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psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary
January 19, 2011 - Study
The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records.
Citation Text:
de Wet C, Bowie P. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. …
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psnet.ahrq.gov/issue/validating-administrative-data-detection-adverse-events-older-hospitalized-patients
March 13, 2015 - Study
Validating administrative data for the detection of adverse events in older hospitalized patients.
Citation Text:
Ackroyd-Stolarz S, Bowles SK, Giffin L. Validating administrative data for the detection of adverse events in older hospitalized patients. Drug Healthc Patient Saf. 201…
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psnet.ahrq.gov/issue/health-outcomes-deprescribing-interventions-among-older-residents-nursing-homes-systematic
March 01, 2023 - Review
Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis.
Citation Text:
Kua C-H, Mak VSL, Lee SWH. Health Outcomes of Deprescribing Interventions Among Older Residents in Nursing Homes: A Systematic Review and Me…
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psnet.ahrq.gov/issue/handling-anticipated-exceptions-clinical-care-investigating-clinician-use-exit-strategies
March 24, 2019 - Study
Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system.
Citation Text:
Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…
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psnet.ahrq.gov/issue/its-all-about-patient-safety-ethnographic-study-how-pharmacy-staff-construct-medicines-safety
October 06, 2021 - Study
'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy.
Citation Text:
Fudge N, Swinglehurst D. ‘It's all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety in…
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psnet.ahrq.gov/node/36606/psn-pdf
January 31, 2007 - issue/cause-death-sloppy-doctors
This article reports on an industry-supported initiative to reduce medication … errors by encouraging
physicians to use electronic prescribing through a free Web-based tool.
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psnet.ahrq.gov/issue/patient-safety-event-reporting-expectation-does-it-influence-residents-attitudes-and
November 16, 2022 - Study
Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors?
Citation Text:
Boike JR, Bortman JS, Radosta JM, et al. Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? J Patient…
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psnet.ahrq.gov/issue/psychosocial-working-conditions-determinants-concerns-have-made-important-medical-errors-and
July 13, 2022 - Study
Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study.
Citation Text:
Mambrey V, Angerer P, Loerbroks A. Psychosocial working conditions as de…
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psnet.ahrq.gov/issue/prospective-evaluation-multifaceted-intervention-improve-outcomes-intensive-care-promoting
August 03, 2022 - Study
Classic
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study.
Citation Text:
Dykes PC, Rozenblum R, Dalal A, et a…
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psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry
June 16, 2010 - Review
Narrative review: do state laws make it easier to say "I'm sorry"?
Citation Text:
McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern Med. 2008;149(11):811-816.
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psnet.ahrq.gov/node/45714/psn-pdf
December 20, 2017 - us-emergency-department-visits-outpatient-adverse-drug-events-2013-2014
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/46923/psn-pdf
August 17, 2018 - nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/851355/psn-pdf
July 12, 2023 - Assessing the impact of a new pediatric healthcare
facility on medication administration: a human factors
approach.
July 12, 2023
Godin MR, Nasr AS. Assessing the impact of a new pediatric healthcare facility on medication
administration: a human factors approach. J Nurs Adm. 2023;53(6):331-336.
doi:10.1097/nna.0…
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psnet.ahrq.gov/node/849330/psn-pdf
May 24, 2023 - Using sociotechnical theory to understand medication
safety work in primary care and prescribers' use of
clinical decision support: a qualitative study.
May 24, 2023
Jeffries M, Salema N-E, Laing L, et al. Using sociotechnical theory to understand medication safety work in
primary care and prescribers’ use of clin…
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psnet.ahrq.gov/node/43498/psn-pdf
October 06, 2016 - Creating a distraction simulation for safe medication
administration.
October 6, 2016
Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration.
Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004.
https://psnet.ahrq.gov/issue/creating-distraction-simulation-safe…
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psnet.ahrq.gov/issue/patient-safety-home-hemodialysis-quality-assurance-and-serious-adverse-events-home-setting
January 23, 2017 - Commentary
Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting.
Citation Text:
Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Hemodial Int. 2015;1…
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psnet.ahrq.gov/node/40941/psn-pdf
April 13, 2016 - Medication administration quality and health information
technology: a national study of US hospitals.
April 13, 2016
Appari A, Carian EK, Johnson E, et al. Medication administration quality and health information technology:
a national study of US hospitals. J Am Med Inform Assoc. 2012;19(3):360-7. doi:10.1136/ami…
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psnet.ahrq.gov/node/35790/psn-pdf
March 22, 2006 - look-alike-sound-alike-oncology-medications
The author explains how similar product names and labels contribute to medication … errors in cancer
treatment and shares risk reduction strategies to minimize such mistakes.
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psnet.ahrq.gov/node/849124/psn-pdf
May 17, 2023 - Human factors and safety analysis methods used in the
design and redesign of electronic medication
management systems: a systematic review.
May 17, 2023
Awad S, Amon K, Baillie A, et al. Human factors and safety analysis methods used in the design and
redesign of electronic medication management systems: a systema…
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psnet.ahrq.gov/issue/ismp-medication-safety-alertr-nurse-advise-err
January 26, 2023 - Newsletter/Journal
ISMP Medication Safety Alert!® Nurse-Advise ERR.
Citation Text:
ISMP Medication Safety Alert!® Nurse-Advise ERR. Plymouth Meeting, PA: Institute for Safe Medication Practices.
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