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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40565/psn-pdf
    June 29, 2011 - National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. June 29, 2011 Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. J Emerg…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47372/psn-pdf
    January 01, 2019 - Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. October 3, 2018 Campione JR, Mardon RE, McDonald KM. Patient Safety Culture, Health Information Technology Implementation, and Medical Office Problems That Could Lead to Diagnostic…
  3. psnet.ahrq.gov/issue/costs-intravenous-adverse-drug-events-academic-and-nonacademic-intensive-care-units
    August 11, 2021 - Study Costs of intravenous adverse drug events in academic and nonacademic intensive care units. Citation Text: Nuckols TK, Paddock SM, Bower AG, et al. Costs of intravenous adverse drug events in academic and nonacademic intensive care units. Med Care. 2009;46(1):17-24. doi:10.1097/m…
  4. psnet.ahrq.gov/issue/disentangling-quality-and-safety-indicator-data-longitudinal-comparative-study-hand-hygiene
    March 23, 2011 - Study Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance and accreditation outcomes in 96 Australian hospitals. Citation Text: Mumford V, Greenfield D, Hogden A, et al. Disentangling quality and safety indicator data: a longitudi…
  5. psnet.ahrq.gov/issue/pharmacist-physician-communications-highly-computerised-hospital-sign-and-action-electronic
    February 27, 2019 - Study Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages. Citation Text: Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly Computerised Hospital: Sign-Off and Action of Electr…
  6. psnet.ahrq.gov/issue/impact-commercial-order-entry-system-prescribing-errors-amenable-computerised-decision
    December 21, 2022 - Study Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study. Citation Text: Pontefract SK, Hodson J, Slee A, et al. Impact of a commercial order entry system on prescribing errors am…
  7. psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
    May 01, 2011 - SPOTLIGHT CASE The Wrong Shot: Error Disclosure Citation Text: Gallagher TH, Levinson W. The Wrong Shot: Error Disclosure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Sch…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49659/psn-pdf
    July 01, 2012 - Sloppy and Paste July 1, 2012 Hirschtick RE. Sloppy and Paste. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/sloppy-and-paste The Case A 78-year-old man with hypertension and diabetes presented to an emergency department (ED) with new onset chest pain. The ED physician reviewed the patient's electronic me…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49395/psn-pdf
    April 01, 2003 - Medication Overdose April 1, 2003 Kaushal R. Medication Overdose. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/medication-overdose The Case A 15-year-old boy with end-stage AIDS was admitted to the pediatric ICU with mental status changes. He was diagnosed with status epilepticus and started on a loading…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35892/psn-pdf
    July 23, 2010 - Medical errors: should you apologize? July 23, 2010 Weiss GG. Medical errors. Should you apologize? Medical economics. 2006;83(8):50-4. https://psnet.ahrq.gov/issue/medical-errors-should-you-apologize This article discusses disclosure of adverse events from various perspectives and provides suggestions on apologiz…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35153/psn-pdf
    June 19, 2009 - Managing medication errors—a qualitative study. June 19, 2009 Stetina P, Groves M, Pafford L. Managing medication errors--a qualitative study. Medsurg Nurs. 2005;14(3):174-8. https://psnet.ahrq.gov/issue/managing-medication-errors-qualitative-study The authors conducted interviews with practicing nurses regarding …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42615/psn-pdf
    September 25, 2013 - Examining medication reconciliation from a perspective of safety. September 25, 2013 Daly M, Lee B. Formulary. August 8, 2013. https://psnet.ahrq.gov/issue/examining-medication-reconciliation-perspective-safety This article examines the value of medication reconciliation as a strategy to improve safety and reveals…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60994/psn-pdf
    October 07, 2020 - Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data. October 7, 2020 Zhou J, Calip GS, Rowan S, et al. Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insuranc…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866538/psn-pdf
    August 14, 2024 - Improving departmental psychological safety through a medical school-wide initiative August 14, 2024 Porter-Stransky KA, Horneffer-Ginter KJ, Bauler LD, et al. Improving departmental psychological safety through a medical school-wide initiative. BMC Med Educ. 2024;24(1):800. doi:10.1186/s12909-024-05794- 4. https…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42779/psn-pdf
    January 29, 2014 - Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. January 29, 2014 Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841486/psn-pdf
    January 26, 2018 - Do words matter? Stigmatizing language and the transmission of bias in the medical record. January 26, 2018 P. Goddu A, O’Conor KJ, Lanzkron S, et al. Do words matter? Stigmatizing language and the transmission of bias in the medical record. J Gen Intern Med. 2018;33(5):685-691. doi:10.1007/s11606-017-4289-2. http…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46683/psn-pdf
    February 14, 2018 - Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013. February 14, 2018 Gray AM, Fenn P, Rickman N, et al. Changing experience of adverse medical events in the National Health Service: Comparison of two population surveys in 2001 and 20…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43767/psn-pdf
    February 04, 2015 - Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross- sectional survey. February 4, 2015 Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. BMJ Q…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50753/psn-pdf
    December 18, 2019 - The contribution of staffing to medication administration errors: a text mining analysis of incident report data. December 18, 2019 Härkänen M, Vehviläinen?Julkunen K, Murrells T, et al. The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incident Report Data. J Nurs Scholars…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47242/psn-pdf
    January 01, 2021 - "It matters what I think, not what you say": scientific evidence for a medical error disclosure competence (MEDC) model. October 10, 2018 Hannawa AF, Frankel RM. "It Matters What I Think, Not What You Say": Scientific Evidence for a Medical Error Disclosure Competence (MEDC) Model. J Patient Saf. 2021;17(8):e1130-…

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