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  1. Disclosing medical errors: prioritising the needs of patients and families. | PSNet

    psnet.ahrq.gov/issue/disclosing-medical-errors-prioritising-needs-patients-and-families
    November 11, 2020 - Commentary Disclosing medical errors: prioritising the needs of patients and families. Citation Text: Gallagher TH, Hemmelgarn C, Benjamin EM. Disclosing medical errors: prioritising the needs of patients and families. BMJ Qual Saf. 2023;32(10):557-561. doi:10.1136/bmjqs-2022-015880. C…

  2. Reducing inappropriate polypharmacy: the process of deprescribing. | PSNet

    psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-process-deprescribing
    September 23, 2020 - Commentary Reducing inappropriate polypharmacy: the process of deprescribing. Citation Text: Scott IA, Hilmer SN, Reeve E, et al. Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Intern Med. 2015;175(5):827-34. doi:10.1001/jamainternmed.2015.0324. Copy Citation …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44472/psn-pdf
    January 22, 2016 - Understanding medical errors and adverse events in ICU patients. January 22, 2016 Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x. https://psnet.ahrq.gov/issue/understanding-medical-errors…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42520/psn-pdf
    August 21, 2013 - Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center. August 21, 2013 Ramanathan R, Leavell P, Stockslager G, et al. Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center. Am Surg. 2013;79(6):578-582. …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37497/psn-pdf
    February 15, 2011 - Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. February 15, 2011 Kaldjian LC, Jones EW, Wu BJ, et al. Reporting medical errors to improve patient safety: a survey of physicians in teaching hospitals. Arch Intern Med. 2008;168(1):40-6. doi:10.1001/archinternmed.2007…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41272/psn-pdf
    April 06, 2012 - Closed medical negligence claims can drive patient safety and reduce litigation. April 6, 2012 Pegalis SE, Bal S. Closed medical negligence claims can drive patient safety and reduce litigation. Clin Orthop Relat Res. 2012;470(5):1398-404. doi:10.1007/s11999-012-2308-5. https://psnet.ahrq.gov/issue/closed-medical-…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38695/psn-pdf
    June 10, 2009 - Medical students benefit from learning about patient safety in an interprofessional team. June 10, 2009 Anderson E, Thorpe L, Heney D, et al. Medical students benefit from learning about patient safety in an interprofessional team. Med Educ. 2009;43(6):542-52. doi:10.1111/j.1365-2923.2009.03328.x. https://psnet.ah…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44363/psn-pdf
    May 05, 2018 - Selection of incorrect medication pump leads to chemotherapy overdose. May 5, 2018 ISMP Canada. August 26, 2015;15:1-4. https://psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose Checklists are cognitive aids that help clinicians remember important steps to ensure safe practice. I…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41547/psn-pdf
    July 25, 2012 - Changes in intern attitudes toward medical error and disclosure. July 25, 2012 Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x. https://psnet.ahrq.gov/issue/changes-intern-attitudes-towa…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41818/psn-pdf
    July 02, 2014 - Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. July 2, 2014 Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. Acad Med. 2012;87(1…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36751/psn-pdf
    March 21, 2007 - Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. March 21, 2007 Hicks RW, Becker SC, Cousins DD. Rockville, MD: US Pharmacopeia Center for the Advancement of Patient Safety; 2006 https://psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38588/psn-pdf
    July 13, 2009 - Nursing student medication errors involving tubing and catheters: a descriptive study. July 13, 2009 Wolf ZR, Hicks RW, Altmiller G, et al. Nursing student medication errors involving tubing and catheters: A descriptive study. Nurse Educ Today. 2009;29(6). doi:10.1016/j.nedt.2009.02.010. https://psnet.ahrq.gov/iss…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41880/psn-pdf
    January 08, 2014 - DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. January 8, 2014 Washington, DC: United States Government Accountability Office; November 2, 2012. Publication GAO-13- 26.   https://psnet.ahrq.gov/issue/dod-and-va-health-care-medication-needs-during-transit…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39267/psn-pdf
    April 01, 2010 - What have we learned about interventions to reduce medical errors? April 1, 2010 Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497. doi:10.1146/annurev.publhealth.012809.103544. https://psnet.ahrq.gov…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41050/psn-pdf
    January 19, 2012 - Association between implementation of an intensivist-led medical emergency team and mortality. January 19, 2012 Karvellas CJ, de Souza IAO, Gibney RTN, et al. Association between implementation of an intensivist-led medical emergency team and mortality. BMJ Qual Saf. 2012;21(2):152-9. doi:10.1136/bmjqs-2011-000393.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39036/psn-pdf
    October 21, 2009 - Disclosing medical errors to patients: a challenge for health care professionals and institutions. October 21, 2009 Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/j.pec.2009.07.018. https://psnet.ahrq.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35410/psn-pdf
    September 11, 2009 - Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. September 11, 2009 Keohane C, Hayes J, Saniuk C, et al. Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. J Infus Nurs. 2005;28(5):321-328. https://psnet.ahrq.gov/is…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41174/psn-pdf
    February 29, 2012 - The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis. February 29, 2012 Raduma-Tomàs MA, Flin R, Yule S, et al. The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis. BMJ Qual Saf. 201…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46875/psn-pdf
    March 07, 2018 - Improving medication-related clinical decision support. March 7, 2018 Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830. https://psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-suppo…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40016/psn-pdf
    September 26, 2016 - Strategies used by critical care nurses to identify, interrupt, and correct medical errors. September 26, 2016 Henneman EA, Gawlinski A, Blank FS, et al. Strategies used by critical care nurses to identify, interrupt, and correct medical errors. Am J Crit Care. 2010;19(6):500-9. doi:10.4037/ajcc2010167. https://ps…
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