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psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - Playing Well with Others: "Translocational Research" in Patient Safety
Robert M. Wachter, MD | September 1, 2005
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Citation Text:
Wachter R. Playing Well with Others: "Translocational Research" in…
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psnet.ahrq.gov/node/836976/psn-pdf
April 27, 2022 - Intraosseous Line Extravasation in a Pediatric Trauma
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April 27, 2022
Yoon J, Barnes DK. Intraosseous Line Extravasation in a Pediatric Trauma Patient. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
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January 23, 2019 - Study
Vital signs: trends in emergency department visits for suspected opioid overdoses- United States, July 2016- September 2017.
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Vivolo-Kantor AM, Seth P, Gladden M, et al. Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses - United States,…
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psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error
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Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.202…
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November 13, 2019 - Study
Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review.
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Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note …
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June 14, 2023 - Study
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Cifra CL, Custer JW, Smith CM, et al. Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. Crit Care Med. 2025;53(2):e294-e307. …
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psnet.ahrq.gov/issue/are-interventions-reduce-interruptions-and-errors-during-medication-administration-effective
August 28, 2024 - Review
Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review.
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Raban MZ, Westbrook JI. Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. BMJ …
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March 24, 2021 - Study
US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019.
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Mital R, Lovegrove MC, Moro RN, et al. US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019. Pharmacoepid…
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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.
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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…
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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.
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Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin‐related adverse events due to mix‐up errors: Findings from two nation…
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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.
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Gurwitz JH, Field T, Harrold LR, et al. Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Se…
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psnet.ahrq.gov/issue/initiative-reduce-insulin-related-adverse-drug-events-childrens-hospital
March 24, 2021 - Study
An initiative to reduce insulin-related adverse drug events in a children's hospital.
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Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds…
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psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group
March 06, 2019 - Study
Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study.
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van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective:…
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psnet.ahrq.gov/issue/national-study-links-nurses-physical-and-mental-health-medical-errors-and-perceived-worksite
July 14, 2021 - Study
A national study links nurses' physical and mental health to medical errors and perceived worksite wellness.
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Melnyk BM, Orsolini L, Tan A, et al. A National Study Links Nurses' Physical and Mental Health to Medical Errors and Perceived Worksite Wellness. J Occup Envi…
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psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
December 18, 2019 - Study
Emerging Classic
Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations.
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Härkänen M, Turunen H, Vehviläine…
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psnet.ahrq.gov/issue/identifying-potential-prescribing-safety-indicators-related-mental-health-disorders-and
July 22, 2020 - Review
Identifying potential prescribing safety indicators related to mental health disorders and medications: a systematic review.
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Khawagi WY, Steinke DT, Nguyen J, et al. Identifying potential prescribing safety indicators related to mental health disorders and medicatio…
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psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality
August 10, 2022 - Study
Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study.
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Beerlage-Davids CJ, Ponjee GHM, Vanhommerig JW, et al. Correlation between the number of patient-reported adverse ev…
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psnet.ahrq.gov/issue/framework-evaluating-appropriateness-clinical-decision-support-alerts-and-responses
March 21, 2017 - Study
A framework for evaluating the appropriateness of clinical decision support alerts and responses.
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McCoy AB, Waitman LR, Lewis JB, et al. A framework for evaluating the appropriateness of clinical decision support alerts and responses. J Am Med Inform Assoc. 2012;19…
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psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events
October 21, 2020 - Study
Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events.
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Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…
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May 11, 2022 - Study
Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.
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Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring health…