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psnet.ahrq.gov/node/41503/psn-pdf
January 18, 2013 - Medication safety in primary care practice: results from a
PPRNet quality improvement intervention.
January 18, 2013
Wessell AM, Ornstein SM, Jenkins RG, et al. Medication Safety in Primary Care Practice: results from a
PPRNet quality improvement intervention. Am J Med Qual. 2013;28(1):16-24.
doi:10.1177/106286061…
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psnet.ahrq.gov/node/39516/psn-pdf
June 27, 2011 - Risk and pharmacoeconomic analyses of the injectable
medication process in the paediatric and neonatal
intensive care units.
June 27, 2011
De Giorgi I, Fonzo-Christe C, Cingria L, et al. Risk and pharmacoeconomic analyses of the injectable
medication process in the paediatric and neonatal intensive care units. Int…
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psnet.ahrq.gov/node/37810/psn-pdf
February 18, 2011 - A systematic review of teamwork training interventions in
medical student and resident education.
February 18, 2011
Chakraborti C, Boonyasai R, Wright SM, et al. A systematic review of teamwork training interventions in
medical student and resident education. J Gen Intern Med. 2008;23(6):846-53. doi:10.1007/s11606-…
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psnet.ahrq.gov/node/46605/psn-pdf
January 24, 2018 - The impact of interruptions on medication errors in
hospitals: an observational study of nurses.
January 24, 2018
Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an
observational study of nurses. J Nurs Manag. 2017;25(7):498-507. doi:10.1111/jonm.12486.
https:…
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psnet.ahrq.gov/node/38258/psn-pdf
April 14, 2011 - How often do physicians review medication charts on
ward rounds?
April 14, 2011
Looi KL, Black PN. How often do physicians review medication charts on ward rounds? BMC Clin
Pharmacol. 2008;8:9. doi:10.1186/1472-6904-8-9.
https://psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
Thi…
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psnet.ahrq.gov/node/41081/psn-pdf
February 01, 2012 - Workarounds in the use of IS in healthcare: a case study
of an electronic medication administration system.
February 1, 2012
Yang Z, Ng B-Y, Kankanhalli A, et al. Workarounds in the use of IS in healthcare: A case study of an
electronic medication administration system. International Journal of Human-Computer Studi…
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psnet.ahrq.gov/node/39487/psn-pdf
April 28, 2010 - Rating medical emergency teamwork performance:
development of the Team Emergency Assessment
Measure (TEAM).
April 28, 2010
Cooper S, Cant R, Porter J, et al. Rating medical emergency teamwork performance: development of the
Team Emergency Assessment Measure (TEAM). Resuscitation. 2010;81(4):446-52.
doi:10.1016/j.…
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psnet.ahrq.gov/node/35913/psn-pdf
February 16, 2011 - Improving oversight of the graduate medical education
enterprise: one institution's strategies and tools.
February 16, 2011
Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise:
One Institution???s Strategies and Tools. Academic Medicine. 2006;81(5).
doi:10.1097/01.…
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psnet.ahrq.gov/node/35564/psn-pdf
June 17, 2014 - Medication safety issue brief. Small and rural
hospitals—unique challenges, unique solutions.
June 17, 2014
Association AH, Pharmacists AS of H-S, Networks H & H. Medication Safety Issue Brief. Small and rural
hospitals--unique challenges, unique solutions. Hospitals & health networks. 2005;79(11):45-6.
https://ps…
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psnet.ahrq.gov/node/44247/psn-pdf
November 03, 2015 - Effects of interdisciplinary team care interventions on
general medical wards: a systematic review.
November 3, 2015
Pannick S, Davis R, Ashrafian H, et al. Effects of Interdisciplinary Team Care Interventions on General
Medical Wards: A Systematic Review. JAMA Intern Med. 2015;175(8):1288-98.
doi:10.1001/jamainte…
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psnet.ahrq.gov/node/34746/psn-pdf
July 08, 2016 - To Err Is Human: Building a Safer Health System.
July 8, 2016
Kohn KT, Corrigan JM, Donaldson MS, eds. Washington, DC: Committee on Quality Health Care in
America, Institute of Medicine: National Academy Press; 1999.
https://psnet.ahrq.gov/issue/err-human-building-safer-health-system
One measure of the impact of t…
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psnet.ahrq.gov/node/36163/psn-pdf
September 29, 2010 - Improving the bar-coded medication administration
system at the Department of Veterans Affairs.
September 29, 2010
Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the
Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):1442-7.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/39768/psn-pdf
August 18, 2010 - Medical team training and coaching in the veterans health
administration; assessment and impact on the first 32
facilities in the programme.
August 18, 2010
Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration;
assessment and impact on the first 32 facilities in…
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psnet.ahrq.gov/node/48057/psn-pdf
June 26, 2019 - Multicenter study to evaluate the benefits of technology-
assisted workflow on i.v. room efficiency, costs, and
safety.
June 26, 2019
Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted
workflow on i.v. room efficiency, costs, and safety. Am J Health-Syst Pharm. 2…
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psnet.ahrq.gov/node/73197/psn-pdf
April 28, 2021 - Medical Office Survey: 2020 User Database Report.
April 28, 2021
Famolaro T, Hare R, Thornton S, et al. Surveys on Patient Safety CultureTM (SOPSTM). Rockville,
MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0034.
https://psnet.ahrq.gov/issue/medical-office-survey-2020-user…
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psnet.ahrq.gov/node/38142/psn-pdf
April 30, 2014 - Medical error disclosure among pediatricians: choosing
carefully what we might say to parents.
April 30, 2014
Loren DJ, Klein EJ, Garbutt J, et al. Medical Error Disclosure Among Pediatricians. Arch Pediatr Adolesc
Med. 2008;162(10):922-927. doi:10.1001/archpedi.162.10.922.
https://psnet.ahrq.gov/issue/medical-err…
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psnet.ahrq.gov/node/39800/psn-pdf
January 19, 2011 - Medication errors in paediatric outpatients.
January 19, 2011
Kaushal R, Goldmann DA, Keohane CA, et al. Medication errors in paediatric outpatients. BMJ Qual Saf.
2010;19(6). doi:10.1136/qshc.2008.031179.
https://psnet.ahrq.gov/issue/medication-errors-paediatric-outpatients
Pediatric medication errors are common …
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psnet.ahrq.gov/node/37695/psn-pdf
April 11, 2011 - Development, testing, and findings of a pediatric-focused
trigger tool to identify medication-related harm in US
children's hospitals.
April 11, 2011
Takata GS, Mason W, Taketomo C, et al. Development, testing, and findings of a pediatric-focused trigger
tool to identify medication-related harm in US children's ho…
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - Medication event huddles: a tool for reducing adverse
drug events.
March 20, 2014
Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt
Comm J Qual Patient Saf. 2014;40(1):39-45.
https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…
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psnet.ahrq.gov/node/50370/psn-pdf
January 01, 2020 - Debunking the myth that the majority of medical errors
are attributed to communication.
September 25, 2019
Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to
communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821.
https://psnet.ahrq.gov/issue/debunking-myth-maj…