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  1. Point-of-care testing, medical error, and patient safety: a 2007 assessment. | PSNet

    psnet.ahrq.gov/issue/point-care-testing-medical-error-and-patient-safety-2007-assessment
    February 01, 2017 - Review Point-of-care testing, medical error, and patient safety: a 2007 assessment. Citation Text: Ehrmeyer SS, Laessig RH. Point-of-care testing, medical error, and patient safety: a 2007 assessment. Clin Chem Lab Med. 2007;45(6):766-73. Copy Citation Format: Google Scho…

  2. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. | PSNet

    psnet.ahrq.gov/issue/path-safety-benefits-2005-patient-safety-and-quality-improvement-act
    June 03, 2015 - Commentary Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Citation Text: McBride D, Greening A, Redmond D. Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act. Healthc Financ Manage. 2006;60(6):84-8. Copy Citation Form…

  3. National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. | PSNet

    psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
    September 23, 2020 - Study National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. Citation Text: Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851646/psn-pdf
    January 01, 2024 - Burden of serious harms from diagnostic error in the USA. July 28, 2023 Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130. https://psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851459/psn-pdf
    July 19, 2023 - Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. July 19, 2023 Vickers-Smith R, Justice AC, Becker WC, et al. Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Am J Psych. 2023;180(6):426-436. doi:10.1176/appi.ajp.21111097. https://psnet.ahrq.gov/issue/racial-…

  6. Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. | PSNet

    psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures
    July 07, 2010 - Study Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. Citation Text: Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of info…

  7. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-393
    June 28, 2023 - May 31, 2023 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, a…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865590/psn-pdf
    April 17, 2024 - An electronic trigger to detect telemedicine-related diagnostic errors. April 17, 2024 Murphy DR, Kadiyala H, Wei L, et al. An electronic trigger to detect telemedicine-related diagnostic errors. J Telemed Telecare. 2024;Epub Apr 1. doi:10.1177/1357633x241236570. https://psnet.ahrq.gov/issue/electronic-trigger-det…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866814/psn-pdf
    September 25, 2024 - Accuracy of a proprietary large language model in labeling obstetric incident reports. September 25, 2024 Johnson J, Brown C, Lee GM, et al. Accuracy of a proprietary large language model in labeling obstetric incident reports. Jt Comm J Qual Patient Saf. 2024;50(12):877-881. doi:10.1016/j.jcjq.2024.08.001. https:…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866955/psn-pdf
    October 16, 2024 - Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. October 16, 2024 Dalal AK, Plombon S, Konieczny K, et al. Adverse diagnostic events in hospitalised patients: a single- centre, retrospective cohort study. BMJ Qual Saf. 2024;Epub Oct 1. doi:10.1136/bmjqs-2024-017183. …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47899/psn-pdf
    April 24, 2019 - What words convey: the potential for patient narratives to inform quality improvement. April 24, 2019 Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.12374. https://psnet.ahrq.gov/iss…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74213/psn-pdf
    December 22, 2021 - Burnout, engagement, and dental errors among U.S. dentists. December 22, 2021 Yansane A, Tokede O, Walji MF, et al. Burnout, engagement, and dental errors among U.S. dentists. J Patient Saf. 2021;17(8):e1050-e1056. doi:10.1097/pts.0000000000000673. https://psnet.ahrq.gov/issue/burnout-engagement-and-dental-errors-…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849604/psn-pdf
    May 31, 2023 - Reducing errors resulting from commonly missed chest radiography findings. May 31, 2023 Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest. 2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003. https://psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed…

  14. Negligent care and malpractice claiming behavior in Utah and Colorado. | PSNet

    psnet.ahrq.gov/issue/negligent-care-and-malpractice-claiming-behavior-utah-and-colorado
    June 23, 2015 - Study Classic Negligent care and malpractice claiming behavior in Utah and Colorado. Citation Text: Studdert DM, Thomas EJ, Burstin HR, et al. Negligent care and malpractice claiming behavior in Utah and Colorado. Med Care. 2000;38(3):250-60. Copy Citation …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47933/psn-pdf
    August 07, 2019 - Just culture: it's more than policy. August 7, 2019 Paradiso L, Sweeney N. Just culture: It's more than policy. Nurs Manage. 2019;50(6):38-45. doi:10.1097/01.NUMA.0000558482.07815.ae. https://psnet.ahrq.gov/issue/just-culture-its-more-policy This survey study examined the relationship between just culture—a cultur…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36514/psn-pdf
    May 11, 2014 - Medication reconciliation physician order form. May 11, 2014 Lacy JL, Wilkinson ST. Medication Reconciliation Physician Order Form. Hosp Pharm. 2010;41(11):1117- 1119. doi:10.1310/hpj4111-1117. https://psnet.ahrq.gov/issue/medication-reconciliation-physician-order-form The authors discuss background on one hospita…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865970/psn-pdf
    May 29, 2024 - A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data. May 29, 2024 Connolly A, Kirwan M, Matthews A. A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in admin…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47408/psn-pdf
    September 19, 2018 - Ways to Improve Electronic Health Record Safety. September 19, 2018 Philadelphia, PA: Pew Charitable Trusts, American Medical Association, and Medstar Health; 2018. https://psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety Electronic health records both contribute to and detract from safe care. This…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60665/psn-pdf
    July 08, 2020 - Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report. July 8, 2020 Johnson CD, Green BN, Konarski-Hart KK, et al. Response of Practicing Chiropractors during the Early Phase of the COVID-19 Pandemic: A Descriptive Report. J Manipulative Physiol Ther. 2020;43(5):…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41562/psn-pdf
    August 01, 2012 - The Final Check: Say it Out Loud. August 1, 2012 https://psnet.ahrq.gov/issue/final-check-say-it-out-loud This Web site provides resources to help reduce incidence of mislabeled blood specimens based on just culture concepts. https://psnet.ahrq.gov/issue/final-check-say-it-out-loud https://psnet.ahrq.gov/web-mm/ri…
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