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psnet.ahrq.gov/node/48135/psn-pdf
August 28, 2019 - What causes prescribing errors in children? Scoping
review.
August 28, 2019
Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ
Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680.
https://psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-rev…
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psnet.ahrq.gov/node/35282/psn-pdf
May 27, 2011 - Comprehensive analysis of a medication dosing error
related to CPOE.
May 27, 2011
Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to
CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740.
https://psnet.ahrq.gov/issue/comprehensive-analysis-medication-d…
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psnet.ahrq.gov/node/47386/psn-pdf
September 19, 2018 - Active-shooter response at a health care facility.
September 19, 2018
Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med.
2018;379(6):583-586. doi:10.1056/NEJMms1800582.
https://psnet.ahrq.gov/issue/active-shooter-response-health-care-facility
Physical and verbal…
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psnet.ahrq.gov/node/35803/psn-pdf
January 02, 2017 - Operating manual-based usability evaluation of medical
devices: an effective patient safety screening method.
January 2, 2017
Turley JP, Johnson TR, Smith DP, et al. Operating manual-based usability evaluation of medical devices:
an effective patient safety screening method. Jt Comm J Qual Patient Saf. 2006;32(4):2…
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psnet.ahrq.gov/node/34637/psn-pdf
March 02, 2011 - Risk management: extreme honesty may be the best
policy.
March 2, 2011
Kraman SS, Hamm G. Risk management: extreme honesty may be the best policy. Ann Intern Med.
1999;131(12):963-967.
https://psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
This article reviews a humanistic risk management…
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psnet.ahrq.gov/node/48041/psn-pdf
July 10, 2019 - Accuracy of computer-aided diagnosis of melanoma: a
meta-analysis.
July 10, 2019
Dick V, Sinz C, Mittlböck M, et al. Accuracy of Computer-Aided Diagnosis of Melanoma. JAMA Dermatol.
2019;155(11):1291-1299. doi:10.1001/jamadermatol.2019.1375.
https://psnet.ahrq.gov/issue/accuracy-computer-aided-diagnosis-melanoma-m…
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psnet.ahrq.gov/node/46167/psn-pdf
June 07, 2017 - Identifying patients with sepsis on the hospital wards.
June 7, 2017
Bhattacharjee P, Edelson DP, Churpek MM. Identifying Patients With Sepsis on the Hospital Wards. Chest.
2016;151(4). doi:10.1016/j.chest.2016.06.020.
https://psnet.ahrq.gov/issue/identifying-patients-sepsis-hospital-wards
Undiagnosed sepsis can l…
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psnet.ahrq.gov/node/47749/psn-pdf
June 19, 2019 - A simulation-based approach to training in heuristic
clinical decision-making.
June 19, 2019
Altabbaa G, Raven AD, Laberge J. A simulation-based approach to training in heuristic clinical decision-
making. Diagnosis (Berl). 2019;6(2):91-99. doi:10.1515/dx-2018-0084.
https://psnet.ahrq.gov/issue/simulation-based-ap…
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psnet.ahrq.gov/node/46885/psn-pdf
March 20, 2018 - Opioid prescribing patterns and complications in the
dermatology Medicare population.
March 20, 2018
Cao S, Karmouta R, Li DG, et al. Opioid Prescribing Patterns and Complications in the Dermatology
Medicare Population. JAMA Dermatol. 2018;154(3):317-322. doi:10.1001/jamadermatol.2017.5835.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/39265/psn-pdf
February 03, 2010 - Intensive care unit alarms—how many do we need?
February 3, 2010
Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med.
2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888.
https://psnet.ahrq.gov/issue/intensive-care-unit-alarms-how-many-do-we-need
This study found that …
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psnet.ahrq.gov/node/45526/psn-pdf
January 01, 2019 - Improving incident reporting among physician trainees.
September 28, 2016
Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient
Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325.
https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train…
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psnet.ahrq.gov/node/38036/psn-pdf
January 02, 2017 - Debriefing medical teams: 12 evidence-based best
practices and tips.
January 2, 2017
Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt
Comm J Qual Patient Saf. 2008;34(9):518-527.
https://psnet.ahrq.gov/issue/debriefing-medical-teams-12-evidence-based-best-pr…
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psnet.ahrq.gov/node/34805/psn-pdf
November 07, 2017 - Medication errors in neonatal and paediatric intensive-
care units.
November 7, 2017
Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units.
Lancet. 1989;2(8659):374-6.
https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
Th…
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psnet.ahrq.gov/node/46059/psn-pdf
July 11, 2017 - Pathologists' perspectives on disclosing harmful
pathology error.
July 11, 2017
Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology
Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA.
https://psnet.ahrq.gov/issue/pathologists-perspectives…
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psnet.ahrq.gov/node/36012/psn-pdf
September 24, 2010 - The impact of nursing work environments on patient
safety outcomes: the mediating role of burnout
engagement.
September 24, 2010
Spence Laschinger HK, Leiter MP. The impact of nursing work environments on patient safety outcomes:
the mediating role of burnout/engagement. J Nurs Adm. 2006;36(5):259-267. doi:10.1097…
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psnet.ahrq.gov/node/35175/psn-pdf
June 23, 2009 - Overnight and postcall errors in medication orders.
June 23, 2009
Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med.
2005;12(7):629-34.
https://psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
This study examined the incidence of prescribing errors…
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psnet.ahrq.gov/node/39498/psn-pdf
February 10, 2015 - The effect of health information technology on quality in
U.S. hospitals.
February 10, 2015
McCullough JS, Casey M, Moscovice I, et al. The effect of health information technology on quality in U.S.
hospitals. Health Aff (Millwood). 2010;29(4):647-654. doi:10.1377/hlthaff.2010.0155.
https://psnet.ahrq.gov/issue/ef…
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psnet.ahrq.gov/node/35339/psn-pdf
April 23, 2014 - Disclosing harmful medical errors to patients: a time for
professional action.
April 23, 2014
Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16).
doi:10.1001/archinte.165.16.1819.
https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…
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psnet.ahrq.gov/node/47404/psn-pdf
September 12, 2018 - The gap in electronic drug information resources: a
systematic review.
September 12, 2018
Rambaran KA, Huynh HA, Zhang Z, et al. The Gap in Electronic Drug Information Resources: A Systematic
Review. Cureus. 2018;10(6):e2860. doi:10.7759/cureus.2860.
https://psnet.ahrq.gov/issue/gap-electronic-drug-information-res…
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psnet.ahrq.gov/node/36198/psn-pdf
March 28, 2011 - Using human error theory to explore the supply of non-
prescription medicines from community pharmacies.
March 28, 2011
Watson MC, Bond CM, Johnston M, et al. Using human error theory to explore the supply of non-
prescription medicines from community pharmacies. Qual Saf Health Care. 2006;15(4):244-50.
https://ps…