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psnet.ahrq.gov/node/47528/psn-pdf
January 30, 2019 - Predictors of adverse events and medical errors among
adult inpatients of psychiatric units of acute care general
hospitals.
January 30, 2019
Vermeulen JM, Doedens P, Cullen SW, et al. Predictors of Adverse Events and Medical Errors Among
Adult Inpatients of Psychiatric Units of Acute Care General Hospitals. Psych…
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psnet.ahrq.gov/node/45479/psn-pdf
October 08, 2016 - Physician understanding and ability to communicate
harms and benefits of common medical treatments.
October 8, 2016
Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits
of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1567.
doi:10.1001/jamainternmed.2…
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psnet.ahrq.gov/node/35969/psn-pdf
August 10, 2010 - Systematic review: impact of health information
technology on quality, efficiency, and costs of medical
care.
August 10, 2010
Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality,
efficiency, and costs of medical care. Ann Intern Med. 2006;144(10):742-52.
https://…
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psnet.ahrq.gov/node/73684/psn-pdf
September 08, 2021 - Provider bias in prescribing opioid analgesics: a study of
electronic medical records at a hospital emergency
department.
September 8, 2021
Keister LA, Stecher C, Aronson B, et al. Provider bias in prescribing opioid analgesics: a study of electronic
medical records at a hospital emergency department. BMC Public H…
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psnet.ahrq.gov/node/36518/psn-pdf
March 28, 2011 - Nurses' attitudes to a medical emergency team service in
a teaching hospital.
March 28, 2011
Jones D, Baldwin I, McIntyre T, et al. Nurses' attitudes to a medical emergency team service in a teaching
hospital. Qual Saf Health Care. 2006;15(6):427-32.
https://psnet.ahrq.gov/issue/nurses-attitudes-medical-emergency-…
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psnet.ahrq.gov/node/36327/psn-pdf
February 13, 2008 - Using medical-error reporting to drive patient safety
efforts.
February 13, 2008
Stow J. Using medical-error reporting to drive patient safety efforts. AORN J. 2006;84(3):406-8, 411-4, 417-
20; quiz 421-4.
https://psnet.ahrq.gov/issue/using-medical-error-reporting-drive-patient-safety-efforts
The author describes…
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psnet.ahrq.gov/node/35366/psn-pdf
September 27, 2016 - Certified pharmacy technicians' views on their medication
preparation errors and educational needs.
September 27, 2016
Desselle SP. Certified pharmacy technicians' views on their medication preparation errors and educational
needs. Am J Health Syst Pharm. 2005;62(19):1992-7.
https://psnet.ahrq.gov/issue/certified-…
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psnet.ahrq.gov/node/38921/psn-pdf
September 09, 2009 - Using Medical Emergency Teams to detect preventable
adverse events.
September 9, 2009
Iyengar A, Baxter A, Forster AJ. Using Medical Emergency Teams to detect preventable adverse events.
Crit Care. 2009;13(4):R126. doi:10.1186/cc7983.
https://psnet.ahrq.gov/issue/using-medical-emergency-teams-detect-preventable-ad…
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psnet.ahrq.gov/node/41854/psn-pdf
September 24, 2016 - Reducing interruptions to improve medication safety.
September 24, 2016
Freeman R, McKee S, Lee-Lehner B, et al. Reducing interruptions to improve medication safety. J Nurs
Care Qual. 2013;28(2):176-85. doi:10.1097/NCQ.0b013e318275ac3e.
https://psnet.ahrq.gov/issue/reducing-interruptions-improve-medication-safety
…
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psnet.ahrq.gov/node/41357/psn-pdf
May 24, 2012 - Influences observed on incidence and reporting of
medication errors in anesthesia.
May 24, 2012
Cooper L, DiGiovanni N, Schultz L, et al. Influences observed on incidence and reporting of medication
errors in anesthesia. Can J Anaesth. 2012;59(6):562-70. doi:10.1007/s12630-012-9696-6.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/35457/psn-pdf
January 05, 2017 - Examining nurses' decision process for medication
management in home care.
January 5, 2017
Kovner C, Menezes J, Goldberg JD. Examining nurses' decision process for medication management in
home care. Jt Comm J Qual Patient Saf. 2005;31(7):379-85.
https://psnet.ahrq.gov/issue/examining-nurses-decision-process-medic…
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psnet.ahrq.gov/node/36631/psn-pdf
January 05, 2017 - Leadership strategies of medical school deans to
promote quality and safety.
January 5, 2017
Griner PF. Leadership strategies of medical school deans to promote quality and safety. Jt Comm J Qual
Patient Saf. 2007;33(2):63-72.
https://psnet.ahrq.gov/issue/leadership-strategies-medical-school-deans-promote-quality…
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psnet.ahrq.gov/node/37964/psn-pdf
June 29, 2011 - Impact of miscommunication in medical dispute cases in
Japan.
June 29, 2011
Aoki N, Uda K, Ohta S, et al. Impact of miscommunication in medical dispute cases in Japan. Int J Qual
Health Care. 2008;20(5):358-62. doi:10.1093/intqhc/mzn028.
https://psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-ja…
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psnet.ahrq.gov/node/39430/psn-pdf
April 07, 2010 - Mandatory pharmacy residencies: one way to reduce
medication errors.
April 7, 2010
Ibrahim RB, Bahgat-Ibrahim L, Reeves D. Mandatory pharmacy residencies: One way to reduce
medication errors. Am J Health Syst Pharm. 2010;67(6):477-81. doi:10.2146/ajhp090138.
https://psnet.ahrq.gov/issue/mandatory-pharmacy-residenc…
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psnet.ahrq.gov/node/37136/psn-pdf
October 04, 2011 - Rate, causes and reporting of medication errors in
Jordan: nurses' perspectives.
October 4, 2011
MRAYYAN MAJDT, SHISHANI KAWKAB, AL-FAOURI IBRAHIM. Rate, causes and reporting of medication
errors in Jordan: nurses? perspectives. J Nurs Manag. 2007;15(6). doi:10.1111/j.1365-2834.2007.00724.x.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/35409/psn-pdf
September 11, 2009 - The Perruche case and the issue of compensation for the
consequences of medical error.
September 11, 2009
Costich JF. The Perruche case and the issue of compensation for the consequences of medical error.
Health Policy (New York). 2006;78(1):8-16.
https://psnet.ahrq.gov/issue/perruche-case-and-issue-compensation-c…
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psnet.ahrq.gov/node/41673/psn-pdf
September 12, 2012 - A root cause analysis project in a medication safety
course.
September 12, 2012
Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ.
2012;76(6):116. doi:10.5688/ajpe766116.
https://psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
This commentary descri…
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psnet.ahrq.gov/node/37819/psn-pdf
April 14, 2010 - Standardizing Medication Labels: Confusing Patients
Less, Workshop Summary.
April 14, 2010
Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice,
Institute of Medicine. Washington, DC: National Academies Press; 2008.
https://psnet.ahrq.gov/issue/standardizing-medica…
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psnet.ahrq.gov/node/41639/psn-pdf
September 27, 2016 - Physical environments that promote safe medication use.
September 27, 2016
Grissinger M. Physical environments that promote safe medication use. PT. 2012;37(7):377-378.
https://psnet.ahrq.gov/issue/physical-environments-promote-safe-medication-use
This commentary discusses standards related to workspace design that…
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psnet.ahrq.gov/node/36416/psn-pdf
December 22, 2010 - A medical error leads to tragedy: how do we inform the
patient?
December 22, 2010
Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care.
2006;23(5):417-21.
https://psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
This roundtable discussion p…