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psnet.ahrq.gov/node/40299/psn-pdf
April 16, 2018 - Medication errors in the emergency department: need for
pharmacy involvement?
April 16, 2018
https://psnet.ahrq.gov/issue/medication-errors-emergency-department-need-pharmacy-involvement
This piece reports on the prevalence of medication errors in the emergency department and suggests
expanding pharmacy involvemen…
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psnet.ahrq.gov/node/39174/psn-pdf
December 16, 2009 - Involvement of parents in critical incidents in a neonatal-
paediatric intensive care unit.
December 16, 2009
Frey B, Ersch J, Bernet V, et al. Involvement of parents in critical incidents in a neonatal-paediatric
intensive care unit. Qual Saf Health Care. 2009;18(6):446-9. doi:10.1136/qshc.2007.025023.
https://ps…
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psnet.ahrq.gov/node/36001/psn-pdf
June 07, 2006 - USP drug safety review: medication errors involving
NMBAs.
June 7, 2006
Santell JP. Drug Topics. May 22, 2006.
https://psnet.ahrq.gov/issue/usp-drug-safety-review-medication-errors-involving-nmbas
This article reports on errors involving neuromuscular blocking agents (NMBAs) that were reported to
Medmarx datab…
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psnet.ahrq.gov/node/36123/psn-pdf
January 05, 2017 - Medication errors involving neuromuscular blocking
agents.
January 5, 2017
Santell JP. Medication errors involving neuromuscular blocking agents. Jt Comm J Qual Patient Saf.
2006;32(8):470-5, 417.
https://psnet.ahrq.gov/issue/medication-errors-involving-neuromuscular-blocking-agents
The author analyzes error data…
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psnet.ahrq.gov/node/35040/psn-pdf
January 02, 2017 - Medication errors involving pediatric patients.
January 2, 2017
Santell JP, Hicks RW. Medication errors involving pediatric patients. Jt Comm J Qual Patient Saf.
2005;31(6):348-53.
https://psnet.ahrq.gov/issue/medication-errors-involving-pediatric-patients
Using Medmarx data from 2001 through 2003, the authors ana…
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psnet.ahrq.gov/node/42299/psn-pdf
November 09, 2015 - Safety climate and its association with office type and
team involvement in primary care.
November 9, 2015
Gehring K, Schwappach DLB, Battaglia M, et al. Safety climate and its association with office type and
team involvement in primary care. Int J Qual Health Care. 2013;25(4):394-402. doi:10.1093/intqhc/mzt036.
…
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psnet.ahrq.gov/issue/oncology-nurses-perceptions-about-involving-patients-prevention-chemotherapy-administration
July 01, 2010 - Study
Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors.
Citation Text:
Schwappach DLB, Hochreutener M-A, Wernli M. Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors. …
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psnet.ahrq.gov/node/36823/psn-pdf
August 26, 2011 - Pharmacist involvement in a rapid-response team at a
community hospital.
August 26, 2011
Cooper BE. Pharmacist involvement in a rapid-response team at a community hospital. Am J Health Syst
Pharm. 2007;64(7):694, 697-8.
https://psnet.ahrq.gov/issue/pharmacist-involvement-rapid-response-team-community-hospital
The…
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psnet.ahrq.gov/node/38439/psn-pdf
December 23, 2012 - Legality of technicians' involvement in medication
reconciliation not clear.
December 23, 2012
Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal
of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.
2009;66…
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psnet.ahrq.gov/node/36127/psn-pdf
September 29, 2010 - Fatality involving vinblastine overdose as a result of a
complex medical error.
September 29, 2010
K?ys M, Konopka T, Scis?owski M, et al. Fatality involving vinblastine overdose as a result of a complex
medical error. Cancer Chemother Pharmacol. 2007;59(1):89-95.
https://psnet.ahrq.gov/issue/fatality-involving-vi…
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psnet.ahrq.gov/node/35816/psn-pdf
July 21, 2010 - Involving users in the design of a system for sharing
lessons from adverse incidents in anaesthesia.
