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psnet.ahrq.gov/node/38045/psn-pdf
December 01, 2008 - Problems and solutions arising during a study in visual
semantics of the medical emergency team system.
December 1, 2008
Santiano N, Baramy L-S, Young L, et al. Problems and solutions arising during a study in visual semantics
of the medical emergency team system. Qual Health Res. 2008;18(10):1336-44.
doi:10.1177/…
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psnet.ahrq.gov/node/36381/psn-pdf
April 22, 2011 - Accountability sought by patients following adverse
events from medical care: the New Zealand experience.
April 22, 2011
Bismark M, Dauer E, Paterson R, et al. Accountability sought by patients following adverse events from
medical care: the New Zealand experience. CMAJ. 2006;175(8):889-94.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/36502/psn-pdf
January 07, 2011 - An investigation of the relationship between safety
climate and medication errors as well as other nurse and
patient outcomes.
January 7, 2011
Hofmann DA, Mark BA. AN INVESTIGATION OF THE RELATIONSHIP BETWEEN SAFETY CLIMATE
AND MEDICATION ERRORS AS WELL AS OTHER NURSE AND PATIENT OUTCOMES. Pers Psychol.
2006;59(4…
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psnet.ahrq.gov/node/41270/psn-pdf
April 04, 2012 - Medical errors reported by French general practitioners in
training: results of a survey and individual interviews.
April 4, 2012
Venus E, Galam E, Aubert J-P, et al. Medical errors reported by French general practitioners in training:
results of a survey and individual interviews. BMJ Qual Saf. 2012;21(4):279-86. …
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psnet.ahrq.gov/node/36060/psn-pdf
September 28, 2010 - Medical emergency teams: a strategy for improving
patient care and nursing work environments.
September 28, 2010
Galhotra S, Scholle CC, Dew MA, et al. Medical emergency teams: a strategy for improving patient care
and nursing work environments. J Adv Nurs. 2006;55(2):180-7.
https://psnet.ahrq.gov/issue/medical-em…
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psnet.ahrq.gov/node/37375/psn-pdf
December 05, 2007 - Managing discontinuity in academic medical centers:
strategies for a safe and effective resident sign-out.
December 5, 2007
Vidyarthi AR, Arora V, Schnipper JL, et al. Managing discontinuity in academic medical centers: Strategies
for a safe and effective resident sign-out. J Hosp Med. 2006;1(4). doi:10.1002/jhm.10…
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psnet.ahrq.gov/node/36782/psn-pdf
August 26, 2011 - A review of medical error reporting system design
considerations and a proposed cross-level systems
research framework.
August 26, 2011
Holden RJ, Karsh B-T. A review of medical error reporting system design considerations and a proposed
cross-level systems research framework. Hum Factors. 2007;49(2):257-76.
http…
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psnet.ahrq.gov/node/36905/psn-pdf
September 01, 2011 - Engineering a safe landing: engaging medical
practitioners in a systems approach to patient safety.
September 1, 2011
Brand C, Ibrahim JE, Bain C, et al. Engineering a safe landing: engaging medical practitioners in a systems
approach to patient safety. Intern Med J. 2007;37(5):295-302.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/38869/psn-pdf
August 19, 2009 - Frequency and severity of harm of medication errors
related to the parenteral nutrition process in a large
university teaching hospital.
August 19, 2009
Sacks GS, Rough S, Kudsk KA. Frequency and severity of harm of medication errors related to the
parenteral nutrition process in a large university teaching hospit…
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psnet.ahrq.gov/node/73454/psn-pdf
June 30, 2021 - Poor physician-patient communication and medical error.
June 30, 2021
Lazris A, Roth AR, Haskell H, et al. Am Fam Physician. 2021;103(12):757-759.
https://psnet.ahrq.gov/issue/poor-physician-patient-communication-and-medical-error
Communication failures are primary threat to safe care. This comment…
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psnet.ahrq.gov/node/42066/psn-pdf
March 11, 2013 - Stakeholder challenges in purchasing medical devices for
patient safety.
