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psnet.ahrq.gov/node/47025/psn-pdf
April 11, 2018 - Chemotherapy medication errors.
April 11, 2018
Weingart SN, Zhang L, Sweeney M, et al. Chemotherapy medication errors. Lancet Oncol.
2018;19(4):e191-e199. doi:10.1016/S1470-2045(18)30094-9.
https://psnet.ahrq.gov/issue/chemotherapy-medication-errors
Chemotherapy errors can result in serious patient harm. This revi…
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psnet.ahrq.gov/node/38415/psn-pdf
February 18, 2009 - Perceived adverse patient outcomes correlated to nurses'
workload in medical and surgical wards of selected
hospitals in Kuwait.
February 18, 2009
Al-Kandari F, Thomas D. Perceived adverse patient outcomes correlated to nurses' workload in medical
and surgical wards of selected hospitals in Kuwait. J Clin Nurs. 20…
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psnet.ahrq.gov/node/36309/psn-pdf
January 05, 2017 - The medical emergency team and rapid response system:
finding, treating, and preventing hypoglycemia.
January 5, 2017
DiNardo M, Noschese M, Korytkowski M, et al. The medical emergency team and rapid response system:
finding, treating, and preventing hypoglycemia. Jt Comm J Qual Patient Saf. 2006;32(10):591-5.
htt…
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psnet.ahrq.gov/node/43247/psn-pdf
August 02, 2015 - Characteristics of medical professional liability claims
against internists.
August 2, 2015
Mangalmurti SS, Harold JG, Parikh PD, et al. Characteristics of medical professional liability claims against
internists. JAMA Intern Med. 2014;174(6):993-5. doi:10.1001/jamainternmed.2014.1116.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/37527/psn-pdf
August 24, 2015 - MEDMARX Data Report: A Report on the Relationship of
Drug Names and Medication Errors in Response to the
Institute of Medicine's Call to Action (2003-2006 Findings
and Trends 2002-2006).
August 24, 2015
Hicks RW, Becker SC, Cousins DD, eds. Rockville, MD: Center for the Advancement of Patient Safety, US
Pharmacop…
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psnet.ahrq.gov/node/46593/psn-pdf
November 08, 2017 - Unreadable barcodes and multiple barcodes on packages
can lead to errors.
November 8, 2017
ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3.
https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
Barcodes can both enhance and degrade the medication …
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psnet.ahrq.gov/node/36841/psn-pdf
December 31, 2014 - Using medical malpractice closed claims data to reduce
surgical risk and improve patient safety.
December 31, 2014
Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and
improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30.
https://psnet.ahrq.gov/issue/using-medica…
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psnet.ahrq.gov/node/35859/psn-pdf
July 22, 2010 - A multifaceted approach to improve patient safety,
prevent medical errors and resolve the professional
liability crisis.
July 22, 2010
Weinstein L. A multifacited approach to improve patient safety, prevent medical errors and resolve the
professional liability crisis. Am J Obstet Gynecol. 2006;194(4):1160-5; discu…
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psnet.ahrq.gov/node/44182/psn-pdf
November 03, 2015 - FDA cautions about dose confusion and medication
errors for antibacterial drug Zerbaxa (ceftolozane and
tazobactam).
November 3, 2015
Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/fda-cautions-about-dose-confusion-and-medication-errors-antibacterial-drug-
zerbaxa
Dosing information on drug labe…
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psnet.ahrq.gov/node/36108/psn-pdf
June 30, 2011 - Doctors charged with manslaughter in the course of
medical practice, 1795-2005: a literature review.
June 30, 2011
Ferner RE, McDowell SE. Doctors charged with manslaughter in the course of medical practice, 1795-
2005: a literature review. J R Soc Med. 2006;99(6):309-314.
https://psnet.ahrq.gov/issue/doctors-char…
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psnet.ahrq.gov/node/840164/psn-pdf
November 16, 2022 - Medical error and vulnerable communities.
November 16, 2022
Jean-Pierre P. Boston U Law Rev. 2022; 102(1):327-392.
https://psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities
Bias and discrimination are receiving overdue attention as primary barriers to patient safety. This article
discusses medical erro…
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psnet.ahrq.gov/node/35758/psn-pdf
July 19, 2010 - Medication errors with the use of allopurinol and
colchicine: a retrospective study of a national,
anonymous Internet-accessible error reporting system.
July 19, 2010
Mikuls TR, Curtis JR, Allison JJ, et al. Medication errors with the use of allopurinol and colchicine: a
retrospective study of a national, anonymou…
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psnet.ahrq.gov/node/36736/psn-pdf
March 21, 2012 - FDA preliminary public health notification: unpredictable
events in medical equipment due to new daylight savings
time change.
March 21, 2012
Silver Spring MD; Center for Devices and Radiological Health, Food and Drug Administration; March1,
2007.
https://psnet.ahrq.gov/issue/fda-preliminary-public-health-notific…
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psnet.ahrq.gov/node/37746/psn-pdf
May 14, 2008 - Reducing preventable medication safety events by
recognizing renal risk.
May 14, 2008
Fields W, Tedeschi C, Foltz J, et al. Reducing preventable medication safety events by recognizing renal
risk. Clin Nurse Spec. 2008;22(2):73-8; quiz 79-80. doi:10.1097/01.NUR.0000311795.69476.2f.
https://psnet.ahrq.gov/issue/red…
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psnet.ahrq.gov/node/40160/psn-pdf
January 19, 2011 - Morphine sulfate oral solution 100 mg per 5 mL (20
mg/mL): medication use error—reports of accidental
overdose.
January 19, 2011
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 10, 2011.
https://psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-us…
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psnet.ahrq.gov/node/35079/psn-pdf
November 04, 2015 - Medical Error: What Do We Know? What Do We Do?
November 4, 2015
Rosenthal MM; Sutcliffe KM, eds. San Francisco, CA: Jossey-Bass; 2002.
https://psnet.ahrq.gov/issue/medical-error-what-do-we-know-what-do-we-do
Opening with a review of lessons learned since the Harvard Medical Practice Study (HMPS),
this book explore…
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psnet.ahrq.gov/node/41815/psn-pdf
July 02, 2014 - Examining the diagnostic justification abilities of fourth-
year medical students.
July 2, 2014
Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students.
Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff.
https://psnet.ahrq.gov/issue/examining-diagnostic…
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psnet.ahrq.gov/node/35657/psn-pdf
July 05, 2013 - Pharmacist Staffing and the Use of Technology in Small
Rural Hospitals: Implications for Medication Safety.
July 5, 2013
Casey MM, Moscovice I, Davidson G. Minneapolis, MN: Upper Midwest Rural Health Research Center;
2005.
https://psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-im…
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psnet.ahrq.gov/node/37857/psn-pdf
May 26, 2011 - The impact of computerized physician medication order
entry in hospitalized patients—a systematic review.
May 26, 2011
Eslami S, de Keizer NF, Abu-Hanna A. The impact of computerized physician medication order entry in
hospitalized patients--a systematic review. Int J Med Inform. 2008;77(6):365-76.
https://psnet.a…
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psnet.ahrq.gov/node/44510/psn-pdf
October 08, 2016 - Wisdom in medicine: what helps physicians after a
medical error?
October 8, 2016
Plews-Ogan M, May NB, Owens J, et al. Wisdom in Medicine. Academic Medicine. 2015;91(2).
doi:10.1097/acm.0000000000000886.
https://psnet.ahrq.gov/issue/wisdom-medicine-what-helps-physicians-after-medical-error
This interview study wi…