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psnet.ahrq.gov/node/39350/psn-pdf
March 10, 2010 - If only...: failed, missed and absent error recovery
opportunities in medication errors.
March 10, 2010
Habraken MMP, van der Schaaf TW. If only..: failed, missed and absent error recovery opportunities in
medication errors. Qual Saf Health Care. 2010;19(1):37-41. doi:10.1136/qshc.2007.026187.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/43215/psn-pdf
May 28, 2014 - When medical students make errors.
May 28, 2014
https://psnet.ahrq.gov/issue/when-medical-students-make-errors
This newspaper article highlights the need for medical students to be educated about how to disclose
errors to patients and families when mistakes occur, even if the patient was not harmed.
https://psnet.…
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psnet.ahrq.gov/node/40662/psn-pdf
March 12, 2016 - Administrative compensation for medical injuries:
lessons from three foreign systems.
March 12, 2016
Mello MM, Kachalia A, Studdert DM. Administrative compensation for medical injuries: lessons from three
foreign systems. Issue brief (Commonwealth Fund). 2011;14:1-18.
https://psnet.ahrq.gov/issue/administrative-co…
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psnet.ahrq.gov/node/38623/psn-pdf
May 13, 2009 - Educational strategy to reduce medication errors in a
neonatal intensive care unit.
May 13, 2009
Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Educational strategy to reduce medication errors
in a neonatal intensive care unit. Acta Paediatr. 2009;98(5):782-5. doi:10.1111/j.1651-2227.2009.01234.x.
https:/…
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psnet.ahrq.gov/node/72820/psn-pdf
March 10, 2021 - Medication errors related to computerized provider order
entry systems in hospitals and how they change over
time: a narrative review.
March 10, 2021
Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry
systems in hospitals and how they change over time: A narrative re…
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psnet.ahrq.gov/node/837595/psn-pdf
June 29, 2022 - Changes to primary care delivery during the COVID-19
pandemic and perceived impact on medication safety: a
survey study.
June 29, 2022
Gleeson LL, Ludlow A, Wallace E, et al. Changes to primary care delivery during the COVID-19 pandemic
and perceived impact on medication safety: a survey study. Explor Res Clin Soc…
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psnet.ahrq.gov/node/60319/psn-pdf
May 13, 2020 - Predictors of nursing home nurses' willingness to report
medication near-misses.
May 13, 2020
Farag A, Vogelsmeier A, Knox K, et al. Predictors of nursing home nurses' willingness to report medication
near-misses. J Gerontol Nurs. 2020;46(4):21-30. doi:10.3928/00989134-20200303-03.
https://psnet.ahrq.gov/issue/pre…
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psnet.ahrq.gov/node/865817/psn-pdf
May 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in
secondary care inpatient wards.
May 8, 2024
Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in
prospective medication safety risk management in secondary care inpatie…
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psnet.ahrq.gov/node/60866/psn-pdf
January 01, 2022 - Association of implementation and social network factors
with patient safety culture in medical homes: a
coincidence analysis.
September 2, 2020
Dy SM, Acton RM, Yuan CT, et al. Association of implementation and social network factors with patient
safety culture in medical homes: a coincidence analysis. J Patient …
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psnet.ahrq.gov/node/837960/psn-pdf
August 31, 2022 - Interventions to reduce the incidence of medical error and
its financial burden in health care systems: a systematic
review of systematic reviews.
August 31, 2022
Ahsani-Estahbanati E, Sergeevich Gordeev V, Doshmangir L. Interventions to reduce the incidence of
medical error and its financial burden in health care…
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psnet.ahrq.gov/node/45460/psn-pdf
September 14, 2016 - ASHP national survey of pharmacy practice in hospital
settings: monitoring and patient education—2015.
September 14, 2016
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: Monitoring and patient education-2015. Am J Health Syst Pharm. 2016;73(17):1307-30.
d…
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psnet.ahrq.gov/node/850340/psn-pdf
June 14, 2023 - Assertive communication training for nurses to speak up
in cases of medical errors: a systematic review and meta-
analysis.
June 14, 2023
Chen H-W, Wu J-C, Kang Y-N, et al. Assertive communication training for nurses to speak up in cases of
medical errors: a systematic review and meta-analysis. Nurse Educ Today. 2…
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psnet.ahrq.gov/node/36380/psn-pdf
February 28, 2011 - Graduate medical education and patient safety: a busy--
and occasionally hazardous--intersection.
February 28, 2011
Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and
occasionally hazardous--intersection. Ann Intern Med. 2006;145(8):592-8.
https://psnet.ahrq.gov/issue/gra…
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psnet.ahrq.gov/node/60298/psn-pdf
May 06, 2020 - Impact of simulation-based closed-loop communication
training on medical errors in a pediatric emergency
department.
May 6, 2020
Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical
Errors in a Pediatric Emergency Department. Am J Med Qual. 2020;35(6):474-478.
doi:10.1177/1…
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psnet.ahrq.gov/node/40119/psn-pdf
January 05, 2011 - Effects of learning climate and registered nurse staffing
on medication errors.
January 5, 2011
Chang YK, Mark BA. Effects of Learning Climate and Registered Nurse Staffing on Medication Errors. Nurs
Res. 2010;60(1). doi:10.1097/nnr.0b013e3181ff73cc.
https://psnet.ahrq.gov/issue/effects-learning-climate-and-regist…
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psnet.ahrq.gov/node/46436/psn-pdf
May 30, 2018 - Effect of number of open charts on intercepted wrong-
patient medication orders in an emergency department.
May 30, 2018
Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-
patient medication orders in an emergency department. J Am Med Inform Assoc. 2018;25(6):739-7…
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psnet.ahrq.gov/node/837416/psn-pdf
June 15, 2022 - From principles to practice: embedding clinical reasoning
as a longitudinal curriculum theme in a medical school
programme.
June 15, 2022
Singh M, Collins L, Farrington R, et al. From principles to practice: embedding clinical reasoning as a
longitudinal curriculum theme in a medical school programme. Diagnosis (B…
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psnet.ahrq.gov/node/50750/psn-pdf
January 01, 2020 - Patterns in medication incidents: a 10-yr experience of a
cross-national anaesthesia incident reporting system.
December 18, 2019
Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr
experience of a cross-national anaesthesia incident reporting system. Br J Anaesth. …
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psnet.ahrq.gov/node/858162/psn-pdf
January 01, 2024 - Assessing the clinical, economic, and health resource
utilization impacts of prefilled syringes versus
conventional medication administration methods: results
from a systematic literature review.
December 13, 2023
Benhamou D, Weiss M, Borms M, et al. Assessing the clinical, economic, and health resource utilizatio…
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psnet.ahrq.gov/node/34671/psn-pdf
June 15, 2011 - Confidential clinician-reported surveillance of adverse
events among medical inpatients.
June 15, 2011
Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among
medical inpatients. J Gen Intern Med. 2003;15(7). doi:10.1046/j.1525-1497.2000.06269.x.
https://psnet.ahrq.go…