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  1. 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. …
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. Psn-Pdf (pdf file)

    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 medicationerrors by encouraging physicians to use electronic prescribing through a free Web-based tool.
  7. 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…
  8. 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…
  9. 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…
  10. 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. Copy Citation Format: Google Scholar PubMed BibTeX En…
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. 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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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 medicationerrors in cancer treatment and shares risk reduction strategies to minimize such mistakes.
  19. Psn-Pdf (pdf file)

    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…
  20. 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. Copy Citation Save Save to your library Print Download PDF …

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