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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. 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…
  5. 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…
  6. 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 …
  7. 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 …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36553/psn-pdf
    January 12, 2011 - Barriers to nurses' reporting of medication administration errors in Taiwan. January 12, 2011 Chiang H-Y, Pepper GA. Barriers to Nurses' Reporting of Medication Administration Errors in Taiwan. Journal of Nursing Scholarship. 2006;38(4). doi:10.1111/j.1547-5069.2006.00133.x. https://psnet.ahrq.gov/issue/barriers-n…
  9. 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…
  10. 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 …
  11. 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…
  12. 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…
  13. 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-…
  14. 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…
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. 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…
  20. 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…

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