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psnet.ahrq.gov/node/39771/psn-pdf
August 18, 2010 - Bearing witness to the ethics of practice: storying
physicians' medical mistake narratives.
August 18, 2010
Carmack HJ. Bearing witness to the ethics of practice: storying physicians' medical mistake narratives.
Health Commun. 2010;25(5):449-58. doi:10.1080/10410236.2010.484876.
https://psnet.ahrq.gov/issue/bearin…
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psnet.ahrq.gov/node/40034/psn-pdf
November 24, 2010 - Obstetric medical emergency teams are a step forward in
maternal safety!
November 24, 2010
Al Kadri HMF. Obstetric medical emergency teams are a step forward in maternal safety!. J Emerg Trauma
Shock. 2010;3(4):337-341. doi:10.4103/0974-2700.70755.
https://psnet.ahrq.gov/issue/obstetric-medical-emergency-teams-are…
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psnet.ahrq.gov/node/37459/psn-pdf
June 29, 2011 - Development of medical checklists for improved quality
of patient care.
June 29, 2011
Hales B, Terblanche M, Fowler R, et al. Development of medical checklists for improved quality of patient
care. International Journal for Quality in Health Care. 2007;20(1). doi:10.1093/intqhc/mzm062.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/37502/psn-pdf
January 30, 2008 - Nursing management of medication errors.
January 30, 2008
Luk LA, Ng WIM, Ko KKS, et al. Nursing management of medication errors. Nurs Ethics. 2008;15(1):28-39.
https://psnet.ahrq.gov/issue/nursing-management-medication-errors
This qualitative study conducted in-depth interviews with seven nurses involved in medica…
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psnet.ahrq.gov/node/37863/psn-pdf
June 25, 2008 - The effect of nurse staffing patterns on medical errors
and nurse burnout.
June 25, 2008
Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN J.
2008;87(6):1191-204. doi:10.1016/j.aorn.2008.01.022.
https://psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and…
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psnet.ahrq.gov/node/36710/psn-pdf
May 11, 2014 - Developing a medication patient safety program —
infrastructure and strategy.
May 11, 2014
Mark SM, Weber RJ. Developing a Medication Patient Safety Program – Infrastructure and Strategy. Hosp
Pharm. 2010;42(2):149-154. doi:10.1310/hpj4202-149.
https://psnet.ahrq.gov/issue/developing-medication-patient-safety-prog…
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psnet.ahrq.gov/node/50601/psn-pdf
October 09, 2022 - Medication Safety: Advancing the Development of
Improvement Strategies and Tools (R18).
October 9, 2022
Rockville, MD: Agency for Healthcare Research and Quality; September 28, 2022. PA-
20-028.
https://psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
Medication errors are …
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psnet.ahrq.gov/node/38740/psn-pdf
January 30, 2017 - The role of medical liability reform in federal health care
reform.
January 30, 2017
Mello MM, Brennan TA. The role of medical liability reform in federal health care reform. N Engl J Med.
2009;361(1):1-3. doi:10.1056/NEJMp0903765.
https://psnet.ahrq.gov/issue/role-medical-liability-reform-federal-health-care-refo…
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psnet.ahrq.gov/node/40647/psn-pdf
February 20, 2019 - Too many abandon the "second victims" of medical
errors.
February 20, 2019
ISMP Medication Safety Alert! Acute care edition. July 14, 2011;16:1-3.
https://psnet.ahrq.gov/issue/too-many-abandon-second-victims-medical-errors
This piece discusses second victims and describes how five factors can help clinicians invol…
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psnet.ahrq.gov/node/40718/psn-pdf
August 31, 2011 - Misinformation in the medical literature: what role do
error and fraud play?
August 31, 2011
Steen G. Misinformation in the medical literature: what role do error and fraud play? J Med Ethics.
2011;37(8):498-503. doi:10.1136/jme.2010.041830.
https://psnet.ahrq.gov/issue/misinformation-medical-literature-what-role-…
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psnet.ahrq.gov/node/35141/psn-pdf
April 12, 2011 - How to avoid paediatric medication errors: a user's guide
to the literature.
