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psnet.ahrq.gov/node/36386/psn-pdf
July 14, 2010 - Learning from different lenses: reports of medical errors
in primary care by clinicians, staff, and patients: a project
of the American Academy of Family Physicians National
Research Network.
July 14, 2010
Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: Reports of Medical Errors in
Primary…
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psnet.ahrq.gov/node/41352/psn-pdf
May 09, 2012 - ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2011.
May 9, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: Dispensing and administration—2011. American Journal of Health-System Pharmacy. 2012;69(9).
doi…
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psnet.ahrq.gov/node/35889/psn-pdf
March 10, 2011 - Automated surveillance for adverse drug events at a
community hospital and an academic medical center.
March 10, 2011
Kilbridge PM, Campbell UC, Cozart HB, et al. Automated surveillance for adverse drug events at a
community hospital and an academic medical center. J Am Med Inform Assoc. 2006;13(4):372-7.
https://…
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psnet.ahrq.gov/node/865488/psn-pdf
April 03, 2024 - Impact of performance and information feedback on
medical interns' confidence-accuracy calibration.
April 3, 2024
Staal J, Katarya K, Speelman M, et al. Impact of performance and information feedback on medical interns'
confidence–accuracy calibration. Adv Health Sci Educ Theory Pract. 2024;29(1):129-145.
doi:10.1…
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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/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…