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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852456/psn-pdfAugust 16, 2023 - Residents, responsibility, and error: how residents learn to navigate the intersection. August 16, 2023 Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000000005267. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43137/psn-pdfMay 28, 2015 - Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. May 28, 2015 Mochan E, Nash DB. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Am J Med Qual. 2015;30(3):232-47. doi:10.1177/1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33976/psn-pdfDecember 18, 2008 - Medical errors: overcoming the challenges. December 18, 2008 Kalra J. Medical errors: overcoming the challenges. Clin Biochem. 2004;37(12):1063-71. https://psnet.ahrq.gov/issue/medical-errors-overcoming-challenges This commentary introduces several initiatives intended to help reduce medical error, such as developm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36747/psn-pdfJuly 26, 2011 - Simple strategies to avoid medication errors. July 26, 2011 Jenkins RH, Vaida AJ. Simple strategies to avoid medication errors. Fam Pract Manag. 2007;14(2):41-47. https://psnet.ahrq.gov/issue/simple-strategies-avoid-medication-errors The authors highlight low-cost strategies that support safe medication use in offi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38899/psn-pdfDecember 30, 2014 - ISMP medication error report analysis. December 30, 2014 Cohen MR. Hosp Pharm. 2009;44(8):654-656. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-37 This monthly error report analysis includes examples of miscommunication regarding medication allergy, incorrect dosing of opiates, and misplaceme… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38717/psn-pdfJanuary 31, 2011 - Using information to optimize medical outcomes. January 31, 2011 Duncan JR. Using Information to Optimize Medical Outcomes. JAMA. 2009;301(22). doi:10.1001/jama.2009.827. https://psnet.ahrq.gov/issue/using-information-optimize-medical-outcomes This commentary describes how optimal use of information technology and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34619/psn-pdfMarch 17, 2011 - Action against Medical Accidents. March 17, 2011 Freedman House, Christopher Wren Yard, 117 High Street, Croydon, UK, CR0 1QG, office@avma.org.uk. https://psnet.ahrq.gov/issue/action-against-medical-accidents Action against Medical Accidents (AvMA) is an independent United Kingdom charity that promotes better pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39146/psn-pdfDecember 02, 2009 - Weighing in on medication safety. December 2, 2009 Paparella S. Weighing in on medication safety. J Emerg Nurs. 2009;35(6):553-555. doi:10.1016/j.jen.2009.07.003. https://psnet.ahrq.gov/issue/weighing-medication-safety This commentary explains how inaccurately estimating patient weight in the emergency department … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42181/psn-pdfApril 10, 2013 - Think you can't make medication errors? April 10, 2013 Kromis L. Outpatient Surgery Magazine. March 2013. https://psnet.ahrq.gov/issue/think-you-cant-make-medication-errors This article describes examples of medication safety failures and details methods to help prevent them. https://psnet.ahrq.gov/issue/think-you… -
psnet.ahrq.gov/perspective/conversation-dave-debronkartJune 01, 2014 - In Conversation With… Dave deBronkart June 1, 2014 Also Read an Essay Citation Text: In Conversation With… Dave deBronkart. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Ci…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33909/psn-pdfFebruary 05, 2018 - Twenty Tips to Help Prevent Medical Errors in Children. February 5, 2018 Rockville, MD: Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/twenty-tips-help-prevent-medical-errors-children This consumer fact sheet advises parents on how to help their children avoid medical errors pertaining to … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38238/psn-pdfApril 19, 2011 - Apologies and medical error. April 19, 2011 Robbennolt JK. Apologies and medical error. Clin Orthop Relat Res. 2009;467(2):376-82. doi:10.1007/s11999-008-0580-1. https://psnet.ahrq.gov/issue/apologies-and-medical-error This article describes disclosure and apology as methods to respond to medical errors and highli… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40481/psn-pdfJune 20, 2011 - Medication errors—new approaches to prevention. June 20, 2011 Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x. https://psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention This review discusses evidence-bas… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38273/psn-pdfFebruary 03, 2010 - Getting to the root of medication errors. February 3, 2010 Cohen H, Shastay AD. Getting to the root of medication errors. Nursing (Brux). 2008;38(12):39-49. doi:10.1097/01.NURSE.0000342031.85246.a1. https://psnet.ahrq.gov/issue/getting-root-medication-errors Nurses reported improvements in following safe medicatio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39888/psn-pdfSeptember 29, 2010 - The electronic medical record in dermatology. September 29, 2010 Grosshandler JA, Tulbert B, Kaufmann MD, et al. The electronic medical record in dermatology. Arch Dermatol. 2010;146(9):1031-6. doi:10.1001/archdermatol.2010.229. https://psnet.ahrq.gov/issue/electronic-medical-record-dermatology This commentary dis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36923/psn-pdfJune 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR; Smetzer JL. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-13 This monthly commentary on medication error discusses the effective use of computer alerts, provides examples of problems related to look-alike injection vials, and share… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36757/psn-pdfAugust 09, 2011 - Medication bar coding: to scan or not to scan? August 9, 2011 Galvin L, McBeth S, Hasdorff C, et al. Medication bar coding: to scan or not to scan? Comput Inform Nurs. 2007;25(2):86-92. https://psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan The authors describe the implementation of a bedside medicati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35559/psn-pdfJune 08, 2010 - Residency program fills medication safety void. June 8, 2010 Young D. Residency program fills medication safety void. Am J Health Syst Pharm. 2005;62(23):2450- 2451. https://psnet.ahrq.gov/issue/residency-program-fills-medication-safety-void This news piece highlights a medication-use safety residency program at J… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38438/psn-pdfFebruary 25, 2009 - Minimising medication errors in children. February 25, 2009 Wong ICK, Wong LYL, Cranswick NE. Minimising medication errors in children. Arch Dis Child. 2009;94(2):161-4. doi:10.1136/adc.2007.116442. https://psnet.ahrq.gov/issue/minimising-medication-errors-children This review identifies factors that contribute to… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35315/psn-pdfApril 12, 2019 - The Institute for Safe Medication Practices. April 12, 2019 5200 Butler Pike, Plymouth Meeting, PA, 19462. 215-947-7797. https://psnet.ahrq.gov/issue/institute-safe-medication-practices The Institute for Safe Medication Practices (ISMP) is a nonprofit organization whose focus is to help health care practitioners u…
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