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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36579/psn-pdfJune 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. Hosp Pharm. 2006;41(12):1148-1150. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-9 This monthly report discussed medication reconciliation and community pharmacists, look-alike and sound- alike problems, and automated dispensing ca… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36821/psn-pdfAugust 26, 2011 - Medication error reduction and the use of PDA technology. August 26, 2011 Greenfield S. Medication error reduction and the use of PDA technology. J Nurs Educ. 2007;46(3):127-31. doi:10.3928/01484834-20070301-07. https://psnet.ahrq.gov/issue/medication-error-reduction-and-use-pda-technology This study found that P… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37404/psn-pdfJune 13, 2011 - Answers to improved medication reconciliation lie with pharmacists. June 13, 2011 Barbella M. Drug Topics. November 19, 2007. https://psnet.ahrq.gov/issue/answers-improved-medication-reconciliation-lie-pharmacists A survey of hospital pharmacists underscores problems inherent in implementing medication reconciliat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41278/psn-pdfApril 04, 2012 - Strategies to reduce medication errors in pediatric ambulatory settings. April 4, 2012 Mehndiratta S. Strategies to reduce medication errors in pediatric ambulatory settings. J Postgrad Med. 2012;58(1):47-53. doi:10.4103/0022-3859.93252. https://psnet.ahrq.gov/issue/strategies-reduce-medication-errors-pediatric-am… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35474/psn-pdfSeptember 21, 2009 - Is consent required for publication of medical errors? September 21, 2009 Weisbaum K, Hyland S, Bernstein M. Is consent required for publication of medical errors? Healthc Q. 2005;8(4):66-9. https://psnet.ahrq.gov/issue/consent-required-publication-medical-errors The authors argue that, under certain conditions, p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39874/psn-pdfSeptember 29, 2010 - Medical malpractice: the fear factor. September 29, 2010 Robeznieks A. Modern Physician. September 13, 2010. https://psnet.ahrq.gov/issue/medical-malpractice-fear-factor This piece discusses evidence collected on the role of malpractice in defensive medicine and describes an AHRQ initiative to explore solutions fo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36617/psn-pdfJanuary 14, 2011 - Quest for the ideal: a redesign of the medication use system. January 14, 2011 Dang D, Feroli R, Gill C, et al. Quest for the ideal: a redesign of the medication use system. J Nurs Care Qual. 2007;22(1):11-19. https://psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system The authors describe the interdi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42845/psn-pdfDecember 18, 2014 - Breakdowns in the medication reconciliation process. December 18, 2014 Gao T, Gaunt MJ. PA-PSRS Patient Saf Advis. December 2013;10:125-136. https://psnet.ahrq.gov/issue/breakdowns-medication-reconciliation-process Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece identifies … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33921/psn-pdfOctober 10, 2018 - ASHP guidelines on preventing medication errors in hospitals. October 10, 2018 ASHP guidelines on preventing medication errors in hospitals. American journal of hospital pharmacy. 1993;50(2):305-14. https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals Strategies to prevent inpatient… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852273/psn-pdfAugust 09, 2023 - Experimental evidence for structured information-sharing networks reducing medical errors. August 9, 2023 Centola D, Becker J, Zhang J, et al. Experimental evidence for structured information–sharing networks reducing medical errors. Proc Natl Acad Sci U S A. 2023;120(31):e2108290120. doi:10.1073/pnas.2108290120. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849330/psn-pdfMay 24, 2023 - Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study. May 24, 2023 Jeffries M, Salema N-E, Laing L, et al. Using sociotechnical theory to understand medication safety work in primary care and prescribers’ use of clin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47932/psn-pdfAugust 21, 2019 - Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. August 21, 2019 Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communication: Implementation of an Elec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34070/psn-pdfFebruary 18, 2011 - Effect of reducing interns' work hours on serious medical errors in intensive care units. February 18, 2011 Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med. 2004;351(18):1838-48. https://psnet.ahrq.gov/issue/effec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862131/psn-pdfFebruary 07, 2024 - Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. February 7, 2024 Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved ou… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42238/psn-pdfJuly 02, 2014 - Teaching medical error disclosure to physicians-in- training: a scoping review. July 2, 2014 Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f. https://psnet.ahrq.gov/issue/teaching-me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46705/psn-pdfMarch 21, 2018 - A national study links nurses' physical and mental health to medical errors and perceived worksite wellness. March 21, 2018 Melnyk BM, Orsolini L, Tan A, et al. A National Study Links Nurses' Physical and Mental Health to Medical Errors and Perceived Worksite Wellness. J Occup Environ Med. 2018;60(2):126-131. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44236/psn-pdfOctober 13, 2015 - We thought we would be perfect: medication errors before and after the initiation of computerized physician order entry. October 13, 2015 Schwartzberg D, Ivanovic S, Patel S, et al. We thought we would be perfect: medication errors before and after the initiation of Computerized Physician Order Entry. J Surg Res. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37992/psn-pdfAugust 20, 2008 - Medication errors reported by US family physicians and their office staff. August 20, 2008 Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869. https://psnet.ahrq.gov/issue/medic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44953/psn-pdfMarch 09, 2016 - Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. March 9, 2016 Farnan JM, Gaffney S, Poston JT, et al. Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45784/psn-pdfApril 03, 2017 - Processes for identifying and reviewing adverse events and near misses at an academic medical center. April 3, 2017 Martinez W, Lehmann LS, Hu Y-Y, et al. Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center. Jt Comm J Qual Patient Saf. 2017;43(1):5-15. doi:10.1016/j…
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