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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41672/psn-pdfSeptember 12, 2012 - The spectrum of medical errors: when patients sue. September 12, 2012 Grant-Kels J, Kels B. The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257. https://psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue Examining cases of medical error and malpractice, this … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34119/psn-pdfJune 11, 2019 - 2017 ISMP Medication Safety Self Assessment for Community/Ambulatory Pharmacy. June 11, 2019 Horsham, PA: Institute for Safe Medication Practices; 2017. https://psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory- pharmacy This community pharmacy measurement tool can be used to re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36484/psn-pdfJune 13, 2011 - Medication reconciliation: developing and implementing a program. June 13, 2011 Schwarz M, Wyskiel R. Medication Reconciliation: Developing and Implementing a Program. Crit Care Nurs Clin North Am. 2007;18(4). doi:10.1016/j.ccell.2006.09.003. https://psnet.ahrq.gov/issue/medication-reconciliation-developing-and-im… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34712/psn-pdfFebruary 18, 2011 - Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. February 18, 2011 Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Engl J Med. 1991;324(6):370-376. doi:10.1056/nejm199102073240604. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72479/psn-pdfNovember 18, 2020 - Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study. November 18, 2020 Sundwall DN, Munger MA, Tak CR, et al. Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60940/psn-pdfSeptember 23, 2020 - Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. September 23, 2020 Joseph R, Lee SW, Anderson SV, et al. Impact of interoperability of smart infusion pumps and an electronic medical record in critical care. Am J Health-System Pharm. 2020;77(15):1231-1236. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74092/psn-pdfNovember 17, 2021 - Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. November 17, 2021 Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. Int … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44008/psn-pdfApril 27, 2015 - We need to talk: primary care provider communication at discharge in the era of a shared electronic medical record. April 27, 2015 Sheu L, Fung K, Mourad M, et al. We need to talk: Primary care provider communication at discharge in the era of a shared electronic medical record. J Hosp Med. 2015;10(5):307-10. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47746/psn-pdfJuly 19, 2019 - Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. July 19, 2019 Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1136/bmjqs-2018-008328. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844777/psn-pdfSeptember 18, 2019 - Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. September 18, 2019 Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Saf. 2019;15(3):191-197. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74211/psn-pdfDecember 22, 2021 - Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products December 22, 2021 Uttaro E, Zhao F, Schweighardt A. Int J Pharm Compd. 2021;25(5):364-371. https://psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-li… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844794/psn-pdfJanuary 01, 2020 - Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case. September 18, 2019 Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of the CoxHealth Brain Over-Radiation Case. Health Comm. 202… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73681/psn-pdfSeptember 08, 2021 - Medical errors during training: how do residents cope?: a descriptive study. September 8, 2021 Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1. https://psnet.ahrq.gov/issue/medical-erro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47953/psn-pdfJanuary 01, 2021 - Impact of medication reviews delivered by community pharmacist to elderly patients on polypharmacy: a meta- analysis of randomized controlled trials. June 26, 2019 Tasai S, Kumpat N, Dilokthornsakul P, et al. Impact of Medication Reviews Delivered by Community Pharmacist to Elderly Patients on Polypharmacy: A Meta… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50733/psn-pdfDecember 11, 2019 - Association between measured teamwork and medical errors: an observational study of prehospital care in the USA December 11, 2019 Herzberg S, Hansen M, Schoonover A, et al. Association between measured teamwork and medical errors: an observational study of prehospital care in the USA. BMJ Open. 2019;9(10):e025314.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45781/psn-pdfJuly 02, 2017 - Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. July 2, 2017 Harada S, Suzuki A, Nishida S, et al. Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. J Eval Clin Pract. 2017;23(3):582-5… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34921/psn-pdfFebruary 27, 2009 - A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. February 27, 2009 Rothschild JM, Keohane C, Cook F, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Crit Care Med. 2005;33(3):533-540. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44293/psn-pdfJuly 08, 2015 - How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. July 8, 2015 Polisena J, Gagliardi AR, Clifford T. How can we improve the recognition, reporting and resolution of medical device-related incident… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837853/psn-pdfAugust 17, 2022 - RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. August 17, 2022 Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836826/psn-pdfMarch 30, 2022 - Pediatric trainee perspectives on the decision to disclose medical errors. March 30, 2022 Lin M, Horwitz LI, Gross RS, et al. Pediatric trainee perspectives on the decision to disclose medical errors. J Patient Saf. 2022;18(2):e470-e476. doi:10.1097/pts.0000000000000848. https://psnet.ahrq.gov/issue/pediatric-trai…
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