April 12, 2011
Walsh KE, Kaushal R, Chessare JB. How to avoid paediatric medication errors: a user's guide to the
literature. Arch Dis Child. 2005;90(7):698-702.
https://psnet.ahrq.gov/issue/how-avoid-paediatric-medication-errors-users-gu…
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psnet.ahrq.gov/node/37600/psn-pdf
March 19, 2008 - Medical emergency team: a review of the literature.
March 19, 2008
Barbetti J, Lee G. Medical emergency team: a review of the literature. Nurs Crit Care. 2008;13(2):80-85.
doi:10.1111/j.1478-5153.2007.00258.x.
https://psnet.ahrq.gov/issue/medical-emergency-team-review-literature
This review examines the literature…
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psnet.ahrq.gov/node/38336/psn-pdf
January 14, 2009 - Proceedings of a summit on preventing patient harm and
death from IV medication errors.
January 14, 2009
Proceedings of a summit on preventing patient harm and death from i.v. medication errors.
doi:10.2146/ajhp080406.
https://psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-…
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psnet.ahrq.gov/node/36113/psn-pdf
September 28, 2010 - "It's not our ass": medical resident sense-making
regarding lawsuits.
September 28, 2010
Noland CM, Carl WJ. "It's not our ass": medical resident sense-making regarding lawsuits. Health
Commun. 2006;20(1):81-9.
https://psnet.ahrq.gov/issue/its-not-our-ass-medical-resident-sense-making-regarding-lawsuits
The inves…
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psnet.ahrq.gov/node/36307/psn-pdf
June 30, 2011 - Is "first do no harm" a lost concept in medical education?
June 30, 2011
O'Leary D. Is "first do no harm" a lost concept in medical education. MedGenMed. 2006;8(3):77.
https://psnet.ahrq.gov/issue/first-do-no-harm-lost-concept-medical-education
This commentary advocates for better patient safety training in medical…
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psnet.ahrq.gov/node/39575/psn-pdf
August 05, 2010 - Medical error, malpractice and complications: a moral
geography.
August 5, 2010
Zientek DM. Medical error, malpractice and complications: a moral geography. HEC Forum.
2010;22(2):145-57. doi:10.1007/s10730-010-9130-9.
https://psnet.ahrq.gov/issue/medical-error-malpractice-and-complications-moral-geography
In the …
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psnet.ahrq.gov/node/37851/psn-pdf
June 18, 2008 - Medical errors affecting the pediatric intensive care
patient: incidence, identification, and practical solutions.
June 18, 2008
Nichter MA.
https://psnet.ahrq.gov/issue/medical-errors-affecting-pediatric-intensive-care-patient-incidence-
identification-and
This article reviews how the complexity of care in the p…
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psnet.ahrq.gov/node/36220/psn-pdf
October 19, 2010 - Copying and pasting of examinations within the
electronic medical record.
October 19, 2010
Thielke S, Hammond K, Helbig S. Copying and pasting of examinations within the electronic medical
record. Int J Med Inform. 2007;76 Suppl 1:S122-8.
https://psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electro…
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psnet.ahrq.gov/node/36954/psn-pdf
February 24, 2011 - Patient safety knowledge and its determinants in medical
trainees.
February 24, 2011
Kerfoot P, Conlin PR, Travison T, et al. Patient safety knowledge and its determinants in medical trainees.
J Gen Intern Med. 2007;22(8):1150-4.
https://psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-tr…
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psnet.ahrq.gov/node/39996/psn-pdf
November 17, 2010 - Nurses' medication work: what do nurses know?
November 17, 2010
Folkmann L, Rankin J. Nurses' medication work: what do nurses know? J Clin Nurs. 2010;19(21-22):3218-
26. doi:10.1111/j.1365-2702.2010.03249.x.
https://psnet.ahrq.gov/issue/nurses-medication-work-what-do-nurses-know
This review discusses nursing medic…