July 21, 2010
Sharma S, Smith AF, Rooksby J, et al. Involving users in the design of a system for sharing lessons from
adverse incidents in anaesthesia. Anaesthesia. 2006;61(4):350-4.
https://psnet.ahrq.gov/issue/i…
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psnet.ahrq.gov/node/36744/psn-pdf
August 02, 2011 - Nurses relate the contributing factors involved in
medication errors.
August 2, 2011
Tang F-I, Sheu S-J, Yu S, et al. Nurses relate the contributing factors involved in medication errors. J Clin
Nurs. 2007;16(3):447-57.
https://psnet.ahrq.gov/issue/nurses-relate-contributing-factors-involved-medication-errors
The…
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psnet.ahrq.gov/node/37290/psn-pdf
February 15, 2011 - Medical errors involving trainees: a study of closed
malpractice claims from 5 insurers.
February 15, 2011
Singh H, Thomas EJ, Petersen L, et al. Medical errors involving trainees: a study of closed malpractice
claims from 5 insurers. Arch Intern Med. 2007;167(19):2030-6.
https://psnet.ahrq.gov/issue/medical-error…
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psnet.ahrq.gov/node/846563/psn-pdf
March 21, 2023 - Impact of System Failures on Healthcare Workers
March 21, 2023
Zangaro G, Van CM, Mossburg S. Impact of System Failures on Healthcare Workers . PSNet [internet].
2023.
https://psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
Introduction
The March 2022 conviction of RaDonda Vaught, a former nu…
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psnet.ahrq.gov/node/41137/psn-pdf
May 04, 2012 - Predictors of prescription errors involving anticancer
chemotherapy agents.
May 4, 2012
Ranchon F, Moch C, You B, et al. Predictors of prescription errors involving anticancer chemotherapy
agents. Eur J Cancer. 2012;48(8):1192-9. doi:10.1016/j.ejca.2011.12.031.
https://psnet.ahrq.gov/issue/predictors-prescription-…
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psnet.ahrq.gov/node/43351/psn-pdf
July 16, 2014 - Patient involvement in medication safety in hospital: an
exploratory study.
July 16, 2014
Mohsin-Shaikh S, Garfield S, Franklin BD. Patient involvement in medication safety in hospital: an
exploratory study. Int J Clin Pharm. 2014;36(3):657-66. doi:10.1007/s11096-014-9951-8.
https://psnet.ahrq.gov/issue/patient-in…
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psnet.ahrq.gov/node/44269/psn-pdf
July 01, 2015 - Accidental overdoses involving fluorouracil infusions.
July 1, 2015
ISMP Medication Safety Alert! Acute Care Edition. June 18, 2015;20:1:5.
https://psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions
Describing three accidental overdoses of the antineoplastic drug fluorouracil which involved …
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psnet.ahrq.gov/node/45511/psn-pdf
July 21, 2017 - Can patient involvement improve patient safety? A cluster
randomised control trial of the Patient Reporting and
Action for a Safe Environment (PRASE) intervention.
July 21, 2017
Lawton R, O'Hara JK, Sheard L, et al. Can patient involvement improve patient safety? A cluster
randomised control trial of the Patient R…
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psnet.ahrq.gov/node/40289/psn-pdf
March 16, 2011 - Unintentional therapeutic errors involving insulin in the
ambulatory setting reported to poison centers.
March 16, 2011
Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory
setting reported to poison centers. Ann Pharmacother. 2011;45(1):17-22. doi:10.1345/aph.1…
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psnet.ahrq.gov/node/45007/psn-pdf
March 30, 2016 - Medication errors involving healthcare students.
March 30, 2016
Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23.
https://psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
Using reports of medication errors submitted to the Pennsylvania Patient Safety Authority that …