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psnet.ahrq.gov/issue/understanding-human-factors-patient-safety-when-prescribing
June 15, 2022 - Newspaper/Magazine Article
Understanding human factors in patient safety when prescribing.
Citation Text:
Coon R, Holden K. Understanding human factors in patient safety when prescribing. Pharmaceutical Journal. September 2024;313(7989).
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psnet.ahrq.gov/issue/exploratory-study-measuring-verbal-order-content-and-context
June 25, 2008 - Study
An exploratory study measuring verbal order content and context.
Citation Text:
Wakefield DS, Brokel J, Ward MM, et al. An exploratory study measuring verbal order content and context. Qual Saf Health Care. 2009;18(3):169-73. doi:10.1136/qshc.2008.029827.
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psnet.ahrq.gov/issue/drug-shortages-0
February 22, 2023 - Review
Drug shortages.
Citation Text:
Drug shortages. Aronson JK, Heneghan C, Ferner RE. Br J Clin Pharmacol. 2023;89(10):2950-2963.
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psnet.ahrq.gov/issue/barcode-identification-transfusion-safety
September 09, 2020 - Review
Barcode identification for transfusion safety.
Citation Text:
Murphy MF, Kay JDS. Barcode identification for transfusion safety. Curr Opin Hematol. 2004;11(5):334-338.
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psnet.ahrq.gov/issue/decreasing-patient-misidentification-chemotherapy-administration
July 19, 2023 - Commentary
Decreasing patient misidentification before chemotherapy administration.
Citation Text:
Spruill A, Eron B, Coghill A, et al. Decreasing patient misidentification before chemotherapy administration. Clin J Oncol Nurs. 2009;13(6):716-7. doi:10.1188/09.CJON.716-717.
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psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
February 01, 2023 - Commentary
Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology.
Citation Text:
Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apolog…
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-cases
December 19, 2018 - Commentary
Disclosing harmful medical errors to patients: tackling three tough cases.
Citation Text:
Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030.
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psnet.ahrq.gov/issue/multiple-latent-failures-align-allow-serious-drug-interaction-harm-patient
June 10, 2018 - Newspaper/Magazine Article
Multiple latent failures align to allow a serious drug interaction to harm a patient.
Citation Text:
Multiple latent failures align to allow a serious drug interaction to harm a patient. ISMP Medication Safety Alert! Acute care edition. May 5, 2011;16:1-3.
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psnet.ahrq.gov/node/38933/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-38
This monthly selection of error reports discusses incidents involving insulin preparation, automated
medication cabinet stocking, and medication list filing.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/47622/psn-pdf
April 24, 2019 - Consumer-directed technologies to improve medication
management and safety.
April 24, 2019
Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and
safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029.
https://psnet.ahrq.gov/issue/consumer-directed-technologies-…
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psnet.ahrq.gov/node/45200/psn-pdf
May 09, 2017 - Safe implementation of standard concentration infusions
in paediatric intensive care.
May 9, 2017
Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in
paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5). doi:10.1111/jphp.12580.
https://ps…
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psnet.ahrq.gov/node/72844/psn-pdf
March 17, 2021 - Medical crisis checklists in the emergency department: a
simulation-based multi-institutional randomised
controlled trial.
March 17, 2021
Dryver E, Lundager Forberg J, Hård af Segerstad C, et al. Medical crisis checklists in the emergency
department: a simulation-based multi-institutional randomised controlled tri…
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psnet.ahrq.gov/node/40049/psn-pdf
April 12, 2011 - Field test results of a new ambulatory care Medication
Error and Adverse Drug Event Reporting
System—MEADERS.
April 12, 2011
Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and
Adverse Drug Event Reporting System--MEADERS. Ann Fam Med. 2010;8(6):517-25.
doi:10.1370/…
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psnet.ahrq.gov/node/34677/psn-pdf
February 09, 2011 - Patients' and physicians' attitudes regarding the
disclosure of medical errors.
February 9, 2011
Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure
of medical errors. JAMA. 2003;289(8):1001-7.
https://psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regar…
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psnet.ahrq.gov/node/47411/psn-pdf
December 12, 2018 - Patterns of disrespectful physician behavior at an
academic medical center: implications for training,
prevention, and remediation.
December 12, 2018
Hopkins J, Hedlin H, Weinacker A, et al. Patterns of Disrespectful Physician Behavior at an Academic
Medical Center: Implications for Training, Prevention, and Remed…
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psnet.ahrq.gov/node/46702/psn-pdf
April 16, 2018 - Characteristics of medical liability claims against
dermatologists from 1991 through 2015.
April 16, 2018
Kornmehl H, Singh S, Adler BL, et al. Characteristics of Medical Liability Claims Against Dermatologists
From 1991 Through 2015. JAMA Dermatol. 2018;154(2):160-166. doi:10.1001/jamadermatol.2017.3713.
https://…
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psnet.ahrq.gov/node/73069/psn-pdf
March 24, 2021 - Evaluation of the quality of 'do not use' medication
abbreviation audits: a key enabler to successful
implementation of audit and feedback.
March 24, 2021
Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation
audits: a key enabler to successful implementation of a…
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psnet.ahrq.gov/node/48121/psn-pdf
August 21, 2019 - A randomized experimental study to assess the effect of
language on medical students' anxiety due to uncertainty.
August 21, 2019
Simpkin AL, Murphy Z, Armstrong KA. A randomized experimental study to assess the effect of language
on medical students' anxiety due to uncertainty. Diagnosis (Berl). 2019;6(3):269-276.…
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psnet.ahrq.gov/node/45690/psn-pdf
June 28, 2017 - The impact of critical event checklists on medical
management and teamwork during simulated crises in a
surgical daycare facility.
June 28, 2017
Everett TC, Morgan PJ, Brydges R, et al. The impact of critical event checklists on medical management
and teamwork during simulated crises in a surgical daycare facility…
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psnet.ahrq.gov/node/43660/psn-pdf
November 12, 2014 - Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for Disease
Control and Prevention–convened meeting.
November 12, 2014
Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for …