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7821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45356/psn-pdf
      May 09, 2017 - Screening for medication errors using an outlier detection system. May 9, 2017 Schiff G, Volk LA, Volodarskaya M, et al. Screening for medication errors using an outlier detection system. J Am Med Inform Assoc. 2017;24(2):281-287. doi:10.1093/jamia/ocw171. https://psnet.ahrq.gov/issue/screening-medication-errors-u…

7822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43016/psn-pdf
      May 28, 2014 - Identification of serious and reportable events in home care: a Delphi survey to develop consensus. May 28, 2014 Doran DM, Baker R, Szabo C, et al. Identification of serious and reportable events in home care: a Delphi survey to develop consensus. Int J Health Care Qual. 2014;26(2):136-143. doi:10.1093/intqhc/mzu00…

7823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43207/psn-pdf
      April 25, 2016 - Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. April 25, 2016 Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2014;40(6):253-62. https://…

7824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40640/psn-pdf
      December 01, 2011 - Safety hazards in cancer care: findings using three different methods. December 1, 2011 Lipczak H, Knudsen JL, Nissen A. Safety hazards in cancer care: findings using three different methods. BMJ Qual Saf. 2011;20(12):1052-6. doi:10.1136/bmjqs.2010.050856. https://psnet.ahrq.gov/issue/safety-hazards-cancer-care-fi…

7825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43617/psn-pdf
      September 24, 2016 - Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? September 24, 2016 Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.acra.2014.08.001. https://psne…

7826. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44112/psn-pdf
      November 03, 2015 - Unexpected death within 72 hours of emergency department visit: were those deaths preventable? November 3, 2015 Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s13054-015-0877-x. https://psnet…

7827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44064/psn-pdf
      November 03, 2015 - The July effect: an analysis of never events in the nationwide inpatient sample. November 3, 2015 Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:10.1002/jhm.2352. https://psnet.ahrq.gov/issue/july-effect-analysi…

7828. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38401/psn-pdf
      February 18, 2011 - Trends in primary care clinician perceptions of a new electronic health record. February 18, 2011 El-Kareh R, Gandhi TK, Poon EG, et al. Trends in primary care clinician perceptions of a new electronic health record. J Gen Intern Med. 2009;24(4):464-8. doi:10.1007/s11606-009-0906-z. https://psnet.ahrq.gov/issue/tr…

7829. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41481/psn-pdf
      September 26, 2012 - Impact of online education on intern behaviour around Joint Commission national patient safety goals: a randomised trial. September 26, 2012 Shaw T, Pernar LI, Peyre S, et al. Impact of online education on intern behaviour around joint commission national patient safety goals: a randomised trial. BMJ Qual Saf. 201…

7830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44031/psn-pdf
      November 03, 2015 - Diagnostic concordance among pathologists interpreting breast biopsy specimens. November 3, 2015 Elmore JG, Longton GM, Carney PA, et al. Diagnostic concordance among pathologists interpreting breast biopsy specimens. JAMA. 2015;313(11):1122-1132. doi:10.1001/jama.2015.1405. https://psnet.ahrq.gov/issue/diagnostic…

7831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41133/psn-pdf
      December 29, 2014 - Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology diagnoses. December 29, 2014 Aldrich R, Finlayson P, Hill K, et al. Look back and talk openly: responding to and communicating about the risk of large-scale error in pathology diagnoses. Int J Qual Health Ca…

7832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41816/psn-pdf
      September 26, 2016 - Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. September 26, 2016 Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. BMJ Qual Saf. 2012;…

7833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47401/psn-pdf
      January 01, 2019 - We want to know: patient comfort speaking up about breakdowns in care and patient experience. October 17, 2018 Fisher K, Smith KM, Gallagher TH, et al. We want to know: patient comfort speaking up about breakdowns in care and patient experience. BMJ Qual Saf. 2019;28(3):190-197. doi:10.1136/bmjqs-2018-008159. http…

7834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46337/psn-pdf
      August 30, 2017 - Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. August 30, 2017 Bsharat S, Drach-Zahavy A. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. J Adv Nurs…

7835. Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability
      October 19, 2022 - Study Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. Citation Text: Lockery JE, Collyer TA, Woods RL, et al. Potentially inappropriate medication use is associated with increased risk of incident disability in he…

7836. Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. | PSNet
      psnet.ahrq.gov/issue/clinical-supervision-general-practice-training-interweaving-supervisor-trainee-and-patient
      October 13, 2021 - Study Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. Citation Text: Sturman N, Parker M, Jorm C. Clinical supervision in general practice training: the interw…

7837. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. | PSNet
      psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based
      June 15, 2011 - Study Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. Citation Text: Pierson S, Hansen RA, Greene SB, et al. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error…

7838. The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/burden-and-risk-factors-adverse-drug-events-older-patients-prospective-cross-sectional-study
      May 20, 2020 - Study The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. Citation Text: Tipping B, Kalula S, Badri M. The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study. S Afr Med J. 2006;9…

7839. Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. | PSNet
      psnet.ahrq.gov/issue/outpatient-insulin-related-adverse-events-due-mix-errors-findings-two-national-surveillance
      March 10, 2021 - Study Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. Citation Text: Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin‐related adverse events due to mix‐up errors: Findings from two nation…

7840. Incidence and preventability of adverse drug events among older persons in the ambulatory setting. | PSNet
      psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-among-older-persons-ambulatory-setting
      March 11, 2011 - Study Classic Incidence and preventability of adverse drug events among older persons in the ambulatory setting. Citation Text: Gurwitz JH, Field T, Harrold LR, et al. Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Se…