pdf
     March 28, 2005 - TR https://psnet.ahrq.gov/issue/drug-related-hospital-admissions This systematic review summarizes reported … results presented include the type of adverse effects, admissions resulting from noncompliance, and reported

572. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
     psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
     November 01, 2012 - A recent study reported that 33% of medication errors attributed to LASA medications were the result … A 2013 survey was sent to 1516 directors of pharmacy, and they reported that out of 171 responses, 70.8% … reported a delay in treatment, 48.5% reported patients received suboptimal therapies, 15.8% reported … a treatment failure, and 1.2% reported a death related to various drug shortages.( 7 ) In a more recent … that the shortages impacted emergency care, 85% reported effects on anesthesia care, and 5% reported

573. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37742/psn-pdf
     May 07, 2008 - psnet.ahrq.gov/issue/national-survey-safe-practice-epidural-analgesia-obstetric-units Most UK obstetrics units reported … National Patient Safety Agency's guideline for safe administration of epidural analgesia, but many units reported

574. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37337/psn-pdf
     January 02, 2017 - issue/attitudes-toward-medical-device-use-errors-and-prevention-adverse-events This qualitative study reported … attitudes-toward-medical-device-use-errors-and-prevention-adverse-events https://psnet.ahrq.gov/issue/problems-medical-devices-may-be-severely-under-reported

575. Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. | PSNet
     psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
     December 21, 2017 - August 20, 2018 National improvements in resident physician-reported patient safety after … More than algorithms: an analysis of safety events involving ML-enabled medical devices reported … Clinical safety of England's national programme for IT: a retrospective analysis of all reported … Conversation With… Lorri Zipperer, MA November 1, 2015 Preventability of voluntarily reported

576. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. | PSNet
     psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital-unit-types
     April 14, 2011 - Resources From the Same Author(s) To what extent are adverse events found in patient records reported … April 14, 2011 The nature and causes of unintended events reported at 10 internal medicine … February 20, 2013 The nature and causes of unintended events reported at ten emergency … February 22, 2010 The nature and causes of unintended events reported at ten emergency

577. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38272/psn-pdf
     December 10, 2008 - interprofessional-conflict-and-medical-errors-results-national-multi-specialty- survey Residents who reported … experiencing serious conflict with another care provider also reported a higher incidence of committing

578. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42121/psn-pdf
     June 18, 2013 - //psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported … //psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported

579. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41157/psn-pdf
     February 22, 2012 - results-national-neurosurgery-resident-survey-duty-hour-regulations This survey found that 8% of neurosurgery residents reported … being involved in a motor vehicle collision or other life-threatening event and 6% reported having

580. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35943/psn-pdf
     August 02, 2010 - follow-outpatient-test-results-survey-house-staff-practices-and-perceptions This study discovered that nearly 75% of internal medicine residents reported … The authors describe the most commonly reported barriers to timely follow-up (eg, lack of a reminder