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psnet.ahrq.gov/issue/analysis-iatrogenic-and-hospital-medication-errors-reported-united-states-poison-centers
November 28, 2018 - Study
Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study.
Citation Text:
Leonard JB, McFadden C, Feemster AA, et al. Analysis of iatrogenic and in-hospital medication errors reported to United States pois…
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psnet.ahrq.gov/issue/paper-and-computer-based-workarounds-electronic-health-record-use-three-benchmark
June 06, 2012 - Study
Paper- and computer-based workarounds to electronic health record use at three benchmark institutions.
Citation Text:
Flanagan ME, Saleem JJ, Millitello LG, et al. Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. J Am Med Inform…
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psnet.ahrq.gov/node/46794/psn-pdf
May 17, 2018 - This pre–post study examined whether a "diagnostic pause," a type of
checklist, could improve outpatient
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psnet.ahrq.gov/node/36407/psn-pdf
April 19, 2011 - Investigators combined 6 months of
prospective observation with retrospective chart review to characterize the type
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psnet.ahrq.gov/node/45148/psn-pdf
April 24, 2018 - This study compared overlapping surgeries with nonoverlapping surgeries of the same type at
a single
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psnet.ahrq.gov/node/41141/psn-pdf
February 15, 2013 - In this framework, safety-related behaviors can be
classified according to the type of error being prevented
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psnet.ahrq.gov/node/40341/psn-pdf
November 30, 2016 - The full report
contains detailed comparative data for various hospital characteristics (type and size
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psnet.ahrq.gov/node/39670/psn-pdf
July 07, 2010 - To date, 28 states maintain some type of
reporting system, primarily tracking never events and health
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psnet.ahrq.gov/node/41898/psn-pdf
December 05, 2012 - This study identifies a previously undocumented type of error in ambulatory care and
describes the need
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psnet.ahrq.gov/node/38639/psn-pdf
May 20, 2009 - False-negative diagnoses were the most common type of error, but
misdiagnosis relating to poor communication
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psnet.ahrq.gov/node/44672/psn-pdf
October 11, 2017 - Identifying patient safety problems associated with
information technology in general practice: an analysis of
incident reports.
October 11, 2017
Magrabi F, Liaw ST, Arachi D, et al. Identifying patient safety problems associated with information
technology in general practice: an analysis of incident reports. BMJ…
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psnet.ahrq.gov/node/44414/psn-pdf
July 01, 2017 - From a reactive to a proactive safety approach. Analysis
of medication errors in chemotherapy using general
failure types.
July 1, 2017
Fyhr A, Ternov S, Ek Å. From a reactive to a proactive safety approach. Analysis of medication errors in
chemotherapy using general failure types. Eur J Cancer Care (Engl). 2017;2…
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psnet.ahrq.gov/node/38309/psn-pdf
December 23, 2016 - Safely implementing health information and converging
technologies.
December 23, 2016
Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4.
https://psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
As health information techno…
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psnet.ahrq.gov/node/45493/psn-pdf
December 07, 2016 - The rising frequency of IT blackouts indicates the
increasing relevance of IT emergency concepts to ensure
patient safety.
December 7, 2016
Sax U, Lipprandt M, Röhrig R. The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of
IT Emergency Concepts to Ensure Patient Safety. Yearb Med Inform. 2016…
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psnet.ahrq.gov/node/43488/psn-pdf
September 10, 2014 - The relationship between hospital systems load and
patient harm.
September 10, 2014
Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient
harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82.
https://psnet.ahrq.gov/issue/relationship-between-hospi…
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psnet.ahrq.gov/node/37462/psn-pdf
January 06, 2017 - Omission errors were the most common error type,
registered nurses and respiratory therapists were most
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psnet.ahrq.gov/node/47199/psn-pdf
October 03, 2018 - Patient safety in palliative care: a mixed-methods study of
reports to a national database of serious incidents.
October 3, 2018
Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to
a national database of serious incidents. Palliat Med. 2018;32(8):1353-1362…
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psnet.ahrq.gov/node/38758/psn-pdf
July 08, 2009 - An international review of patient safety measures in
radiotherapy practice.
July 8, 2009
Shafiq J, Barton M, Noble DJ, et al. An international review of patient safety measures in radiotherapy
practice. Radiother Oncol. 2009;92(1):15-21. doi:10.1016/j.radonc.2009.03.007.
https://psnet.ahrq.gov/issue/international…
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psnet.ahrq.gov/node/36681/psn-pdf
May 31, 2011 - Improving general practice computer systems for patient
safety: qualitative study of key stakeholders.
May 31, 2011
Avery A, Savelyich BSP, Sheikh A, et al. Improving general practice computer systems for patient safety:
qualitative study of key stakeholders. Qual Saf Health Care. 2007;16(1):28-33.
https://psnet.a…
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psnet.ahrq.gov/node/38412/psn-pdf
September 01, 2016 - Overrides of medication alerts in ambulatory care.
September 1, 2016
Isaac T, Weissman JS, Davis RB, et al. Overrides of medication alerts in ambulatory care. Arch Intern Med.
2009;169(3):305-311. doi:10.1001/archinternmed.2008.551.
https://psnet.ahrq.gov/issue/overrides-medication-alerts-ambulatory-care
The safet…