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261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38995/psn-pdf
     March 04, 2011 - Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. March 4, 2011 Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. J Am Med Inform Assoc. 2009;16(5):613-…

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845348/psn-pdf
     February 02, 2012 - Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. February 2, 2012 Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Am…

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35300/psn-pdf
     March 04, 2011 - How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. March 4, 2011 Devereaux PJ, Beattie WS, Choi PT-L, et al. How strong is the evidence for the use of perioperative ? blockers in non-cardiac surgery? Sys…

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46505/psn-pdf
     August 20, 2018 - Americans' Experiences With Medical Errors and Views on Patient Safety. August 20, 2018 Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute; 2017. https://psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety Patient perspectives have been shown to identi…

265. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35139/psn-pdf
     February 24, 2011 - Sins of omission. Getting too little medical care may be the greatest threat to patient safety. February 24, 2011 Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91. https://psnet.ahrq.gov/issue/s…

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33737/psn-pdf
     September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce September 1, 2012 Buerhaus P. Preparing for Health Reform: The Federal Government and the Nursing Workforce. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce Per…

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46391/psn-pdf
     February 08, 2018 - Nature of blame in patient safety incident reports: mixed methods analysis of a national database. February 8, 2018 Cooper J, Edwards A, Williams H, et al. Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. Ann Fam Med. 2017;15(5):455-461. doi:10.1370/afm.2123. https…

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41301/psn-pdf
     April 18, 2012 - Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. April 18, 2012 Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organi…

269. Psn-Pdf (pdf file)
     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…

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46201/psn-pdf
     September 27, 2017 - Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. September 27, 2017 Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow- up: Results from a national survey in Denmark. Cancer Epidemiol. 2017;49:38-45…

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35324/psn-pdf
     February 03, 2011 - Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion. February 3, 2011 Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.1025. https://psnet.ahrq.gov/issue/…

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34734/psn-pdf
     March 28, 2005 - The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring. March 28, 2005 Donahedian A. Ann Arbor, MI; Health Administration Press: 1980. ISBN: 9780914904489. https://psnet.ahrq.gov/issue/definition-quality-and-approaches-its-assessment-vol-1-explorations-…

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44178/psn-pdf
     July 03, 2016 - A trigger tool to detect harm in pediatric inpatient settings. July 3, 2016 Stockwell DC, Bisarya H, Classen D, et al. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics. 2015;135(6):1036-42. doi:10.1542/peds.2014-2152. https://psnet.ahrq.gov/issue/trigger-tool-detect-harm-pediatric-inpatien…

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35611/psn-pdf
     June 23, 2010 - Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. June 23, 2010 Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and d…

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41597/psn-pdf
     December 02, 2014 - Medical errors in US pediatric inpatients with chronic conditions. December 2, 2014 Ahuja N, Zhao W, Xiang H. Medical errors in US pediatric inpatients with chronic conditions. Pediatrics. 2012;130(4):e786-e793. doi:10.1542/peds.2011-2555. https://psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic…

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44601/psn-pdf
     February 23, 2018 - Emergency department visits for adverse events related to dietary supplements. February 23, 2018 Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267. https://psnet.ahrq.gov/issue/emergenc…

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35927/psn-pdf
     February 17, 2011 - Claims, errors, and compensation payments in medical malpractice litigation. February 17, 2011 Studdert DM, Mello MM, Gawande AA, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024-33. https://psnet.ahrq.gov/issue/claims-errors-and-compensation-payme…

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38428/psn-pdf
     February 18, 2009 - Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-08-00220. https://psnet.ahrq.gov/issue/adverse-eve…

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47082/psn-pdf
     July 02, 2019 - Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. July 2, 2019 Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking on Reducing Adverse Events in the Emergency Department: The CHARMED Cluster Ra…

280. Diagnostic Errors Case Studies | PSNet
     psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
     August 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Diagnostic Errors Case Studies  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Maria Mirica, PRIDE Group …