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psnet.ahrq.gov/node/37709/psn-pdf
April 23, 2008 - Inappropriate medication use in the elderly: results from a
quality improvement project in 99 primary care practices.
April 23, 2008
Wessell AM, Nietert PJ, Jenkins RG, et al. Inappropriate medication use in the elderly: Results from a
quality improvement project in 99 primary care practices. Am J Geriatr Pharmacot…
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psnet.ahrq.gov/node/41215/psn-pdf
September 04, 2013 - Medical emergency team calls in the radiology
department: patient characteristics and outcomes.
September 4, 2013
Ott LK, Pinsky MR, Hoffman LA, et al. Medical emergency team calls in the radiology department: patient
characteristics and outcomes. BMJ Qual Saf. 2012;21(6):509-18. doi:10.1136/bmjqs-2011-000423.
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psnet.ahrq.gov/node/43307/psn-pdf
September 26, 2016 - Mitigating errors caused by interruptions during
medication verification and administration: interventions
in a simulated ambulatory chemotherapy setting.
September 26, 2016
Prakash V, Koczmara C, Savage P, et al. Mitigating errors caused by interruptions during medication
verification and administration: interven…
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psnet.ahrq.gov/node/41573/psn-pdf
October 30, 2013 - The medical student as a patient: attitudes towards
involvement in the quality and safety of health care.
October 30, 2013
Davis R, Joshi D, Patel K, et al. The medical student as a patient: attitudes towards involvement in the
quality and safety of health care. J Eval Clin Pract. 2013;19(5):812-8. doi:10.1111/j.13…
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psnet.ahrq.gov/node/60718/psn-pdf
July 22, 2020 - First Do No Harm. The Report of the Independent
Medicines and Medical Devices Safety Review.
July 22, 2020
Cumberlege J. London, England, Crown Copyright. July 8, 2020.
https://psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety-
review
Implicit biases are known to affect…
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psnet.ahrq.gov/node/46712/psn-pdf
December 21, 2018 - Analgesic-related medication errors reported to US
Poison Control Centers.
December 21, 2018
Eluri M, Spiller HA, Casavant MJ, et al. Analgesic-Related Medication Errors Reported to US Poison
Control Centers. Pain Med. 2018;19(12):2357-2370. doi:10.1093/pm/pnx272.
https://psnet.ahrq.gov/issue/analgesic-related-med…
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psnet.ahrq.gov/node/46699/psn-pdf
March 20, 2018 - Disclosure of harmful medical error to patients: a review
with recommendations for pathologists.
March 20, 2018
Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations
for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/PAP.0000000000000181.
https://psnet…
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psnet.ahrq.gov/node/34978/psn-pdf
June 30, 2011 - Personal digital assistant-based drug information
sources: potential to improve medication safety.
June 30, 2011
Galt K, Rule AM, Houghton B, et al. Personal digital assistant-based drug information sources: potential to
improve medication safety. J Med Libr Assoc. 2005;93(2):229-36.
https://psnet.ahrq.gov/issue/p…
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psnet.ahrq.gov/node/35182/psn-pdf
April 11, 2011 - Standard drug concentrations and smart-pump
technology reduce continuous-medication-infusion errors
in pediatric patients.
April 11, 2011
Larsen G, Parker HB, Cash J, et al. Standard drug concentrations and smart-pump technology reduce
continuous-medication-infusion errors in pediatric patients. Pediatrics. 2005;1…
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psnet.ahrq.gov/node/38996/psn-pdf
March 04, 2011 - Overcoming barriers to the implementation of a pharmacy
bar code scanning system for medication dispensing: a
case study.
March 4, 2011
Nanji KC, Cina J, Patel N, et al. Overcoming barriers to the implementation of a pharmacy bar code
scanning system for medication dispensing: a case study. J Am Med Inform Assoc. …
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psnet.ahrq.gov/node/46028/psn-pdf
July 05, 2017 - The role of morbidity and mortality rounds in medical
education: a scoping review.
July 5, 2017
Benassi P, MacGillivray L, Silver I, et al. The role of morbidity and mortality rounds in medical education: a
scoping review. Med Educ. 2017;51(5):469-479. doi:10.1111/medu.13234.
https://psnet.ahrq.gov/issue/role-morb…
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psnet.ahrq.gov/node/47023/psn-pdf
January 16, 2019 - Usability testing of a mobile app to report medication
errors anonymously: mixed-methods approach.
January 16, 2019
George D, Hassali MA, Hss A-S. Usability Testing of a Mobile App to Report Medication Errors
Anonymously: Mixed-Methods Approach. JMIR Hum Factors. 2018;5(4):e12232. doi:10.2196/12232.
https://psnet.…
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psnet.ahrq.gov/node/44378/psn-pdf
August 05, 2015 - Advancing medication safety: establishing a National
Action Plan for Adverse Drug Event Prevention.
August 5, 2015
Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for
Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 2015;41(8):351-60.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/44440/psn-pdf
August 26, 2015 - Medical costs of Alzheimer's disease misdiagnosis
among US Medicare beneficiaries.
August 26, 2015
Hunter CA, Kirson NY, Desai U, et al. Medical costs of Alzheimer's disease misdiagnosis among US
Medicare beneficiaries. Alzheimers Dement. 2015;11(8):887-95. doi:10.1016/j.jalz.2015.06.1889.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/50831/psn-pdf
January 29, 2020 - "Everybody makes mistakes": children's views on
medical errors and disclosure.
January 29, 2020
Koller D, Binder MJ, Alexander S, et al. "Everybody Makes Mistakes": Children's Views on Medical Errors
and Disclosure. J Ped Nurs. 2019;49:1-9. doi:10.1016/j.pedn.2019.07.014.
https://psnet.ahrq.gov/issue/everybody-mak…
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psnet.ahrq.gov/node/41117/psn-pdf
March 04, 2015 - The effectiveness of integrated health information
technologies across the phases of medication
management: a systematic review of randomized
controlled trials.
March 4, 2015
McKibbon A, Lokker C, Handler S, et al. The effectiveness of integrated health information technologies
across the phases of medication man…
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psnet.ahrq.gov/node/41126/psn-pdf
February 01, 2013 - The AMÉLIE project: failure mode, effects and criticality
analysis: a model to evaluate the nurse medication
administration process on the floor.
February 1, 2013
Nguyen C, Côté J, Lebel D, et al. The AMÉLIE project: failure mode, effects and criticality analysis: a model
to evaluate the nurse medication administr…
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psnet.ahrq.gov/node/60847/psn-pdf
August 26, 2020 - Avoiding a second wave of medical errors: the
importance of human factors in the context of a
pandemic.
August 26, 2020
Tejos R, Navia A, Cuadra A, et al. Avoiding a second wave of medical errors: the importance of human
factors in the context of a pandemic. Aesthetic Plast Surg. 2020;44(5):1926-1928. doi:10.1007/…
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psnet.ahrq.gov/node/35740/psn-pdf
May 27, 2011 - Impact of computerized physician order entry on
medication prescription errors in the intensive care unit: a
controlled cross-sectional trial.
May 27, 2011
Colpaert K, Claus B, Somers A, et al. Impact of computerized physician order entry on medication
prescription errors in the intensive care unit: a controlled c…
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psnet.ahrq.gov/node/38781/psn-pdf
July 15, 2009 - Medical errors and consequent adverse events in
critically ill surgical patients in a tertiary care teaching
hospital in Delhi.
July 15, 2009
Kumar S, Chaudhary S. Medical errors and consequent adverse events in critically ill surgical patients in a
tertiary care teaching hospital in Delhi. J Emerg Trauma Shock. 2…