March 11, 2013
Hinrichs S, Dickerson T, Clarkson J. Stakeholder challenges in purchasing medical devices for patient
safety. J Patient Saf. 2013;9(1):36-43. doi:10.1097/PTS.0b013e3182773306.
https://psnet.ahrq.gov/issue/stakeholder-challenges…
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psnet.ahrq.gov/node/42559/psn-pdf
May 28, 2014 - Safeguarding in medication administration:
understanding pre-registration nursing students' survey
response to patient safety and peer reporting issues.
May 28, 2014
Andrew S, Mansour M. Safeguarding in medication administration: understanding pre-registration nursing
students' survey response to patient safety an…
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psnet.ahrq.gov/node/37549/psn-pdf
September 09, 2008 - Transition from a traditional code team to a medical
emergency team and categorization of cardiopulmonary
arrests in a children's center.
September 9, 2008
Hunt EA, Zimmer KP, Rinke ML, et al. Transition from a traditional code team to a medical emergency
team and categorization of cardiopulmonary arrests in a chi…
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psnet.ahrq.gov/node/846166/psn-pdf
March 15, 2023 - Minimize medication errors in urgent care clinics.
March 15, 2023
Coffey SB. American Nurse Journal. Epub March 2, 2023.
https://psnet.ahrq.gov/issue/minimize-medication-errors-urgent-care-clinics
Urgent care clinics offer services to a wide patient base that increase the complexities of medication
prescribing and…
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psnet.ahrq.gov/node/39352/psn-pdf
July 05, 2013 - When the 5 rights go wrong: medication errors from the
nursing perspective.
July 5, 2013
Jones JH, Treiber LA. When the 5 rights go wrong: medication errors from the nursing perspective. J Nurs
Care Qual. 2010;25(3):240-247. doi:10.1097/NCQ.0b013e3181d5b948.
https://psnet.ahrq.gov/issue/when-5-rights-go-wrong-medi…
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psnet.ahrq.gov/node/38944/psn-pdf
November 25, 2009 - Strategies for safe medication use in ambulatory care
settings in the United States.
November 25, 2009
Sorensen AV, Bernard SL. Strategies for Safe Medication Use in Ambulatory Care Settings in the United
States. J Patient Saf. 2009;5(3). doi:10.1097/pts.0b013e3181b3afc1.
https://psnet.ahrq.gov/issue/strategies-sa…
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psnet.ahrq.gov/node/38219/psn-pdf
May 24, 2015 - The emotional impact of medical error involvement on
physicians: a call for leadership and organisational
accountability.
May 24, 2015
Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for
leadership and organisational accountability. Swiss Med Wkly. 2009;139(1-2):…
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psnet.ahrq.gov/node/36026/psn-pdf
March 28, 2011 - Inter- and intra-rater reliability for classification of
medication related events in paediatric inpatients.
March 28, 2011
Kunac DL, Reith DM, Kennedy J, et al. Inter- and intra-rater reliability for classification of medication related
events in paediatric inpatients. Qual Saf Health Care. 2006;15(3):196-201.
ht…
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psnet.ahrq.gov/node/39878/psn-pdf
December 01, 2010 - Automated drug dispensing system reduces medication
errors in an intensive care setting.
December 1, 2010
Chapuis C, Roustit M, Bal G, et al. Automated drug dispensing system reduces medication errors in an
intensive care setting. Crit Care Med. 2010;38(12):2275-2281. doi:10.1097/CCM.0b013e3181f8569b.
https://psne…
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psnet.ahrq.gov/node/40007/psn-pdf
November 17, 2010 - Effect of emergency medicine pharmacists on
medication-error reporting in an emergency department.
November 17, 2010
Weant KA, Humphries RL, Hite K, et al. Effect of emergency medicine pharmacists on medication-error
reporting in an emergency department. Am J Health Syst Pharm. 2010;67(21):1851-5. doi:10.2146/09057…