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9621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41574/psn-pdf
      August 08, 2012 - On-site pharmacists in the ED improve medical errors. August 8, 2012 Ernst AA, Weiss SJ, Sullivan A, et al. On-site pharmacists in the ED improve medical errors. Am J Emerg Med. 2012;30(5):717-25. doi:10.1016/j.ajem.2011.05.002. https://psnet.ahrq.gov/issue/site-pharmacists-ed-improve-medical-errors The presence o…

9622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36359/psn-pdf
      October 26, 2010 - How might acknowledging a medical error promote patient safety? October 26, 2010 Malaty W, Crane S. How might acknowledging a medical error promote patient safety? J Fam Pract. 2006;55(9):775-80. https://psnet.ahrq.gov/issue/how-might-acknowledging-medical-error-promote-patient-safety The authors present a case o…

9623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33689/psn-pdf
      October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety October 1, 2009 Wachter R. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety Perspective …

9624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37044/psn-pdf
      September 05, 2007 - Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors. September 5, 2007 Levy S. Drug Topics. July 9, 2007 https://psnet.ahrq.gov/issue/make-no-mistake-about-it-chain-pharmacies-are-finding-innovative-ways- combat-medication This article reports on ways in which chain …

9625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39820/psn-pdf
      September 08, 2010 - Effectiveness of a course designed to teach handoffs to medical students. September 8, 2010 Chu ES, Reid M, Burden M, et al. Effectiveness of a course designed to teach handoffs to medical students. J Hosp Med. 2010;5(6):344-8. doi:10.1002/jhm.633. https://psnet.ahrq.gov/issue/effectiveness-course-designed-teach-h…

9626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37804/psn-pdf
      January 06, 2017 - Using a medical emergency team to manage anaphylactic shock. January 6, 2017 Burns B, Beckett J, Jones D, et al. Using a medical emergency team to manage anaphylactic shock. Jt Comm J Qual Patient Saf. 2008;34(6):360-3. https://psnet.ahrq.gov/issue/using-medical-emergency-team-manage-anaphylactic-shock This case …

9627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42665/psn-pdf
      October 16, 2013 - The consequences of the hindsight bias in medical decision making. October 16, 2013 Arkes HR. The Consequences of the Hindsight Bias in Medical Decision Making. Curr Direct Psychol Sci. 2013;22(5):356-360. doi:10.1177/0963721413489988. https://psnet.ahrq.gov/issue/consequences-hindsight-bias-medical-decision-makin…

9628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35673/psn-pdf
      June 28, 2010 - Recovery from medical errors: the critical care nursing safety net. June 28, 2010 Rothschild JM, Hurley A, Landrigan CP, et al. Recovery from medical errors: the critical care nursing safety net. Jt Comm J Qual Patient Saf. 2006;32(2):63-72. https://psnet.ahrq.gov/issue/recovery-medical-errors-critical-care-nursin…

9629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36844/psn-pdf
      January 22, 2017 - Errors prevented by and associated with bar-code medication administration systems. January 22, 2017 Cochran GL, Jones KJ, Brockman J, et al. Errors prevented by and associated with bar-code medication administration systems. Jt Comm J Qual Patient Saf. 2007;33(5):293-301, 245. https://psnet.ahrq.gov/issue/errors-…

9630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41936/psn-pdf
      December 19, 2012 - A multiple-drawer medication layout problem in automated dispensing cabinets. December 19, 2012 Pazour JA, Meller RD. A multiple-drawer medication layout problem in automated dispensing cabinets. Health Care Manag Sci. 2012;15(4). doi:10.1007/s10729-012-9197-8. https://psnet.ahrq.gov/issue/multiple-drawer-medicati…

9631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40125/psn-pdf
      December 04, 2016 - Medical errors and patient safety in palliative care: a review of current literature. December 4, 2016 Dietz I, Borasio GD, Schneider G, et al. Medical errors and patient safety in palliative care: a review of current literature. J Palliat Med. 2010;13(12):1469-74. doi:10.1089/jpm.2010.0228. https://psnet.ahrq.gov…

9632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36744/psn-pdf
      August 02, 2011 - Nurses relate the contributing factors involved in medication errors. August 2, 2011 Tang F-I, Sheu S-J, Yu S, et al. Nurses relate the contributing factors involved in medication errors. J Clin Nurs. 2007;16(3):447-57. https://psnet.ahrq.gov/issue/nurses-relate-contributing-factors-involved-medication-errors The…

9633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42302/psn-pdf
      May 29, 2013 - Analyzing communication errors in an air medical transport service. May 29, 2013 Dalto JD, Weir C, Thomas F. Analyzing communication errors in an air medical transport service. Air Med J. 2013;32(3):129-37. doi:10.1016/j.amj.2012.10.019. https://psnet.ahrq.gov/issue/analyzing-communication-errors-air-medical-trans…

9634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41576/psn-pdf
      October 11, 2012 - The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. October 11, 2012 May NB, Plews-Ogan M. The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Patient Educ Couns. 2012;88(3):449-54. doi:10.1016/j.pec.2012.06.024. ht…

9635. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39678/psn-pdf
      July 14, 2010 - Medication errors recovered by emergency department pharmacists. July 14, 2010 Rothschild JM, Churchill WW, Erickson A, et al. Medication errors recovered by emergency department pharmacists. Ann Emerg Med. 2010;55(6):513-21. doi:10.1016/j.annemergmed.2009.10.012. https://psnet.ahrq.gov/issue/medication-errors-rec…

9636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39770/psn-pdf
      August 18, 2010 - Comparison of potential risk factors for medication errors with and without patient harm. August 18, 2010 Zaal RJ, van Doormaal JE, Lenderink AW, et al. Comparison of potential risk factors for medication errors with and without patient harm. Pharmacoepidemiol Drug Saf. 2010;19(8). doi:10.1002/pds.1977. https://ps…

9637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35862/psn-pdf
      November 18, 2016 - Medical gas containers and closures; current good manufacturing practice requirements. November 18, 2016 Fed Regist. 2016 Nov 18;81(223):81685-81697. https://psnet.ahrq.gov/issue/medical-gas-containers-and-closures-current-good-manufacturing-practice- requirements This U.S. Food and Drug Administration (FDA)…

9638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37599/psn-pdf
      January 01, 2009 - Improving process while changing practice: FMEA and medication administration. March 12, 2008 Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2). doi:10.1097/01.numa.0000310533.54708.38. https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and…

9639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42335/psn-pdf
      June 05, 2013 - The technologist's role in patient safety and quality in medical imaging. June 5, 2013 Watson L, Odle TG. The technologist's role in patient safety and quality in medical imaging. Radiol Technol. 2013;84(5):536-41. https://psnet.ahrq.gov/issue/technologists-role-patient-safety-and-quality-medical-imaging This com…

9640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36939/psn-pdf
      September 09, 2011 - Internal reporting system to improve a pharmacy's medication distribution process. September 9, 2011 Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. https://psnet.ahrq.gov/issue/internal…