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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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-…
  4. Psn-Pdf (pdf file)

    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:…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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.…
  8. Psn-Pdf (pdf file)

    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.…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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 …
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…

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