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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…
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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…
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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…
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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
…
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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 …
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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…
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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…
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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 …
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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…
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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…
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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-…
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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…
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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…
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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…
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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…
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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…
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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…
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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…