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psnet.ahrq.gov/node/38555/psn-pdf
April 15, 2009 - Standardized sign-out reduces intern perception of
medical errors on the general internal medicine ward.
April 15, 2009
Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on
the general internal medicine ward. Teach Learn Med. 2009;21(2):121-6.
doi:10.1080/10401330…
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psnet.ahrq.gov/node/36224/psn-pdf
October 19, 2010 - Nonpunitive medication error reporting: 3-year findings
from one hospital's primum non nocere initiative.
October 19, 2010
Potylycki MJ, Kimmel SR, Ritter M, et al. Nonpunitive medication error reporting: 3-year findings from one
hospital's Primum Non Nocere initiative. J Nurs Adm. 2006;36(7-8):370-376.
https://ps…
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psnet.ahrq.gov/node/41530/psn-pdf
July 18, 2012 - Electronic prescribing and other forms of technology to
reduce inappropriate medication use and polypharmacy
in older people: a review of current evidence.
July 18, 2012
Clyne B, Bradley MC, Hughes C, et al. Electronic prescribing and other forms of technology to reduce
inappropriate medication use and polypharmac…
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psnet.ahrq.gov/node/42839/psn-pdf
January 09, 2014 - Teaching medical error disclosure to residents using
patient-centered simulation training.
January 9, 2014
Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered
simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.0000000000000046.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/837509/psn-pdf
June 22, 2022 - Scoping review of studies evaluating frailty and its
association with medication harm.
June 22, 2022
Lam JYJ, Barras M, Scott IA, et al. Scoping review of studies evaluating frailty and its association with
medication harm. Drugs Aging. 2022;39(5):333-353. doi:10.1007/s40266-022-00940-3.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/34570/psn-pdf
March 07, 2005 - Measuring the Success of the Regional Medication Safety
Program for Hospitals.
March 7, 2005
Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
The Regional Medication Safety Prog…
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psnet.ahrq.gov/node/37300/psn-pdf
January 04, 2012 - Beyond negligence: avoidability and medical injury
compensation.
January 4, 2012
Kachalia A, Mello MM, Brennan TA, et al. Beyond negligence: avoidability and medical injury
compensation. Soc Sci Med. 2008;66(2):387-402.
https://psnet.ahrq.gov/issue/beyond-negligence-avoidability-and-medical-injury-compensation
Th…
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psnet.ahrq.gov/node/37464/psn-pdf
January 16, 2008 - Variation in medication information for elderly patients
during initial interventions by emergency department
physicians.
January 16, 2008
Cohen V, Jellinek SP, Likourezos A, et al. Variation in medication information for elderly patients during
initial interventions by emergency department physicians. Am J Health…
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psnet.ahrq.gov/node/41614/psn-pdf
September 26, 2012 - Automated electronic reminders to prevent
miscommunication among primary medical, surgical and
anaesthesia providers: a root cause analysis.
September 26, 2012
Freundlich RE, Grondin L, Tremper KK, et al. Automated electronic reminders to prevent
miscommunication among primary medical, surgical and anaesthesia pro…
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psnet.ahrq.gov/node/44655/psn-pdf
December 16, 2015 - Is there light? Well it depends—a grounded theory study
of nurses, lighting, and medication administration.
December 16, 2015
Graves K, Symes L, Cesario SK, et al. Is There Light? Well It Depends--A Grounded Theory Study of
Nurses, Lighting, and Medication Administration. Nurs Forum. 2015;50(4):241-51. doi:10.1111/…
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psnet.ahrq.gov/node/42786/psn-pdf
December 02, 2014 - Cough and cold medication adverse events after market
withdrawal and labeling revision.
December 2, 2014
Hampton LM, Nguyen DB, Edwards JR, et al. Cough and cold medication adverse events after market
withdrawal and labeling revision. Pediatrics. 2013;132(6):1047-54. doi:10.1542/peds.2013-2236.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/43455/psn-pdf
December 15, 2014 - What about doctors? The impact of medical errors.
December 15, 2014
Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300.
doi:10.1016/j.surge.2014.06.004.
https://psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors
Patients are the first victims when medica…
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psnet.ahrq.gov/node/850360/psn-pdf
June 14, 2023 - Taking a closer look at medication errors that involve
oxytocin.
June 14, 2023
ISMP Medication Safety Alert! Acute care edition. June 1, 2023; 28(11):1-6.
https://psnet.ahrq.gov/issue/taking-closer-look-medication-errors-involve-oxytocin
Oxytocin, which is commonly used to induce labor, has been associated with ad…
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psnet.ahrq.gov/node/862999/psn-pdf
February 21, 2024 - Health tech hazards: at-home medical devices, AI
governance on ECRI's new list.
February 21, 2024
Miliard M. Healthcare IT News. February 1, 2024.
https://psnet.ahrq.gov/issue/health-tech-hazards-home-medical-devices-ai-governance-ecris-new-list
Technologies provide improvements and introduce unique problems to ca…
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psnet.ahrq.gov/node/44201/psn-pdf
July 15, 2015 - The outcomes of recent patient safety education
interventions for trainee physicians and medical
students: a systematic review.
July 15, 2015
Kirkman MA, Sevdalis N, Arora S, et al. The outcomes of recent patient safety education interventions for
trainee physicians and medical students: a systematic review. BMJ O…
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psnet.ahrq.gov/node/36242/psn-pdf
March 06, 2019 - Your attention please... designing effective warnings.
March 6, 2019
ISMP Medication Safety Alert! Acute care edition. February 28, 2019.
https://psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings
Medication warnings inform providers and patients about risks associated with medication use. As w…
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psnet.ahrq.gov/node/35502/psn-pdf
May 27, 2011 - Medication errors: a prospective cohort study of hand-
written and computerised physician order entry in the
intensive care unit.
May 27, 2011
Shulman R, Singer M, Goldstone J, et al. Medication errors: a prospective cohort study of hand-written and
computerised physician order entry in the intensive care unit. Cr…
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psnet.ahrq.gov/node/72534/psn-pdf
December 02, 2020 - Patients' perceptions of safety in emergency medical
services: an interview study.
December 2, 2020
Venesoja A, Castrén M, Tella S, et al. Patients’ perceptions of safety in emergency medical services: an
interview study. BMJ Open. 2020;10(10):e037488. doi:10.1136/bmjopen-2020-037488.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/41961/psn-pdf
January 16, 2013 - Understanding the attitudes of hospital pharmacists to
reporting medication incidents: a qualitative study.
January 16, 2013
Williams SD, Phipps D, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting
medication incidents: a qualitative study. Res Social Adm Pharm. 2013;9(1):80-9.
doi:10.1…
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psnet.ahrq.gov/node/37116/psn-pdf
October 04, 2011 - Adopting National Quality Forum medication safe
practices: progress and barriers to hospital
implementation.
October 4, 2011
Rask KJ, Culler SD, Scott T, et al. Adopting National Quality Forum medication safe practices: Progress
and barriers to hospital implementation. J Hosp Med. 2007;2(4). doi:10.1002/jhm.187.
…