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psnet.ahrq.gov/node/38003/psn-pdf
September 19, 2016 - Suicide in the medical setting.
September 19, 2016
Ballard ED, Pao M, Henderson D, et al. Suicide in the medical setting. Jt Comm J Qual Patient Saf.
2008;34(8):474-481.
https://psnet.ahrq.gov/issue/suicide-medical-setting
This review sought to differentiate suicides in hospitalized medical patients from suicides …
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psnet.ahrq.gov/node/39151/psn-pdf
October 02, 2017 - The challenges to transparency in reporting medical
errors.
October 2, 2017
Paterick ZR, Paterick BB, Waterhouse BE, et al. The Challenges to Transparency in Reporting Medical
Errors. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181be2a88.
https://psnet.ahrq.gov/issue/challenges-transparency-reporting-medical-…
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psnet.ahrq.gov/node/43267/psn-pdf
June 11, 2014 - The PROTECT Initiative: Advancing Children's Medication
Safety.
June 11, 2014
US Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/protect-initiative-advancing-childrens-medication-safety
This Web site offers resources related to a collaborative involving public health agencies, private
org…
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psnet.ahrq.gov/node/38313/psn-pdf
June 16, 2009 - A medication error prevention survey: five years of
results.
June 16, 2009
Cusano FL, Chambers C, Summach L. A medication error prevention survey: five years of results. J Oncol
Pharm Pract. 2009;15(2):87-93. doi:10.1177/1078155208099284.
https://psnet.ahrq.gov/issue/medication-error-prevention-survey-five-years-r…
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psnet.ahrq.gov/node/40533/psn-pdf
June 15, 2011 - The contribution of labelling to safe medication
administration in anaesthetic practice.
June 15, 2011
Merry A, Shipp DH, Lowinger JS. The contribution of labelling to safe medication administration in
anaesthetic practice. Best Pract Res Clin Anaesthesiol. 2011;25(2):145-159.
doi:10.1016/j.bpa.2011.02.009.
https…
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psnet.ahrq.gov/node/38094/psn-pdf
December 23, 2012 - Small patients, big consequences in medical errors.
December 23, 2012
Tarkan L. New York Times. September 14, 2008;Health section:7.
https://psnet.ahrq.gov/issue/small-patients-big-consequences-medical-errors
This article describes how medical errors may cause serious harm in pediatric patients and offers tips for
…
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psnet.ahrq.gov/node/35095/psn-pdf
November 04, 2015 - UK government to set up small claims scheme for
medical mishaps.
November 4, 2015
Dyer C. UK government to set up small claims scheme for medical mishaps. BMJ (Clinical research ed.).
2005;330(7502):1228.
https://psnet.ahrq.gov/issue/uk-government-set-small-claims-scheme-medical-mishaps
This article reports on th…
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psnet.ahrq.gov/node/35040/psn-pdf
January 02, 2017 - Medication errors involving pediatric patients.
January 2, 2017
Santell JP, Hicks RW. Medication errors involving pediatric patients. Jt Comm J Qual Patient Saf.
2005;31(6):348-53.
https://psnet.ahrq.gov/issue/medication-errors-involving-pediatric-patients
Using Medmarx data from 2001 through 2003, the authors ana…
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psnet.ahrq.gov/node/37104/psn-pdf
April 22, 2011 - Disclosing medical errors to patients: a status report in
2007.
April 22, 2011
Levinson W, Gallagher TH. Disclosing medical errors to patients: a status report in 2007. CMAJ.
2007;177(3):265-7.
https://psnet.ahrq.gov/issue/disclosing-medical-errors-patients-status-report-2007
This article reviews the basis for di…
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psnet.ahrq.gov/node/33681/psn-pdf
March 01, 2009 - The Role of Health Literacy in Patient Safety
March 1, 2009
Wolf MS, Bailey SC. The Role of Health Literacy in Patient Safety. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
Perspective
Clear health communication is increasingly recognized as essential for promoting …
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psnet.ahrq.gov/print/pdf/node/866984
January 01, 2020 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Interdisciplinary teamwork
Curated Library
Foundations
Medical teamwork and the evolution of safety science: a critical review.
Neuhaus C, Lutnæs DE, Bergström J. Cogn Technol Work. 2020;22:13-27.
In this narrative review, the authors contr…
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psnet.ahrq.gov/node/34032/psn-pdf
December 22, 2008 - Patient concerns about medical errors in emergency
departments.
December 22, 2008
Burroughs TE, Waterman AD, Gallagher TH, et al. Patient concerns about medical errors in emergency
departments. Acad Emerg Med. 2005;12(1):57-64.
https://psnet.ahrq.gov/issue/patient-concerns-about-medical-errors-emergency-department…
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psnet.ahrq.gov/node/39705/psn-pdf
August 03, 2010 - Medical error and decision making: learning from the past
and present in intensive care.
August 3, 2010
Bucknall TK. Medical error and decision making: Learning from the past and present in intensive care.
Australian Critical Care. 2010;23(3). doi:10.1016/j.aucc.2010.06.001.
https://psnet.ahrq.gov/issue/medical-er…
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psnet.ahrq.gov/node/41332/psn-pdf
September 19, 2016 - Don't abandon the "second victims" of medical errors.
September 19, 2016
Smetzer JL. Don't abandon the "second victims" of medical errors. Nursing (Brux). 2012;42(2):54-8.
doi:10.1097/01.NURSE.0000410310.38734.e0.
https://psnet.ahrq.gov/issue/dont-abandon-second-victims-medical-errors
This commentary emphasizes th…
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psnet.ahrq.gov/node/37642/psn-pdf
March 26, 2008 - Medication, allergy, and adverse drug event
discrepancies in ambulatory care.
March 26, 2008
Stephens M, Fox B, Kukulka G, et al. Medication, allergy, and adverse drug event discrepancies in
ambulatory care. Fam Med. 2008;40(2):107-10.
https://psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepa…
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psnet.ahrq.gov/node/38374/psn-pdf
July 28, 2013 - Medication errors and response bias: the tip of the
iceberg.
July 28, 2013
Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med
Assoc J. 2008;10(11):771-4.
https://psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
A very low response rate to …
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psnet.ahrq.gov/node/44652/psn-pdf
November 11, 2015 - Developing a principle-based approach to safe
medication practices.
November 11, 2015
Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47.
https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices
This commentary describes the development, implementation, and evaluation of n…
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psnet.ahrq.gov/node/36083/psn-pdf
September 28, 2010 - Medical Liability: New Ideals for Making the System Work
Better for Patients.
September 28, 2010
Hearing before Senate Committee on Health Education Labor and Pensions (June 22, 2006).
https://psnet.ahrq.gov/issue/medical-liability-new-ideals-making-system-work-better-patients
This congressional committee hearing …
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psnet.ahrq.gov/node/39646/psn-pdf
June 30, 2010 - Patient safety: examining the adequacy of the 5 rights of
medication administration.
June 30, 2010
Macdonald M. Patient safety: examining the adequacy of the 5 rights of medication administration. Clin
Nurse Spec. 2010;24(4):196-201. doi:10.1097/NUR.0b013e3181e3605f.
https://psnet.ahrq.gov/issue/patient-safety-exa…
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psnet.ahrq.gov/node/35390/psn-pdf
September 10, 2009 - Teaching and medical errors: primary care preceptors'
views.
September 10, 2009
Mazor KM, Fischer M, Haley H-L, et al. Teaching and medical errors: primary care preceptors' views. Med
Educ. 2005;39(10):982-90.
https://psnet.ahrq.gov/issue/teaching-and-medical-errors-primary-care-preceptors-views
The authors inter…