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psnet.ahrq.gov/node/47133/psn-pdf
April 07, 2019 - "Doctor Jazz": lessons that medical professionals can
learn from jazz musicians.
April 7, 2019
van Ark AE, Wijnen-Meijer M. "Doctor Jazz": Lessons that medical professionals can learn from jazz
musicians. Med Teach. 2019;41(2):201-206. doi:10.1080/0142159X.2018.1461205.
https://psnet.ahrq.gov/issue/doctor-jazz-les…
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psnet.ahrq.gov/node/72708/psn-pdf
February 03, 2021 - How communication "failed" or "saved the day":
counterfactual accounts of medical errors.
February 3, 2021
Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual
Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1177/2374373520925270.
https://p…
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psnet.ahrq.gov/node/44901/psn-pdf
March 30, 2016 - Medication safety pharmacy technician in a large, tertiary
care, community hospital.
March 30, 2016
Brown KN, Bergsbaken J, Reichard JS. Medication safety pharmacy technician in a large, tertiary care,
community hospital. Am J Health Syst Pharm. 2016;73(4):188-191. doi:10.2146/ajhp150098.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/47945/psn-pdf
August 28, 2019 - Individual and team-based medical error disclosure:
dialectical tensions among health care providers.
August 28, 2019
Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical
Tensions Among Health Care Providers. Qual Health Res. 2019;29(8):1096-1108.
doi:10.1177/1049…
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psnet.ahrq.gov/node/45934/psn-pdf
March 01, 2017 - The evolving role of medical scribe: variation and
implications for organizational effectiveness and safety.
March 1, 2017
Woodcock D, Pranaat R, McGrath K, et al. The Evolving Role of Medical Scribe: Variation and Implications
for Organizational Effectiveness and Safety. Stud Health Technol Inform. 2017;234:382-38…
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psnet.ahrq.gov/node/42288/psn-pdf
May 22, 2013 - The impacts of using community health volunteers to
coach medication safety behaviors among rural elders
with chronic illnesses.
May 22, 2013
Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach
medication safety behaviors among rural elders with chronic illnesses. Geriat…
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psnet.ahrq.gov/node/47850/psn-pdf
March 27, 2019 - Medicines-related harm in the elderly post-hospital
discharge.
March 27, 2019
Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34.
https://psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge
Geriatric patients are particularly vulnerable to medication-related harm. This articl…
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psnet.ahrq.gov/node/45794/psn-pdf
February 15, 2017 - Teaching the diagnostic process as a model to improve
medical education.
February 15, 2017
Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med.
2017;92(1):1-4. doi:10.1097/ACM.0000000000001481.
https://psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-ed…
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psnet.ahrq.gov/node/42264/psn-pdf
May 25, 2022 - Safety Considerations for Container Labels and Carton
Labeling Design to Minimize Medication Errors: Guidance
for Industry.
May 25, 2022
Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for
Drug Evaluation and Research; May 18, 2022.
https://psnet.ahrq.gov/issue/safe…
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psnet.ahrq.gov/node/38934/psn-pdf
June 28, 2011 - Medication errors: how reliable are the severity ratings
reported to the National Reporting and Learning System?
June 28, 2011
Williams SD, Ashcroft DM. Medication errors: how reliable are the severity ratings reported to the national
reporting and learning system? Int J Qual Health Care. 2009;21(5):316-20. doi:10.…
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psnet.ahrq.gov/node/37800/psn-pdf
December 23, 2012 - Correlates of Medication Error in Hospitals.
December 23, 2012
Correlates Of Medication Error In Hospitals.
https://psnet.ahrq.gov/issue/correlates-medication-error-hospitals
This report describes results of a large survey of Canadian nurses and identifies work-related factors that
contribute to medication errors.…
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psnet.ahrq.gov/issue/communicating-critical-test-results-0
November 19, 2014 - Toolkit
Communicating Critical Test Results.
Citation Text:
Communicating Critical Test Results. Burlington MA: Massachusetts Coalition for the Prevention of Medical Errors, MassPRO.
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psnet.ahrq.gov/issue/ways-you-can-help-your-family-prevent-medical-errors
December 24, 2008 - Fact Sheet/FAQs
Ways You Can Help Your Family Prevent Medical Errors!
Citation Text:
Ways You Can Help Your Family Prevent Medical Errors! Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/safeguarding-storage-drug-products
December 15, 2010 - Newspaper/Magazine Article
Safeguarding the storage of drug products.
Citation Text:
Safeguarding the storage of drug products. PA-PSRS Patient Saf Advis. 2010;7(2):46-51.
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psnet.ahrq.gov/issue/center-patient-safety
May 01, 2016 - Multi-use Website
Center for Patient Safety.
Citation Text:
Center for Patient Safety. Missouri State Medical Association; Missouri Hospital Association; Primaris
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psnet.ahrq.gov/issue/what-new-doctor-learned-about-medical-mistakes-her-moms-death
March 03, 2021 - Newspaper/Magazine Article
What a new doctor learned about medical mistakes from her Mom's death.
Citation Text:
What a new doctor learned about medical mistakes from her Mom's death. Allen M. ProPublica. January 9, 2013.
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psnet.ahrq.gov/issue/mistakes-some-deadly-haunt-county-jails
March 01, 2017 - Newspaper/Magazine Article
Mistakes, some deadly, haunt county jails.
Citation Text:
Mistakes, some deadly, haunt county jails. Carter M. Seattle Times. March 9, 2007
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psnet.ahrq.gov/issue/standards-audits-and-saying-im-sorry-engineers-family-proposes-solutions
February 22, 2010 - Newspaper/Magazine Article
Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.
Citation Text:
Standards, audits, and saying I'm sorry: an engineer's family proposes solutions. Wojcieszak D.
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psnet.ahrq.gov/node/36358/psn-pdf
June 13, 2011 - Case studies on medication reconciliation.
June 13, 2011
Crawford AG; Sciamanna CN.
https://psnet.ahrq.gov/issue/case-studies-medication-reconciliation
The journal provides an editorial and several case studies on medication reconciliation from a variety of
health care environments.
https://psnet.ahrq.gov/issue/c…
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psnet.ahrq.gov/node/36317/psn-pdf
October 11, 2006 - Medication errors.
October 11, 2006
Hartigan-Go K. Int J Risk Safety Med. 2006;18(3):181-186.
https://psnet.ahrq.gov/issue/medication-errors
The author discusses causes of medication errors and drug safety and provides case examples of safe
medication practices from the Philippines.
https://psnet.ahrq.gov/issue/m…