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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46302/psn-pdf
    December 22, 2017 - Non–health care facility medication errors resulting in serious medical outcomes. December 22, 2017 Hodges NL, Spiller HA, Casavant MJ, et al. Non-health care facility medication errors resulting in serious medical outcomes. Clin Toxicol (Phila). 2018;56(1):43-50. doi:10.1080/15563650.2017.1337908. https://psnet.a…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41610/psn-pdf
    January 25, 2017 - Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. January 25, 2017 Matlow A, Baker R, Flintoft V, et al. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. CMAJ. 2012;184(13):E709-718. doi:10.1503/cmaj.112153. https://…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40695/psn-pdf
    December 31, 2014 - Factors contributing to an increase in duplicate medication order errors after CPOE implementation. December 31, 2014 Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. 2011;18(6):774-782. doi:10.113…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43771/psn-pdf
    May 01, 2015 - Diagnostic errors were the most common type of error reported.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47285/psn-pdf
    November 19, 2018 - potential-biases-machine-learning-algorithms-using-electronic-health-record- data Machine learning, a type
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46843/psn-pdf
    June 21, 2018 - electronic-health-record-reviews-measure-diagnostic-uncertainty-primary-care Diagnostic error is a type
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41555/psn-pdf
    January 03, 2017 - Home Survey on Patient Safety Culture to assess safety culture in assisted living facilities, another type
  8. 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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42711/psn-pdf
    October 31, 2014 - Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. October 31, 2014 Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety using a human factors approach: an observational study in two inten…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42548/psn-pdf
    December 29, 2014 - What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. December 29, 2014 Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Int J Health Care Qual. 2013;25(5):542-5…
  11. psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting-secondary-data
    November 27, 2013 - Study Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. Citation Text: Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home care setting: a …
  12. psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
    September 16, 2015 - procedure (i.e., CT versus MRI), and incorrect details of how the exam or procedure is performed (i.e., type … If the use, diagnosis, and patient type align with what the CDS has been programmed to identify as appropriate … the intended use of the catheter; this intended use may depend on the disease entity in a specific type … However, it is not clear that a simple successive check of this type would have helped in this case, … This type of successive check might well have identified the error before the adverse event occurred.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37622/psn-pdf
    May 26, 2011 - Notably, the rate of dosing errors—the most common type of pediatric drug error—did not decrease, despite
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44004/psn-pdf
    September 01, 2016 - support within CPOE does have some effect on safe prescribing, the use of computerized warnings of this type
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39528/psn-pdf
    May 19, 2010 - teamwork training programs, namely a lack of high-quality studies and significant variation in the type
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35979/psn-pdf
    September 17, 2010 - They provide a case-type example of their suggested process to illustrate their framework.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40024/psn-pdf
    December 21, 2014 - Gynecologic surgeries emerged as the only type of surgery significantly associated with an increased
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45407/psn-pdf
    September 27, 2016 - Risk factors identified for undertriage included age younger than 3 months, type of medical presenting
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38961/psn-pdf
    September 01, 2016 - An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care. September 1, 2016 Weingart SN, Simchowitz B, Padolsky H, et al. An empirical model to estimate the potential impact of medication safety alerts on patient safety,…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45553/psn-pdf
    October 13, 2018 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. October 13, 2018 Amato MG, Salazar A, Hickman T-TT, et al. Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors. J Am Med Inform Assoc. 2017;24(2):316-322. doi:1…

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