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psnet.ahrq.gov/issue/how-surgeons-disclose-medical-errors-patients-study-using-standardized-patients
July 10, 2008 - Study
How surgeons disclose medical errors to patients: a study using standardized patients.
Citation Text:
Chan DK, Gallagher TH, Reznick R, et al. How surgeons disclose medical errors to patients: a study using standardized patients. Surgery. 2005;138(5):851-8.
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psnet.ahrq.gov/issue/antecedents-willingness-report-medical-treatment-errors-health-care-organizations-multilevel
May 06, 2015 - Commentary
Antecedents of willingness to report medical treatment errors in health care organizations: a multilevel theoretical framework.
Citation Text:
Naveh E, Katz-Navon T. Antecedents of willingness to report medical treatment errors in health care organizations: a multilevel theo…
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psnet.ahrq.gov/issue/systematic-review-incidence-and-characteristics-preventable-adverse-drug-events-ambulatory
July 15, 2010 - Review
Systematic review of the incidence and characteristics of preventable adverse drug events in ambulatory care.
Citation Text:
Thomsen LA, Winterstein AG, S⊘ndergaard B, et al. Systematic Review of the Incidence and Characteristics of Preventable Adverse Drug Events in Ambulatory …
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psnet.ahrq.gov/issue/drug-related-admissions-cardiology-department-frequency-and-avoidability
August 20, 2018 - Study
Drug related admissions to a cardiology department; frequency and avoidability.
Citation Text:
Hallas J, Haghfelt T, Gram LF, et al. Drug related admissions to a cardiology department; frequency and avoidability. J Intern Med. 1990;228(4):379-84.
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psnet.ahrq.gov/issue/right-and-wrong-way-talk-patients-about-adverse-events
November 01, 2023 - Newspaper/Magazine Article
The right and wrong way to talk to patients about adverse events.
Citation Text:
Beaulieu-Volk D. The right and wrong way to talk to patients about adverse events. Medical economics. 2014;91(11):52-5.
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psnet.ahrq.gov/issue/value-human-factors-medication-and-patient-safety-intensive-care-unit
December 01, 2010 - Study
Value of human factors to medication and patient safety in the intensive care unit.
Citation Text:
Scanlon M, Karsh B-T. Value of human factors to medication and patient safety in the intensive care unit. Crit Care Med. 2010;38. doi:10.1097/ccm.0b013e3181dd8de2.
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psnet.ahrq.gov/issue/leadership-initiative-improve-communication-and-enhance-safety
March 11, 2009 - Commentary
A leadership initiative to improve communication and enhance safety.
Citation Text:
Donahue M, Miller M, Smith L, et al. A Leadership Initiative to Improve Communication and Enhance Safety. American Journal of Medical Quality. 2011;26(3). doi:10.1177/1062860610387410.
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psnet.ahrq.gov/issue/attitudes-toward-medical-device-use-errors-and-prevention-adverse-events
September 24, 2016 - Study
Attitudes toward medical device use errors and the prevention of adverse events.
Citation Text:
Johnson TR, Tang X, Graham MJ, et al. Attitudes toward medical device use errors and the prevention of adverse events. Jt Comm J Qual Patient Saf. 2007;33(11):689-94.
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psnet.ahrq.gov/issue/objective-medical-emergency-team-activation-criteria-case-control-study
June 22, 2009 - Study
The objective medical emergency team activation criteria: a case-control study.
Citation Text:
Cretikos M, Chen J, Hillman K, et al. The objective medical emergency team activation criteria: a case-control study. Resuscitation. 2007;73(1):62-72.
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psnet.ahrq.gov/issue/process-indicators-quality-clinical-pharmacy-services-during-transitions-care
December 05, 2012 - Commentary
Process indicators of quality clinical pharmacy services during transitions of care.
Citation Text:
Pharmacy AC of C, Kirwin J, Canales AE, et al. Process indicators of quality clinical pharmacy services during transitions of care. Pharmacotherapy. 2012;32(11):e338-e347. doi…
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psnet.ahrq.gov/issue/sorry-works-coalition-making-case-full-disclosure
May 18, 2022 - Commentary
The Sorry Works! Coalition: making the case for full disclosure.
Citation Text:
Wojcieszak D, Banja J, Houk C. The Sorry Works! Coalition: Making the Case for Full Disclosure. The Joint Commission Journal on Quality and Patient Safety. 2016;32(6). doi:10.1016/s1553-7250(06)320…
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - SPOTLIGHT CASE
Difficult Encounters: A CMO and CNO Respond
Citation Text:
Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - to consider how they diagnose a stroke patient without a computerized tomography scanner or deliver medications
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psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - to consider how they diagnose a stroke patient without a computerized tomography scanner or deliver medications
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psnet.ahrq.gov/node/40387/psn-pdf
March 08, 2015 - Medication reconciliation only as good as the IT allows.
March 8, 2015
Page D. Medication reconciliation only as good as the IT allows. Hospitals & health networks.
2011;85(3):48, 50.
https://psnet.ahrq.gov/issue/medication-reconciliation-only-good-it-allows
This piece describes the medication reconciliation proce…
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psnet.ahrq.gov/node/37715/psn-pdf
May 02, 2018 - FDA Advise-ERR: medication errors associated with
Cerebyx.
May 2, 2018
ISMP Medication Safety Alert! Acute Care Edition. April 10, 2008;13:1-2.
https://psnet.ahrq.gov/issue/fda-advise-err-medication-errors-associated-cerebyx
This article describes medication errors caused by unclear labeling of the medication Cere…
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psnet.ahrq.gov/node/49722/psn-pdf
December 01, 2014 - Medical Devices in the "Wild"
December 1, 2014
Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/medical-devices-wild
The Case
A 75-year-old man with a history of congestive heart failure (CHF), coronary artery disease, diabetes,
chronic pain, arthritis, and…
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psnet.ahrq.gov/issue/iatroref-study-medical-errors-are-associated-symptoms-depression-icu-staff-not-burnout-or
April 12, 2011 - Study
The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture.
Citation Text:
Garrouste-Orgeas M, Perrin M, Soufir L, et al. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but…
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psnet.ahrq.gov/node/41627/psn-pdf
August 29, 2012 - The nurse's medication day.
August 29, 2012
Jennings BM, Sandelowski M, Mark BA. The nurse's medication day. Qual Health Res. 2011;21(10):1441-
51. doi:10.1177/1049732311411927.
https://psnet.ahrq.gov/issue/nurses-medication-day
This ethnographic study describes the complexity of medication administration and comp…
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psnet.ahrq.gov/node/34865/psn-pdf
March 26, 2015 - ISMP Medication Safety Alert. Community/Ambulatory
Care Edition.
March 26, 2015
Plymouth Meeting, PA; Institute for Safe Medication Practices. ISSN 1550-6290.
https://psnet.ahrq.gov/issue/ismp-medication-safety-alert-communityambulatory-care-edition
The Institute for Safe Medication Practices (ISMP) monthly newsle…