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psnet.ahrq.gov/node/38987/psn-pdf
May 04, 2014 - Disclosing harmful medical errors to patients: tackling
three tough cases.
May 4, 2014
Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough
cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030.
https://psnet.ahrq.gov/issue/disclosing-harmful-medical-er…
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psnet.ahrq.gov/node/35412/psn-pdf
September 11, 2009 - Chronology of medication errors by nurses: accumulation
of stresses and PTSD symptoms.
September 11, 2009
Rassin M, Kanti T, Silner D. Chronology of medication errors by nurses: accumulation of stresses and
PTSD symptoms. Issues Ment Health Nurs. 2005;26(8):873-86.
https://psnet.ahrq.gov/issue/chronology-medicatio…
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psnet.ahrq.gov/node/36188/psn-pdf
March 28, 2011 - Role of medical students in preventing patient harm and
enhancing patient safety.
March 28, 2011
Seiden SC, Galvan C, Lamm R. Role of medical students in preventing patient harm and enhancing patient
safety. Qual Saf Health Care. 2006;15(4):272-6.
https://psnet.ahrq.gov/issue/role-medical-students-preventing-patie…
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psnet.ahrq.gov/node/35678/psn-pdf
June 28, 2010 - The pharmacist-physician relationship in the detection of
ambulatory medication errors.
June 28, 2010
Brown A, Bailey JH, Lee J, et al. The pharmacist-physician relationship in the detection of ambulatory
medication errors. Am J Med Sci. 2006;331(1):22-24.
https://psnet.ahrq.gov/issue/pharmacist-physician-relation…
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psnet.ahrq.gov/node/38557/psn-pdf
April 22, 2009 - Antecedents of severe and nonsevere medication errors.
April 22, 2009
Chang Y-K, Mark BA. Antecedents of severe and nonsevere medication errors. J Nurs Scholarsh.
2009;41(1):70-8. doi:10.1111/j.1547-5069.2009.01253.x.
https://psnet.ahrq.gov/issue/antecedents-severe-and-nonsevere-medication-errors
This study examin…
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psnet.ahrq.gov/node/41758/psn-pdf
October 10, 2012 - The Broselow tape as an effective medication dosing
instrument: a review of the literature.
October 10, 2012
Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review
of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.pedn.2012.04.009.
https://psnet.ah…
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psnet.ahrq.gov/node/39669/psn-pdf
July 07, 2010 - ASHP guidelines on remote medication order processing.
July 7, 2010
Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order
processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003.
https://psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-proce…
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psnet.ahrq.gov/node/37988/psn-pdf
July 13, 2010 - Simulation in graduate medical education 2008: a review
for emergency medicine.
July 13, 2010
McLaughlin S, Fitch MT, Goyal DG, et al. Simulation in graduate medical education 2008: a review for
emergency medicine. Acad Emerg Med. 2008;15(11):1117-29. doi:10.1111/j.1553-2712.2008.00188.x.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/844753/psn-pdf
September 18, 2019 - Detecting medication administration errors.
September 18, 2019
Durham ML, Jankiewicz A. Detecting Medication Administration Errors. J Patient Saf. 2019;15(3):181-183.
doi:10.1097/PTS.0000000000000384.
https://psnet.ahrq.gov/issue/detecting-medication-administration-errors
Considerable effort has been devoted to op…
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psnet.ahrq.gov/node/39758/psn-pdf
May 12, 2015 - Reducing diagnostic error through medical home-based
primary care reform.
May 12, 2015
Singh H, Graber ML. Reducing diagnostic error through medical home-based primary care reform. JAMA.
2010;304(4):463-4. doi:10.1001/jama.2010.1035.
https://psnet.ahrq.gov/issue/reducing-diagnostic-error-through-medical-home-based…
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psnet.ahrq.gov/node/41016/psn-pdf
December 21, 2011 - Health literacy and medication understanding among
hospitalized adults.
December 21, 2011
Marvanova M, Roumie CL, Eden SK, et al. Health literacy and medication understanding among
hospitalized adults. J Hosp Med. 2011;6(9):488-93. doi:10.1002/jhm.925.
https://psnet.ahrq.gov/issue/health-literacy-and-medication-un…
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psnet.ahrq.gov/node/42384/psn-pdf
December 18, 2013 - Pediatric emergency nurses self-reported medication
safety practices.
December 18, 2013
Mattei JL, Gillespie GL. Pediatric emergency nurses' self-reported medication safety practices. J Pediatr
Nurs. 2013;28(6):596-602. doi:10.1016/j.pedn.2013.03.005.
https://psnet.ahrq.gov/issue/pediatric-emergency-nurses-self-re…
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psnet.ahrq.gov/node/43564/psn-pdf
January 15, 2019 - Are hospitals in a med safety standard slump?
January 15, 2019
Wild D. Pharmacy Practice News. September 8, 2014.
https://psnet.ahrq.gov/issue/are-hospitals-med-safety-standard-slump
Highlighting how hospital compliance rates with Joint Commission medication–related standards have
remained mostly unchanged from 20…
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psnet.ahrq.gov/node/42227/psn-pdf
April 24, 2013 - Medication errors in nursing—part 1 and part 2.
April 24, 2013
Leufer T, Cleary-Holdforth J. Let's do no harm: medication errors in nursing: part 1. Nurse Educ Pract.
2013;13(3):213-216. doi:10.1016/j.nepr.2013.01.013.
https://psnet.ahrq.gov/issue/medication-errors-nursing-part-1-and-part-2
This two-part commentar…
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psnet.ahrq.gov/node/40140/psn-pdf
June 26, 2019 - The WHO patient safety curriculum guide for medical
schools.
June 26, 2019
Walton M, Woodward H, Van Staalduinen S, et al. The WHO patient safety curriculum guide for medical
schools. Qual Saf Health Care. 2010;19(6):542-6. doi:10.1136/qshc.2009.036970.
https://psnet.ahrq.gov/issue/who-patient-safety-curriculum-gu…
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psnet.ahrq.gov/node/35514/psn-pdf
April 03, 2009 - Information Design for Patient Safety: A Guide to the
Graphic Design of Medication Packaging. 2nd edition.
April 3, 2009
Swayne T. London, UK: National Patient Safety Agency, The Helen Hamlyn Research Centre; 2007.
https://psnet.ahrq.gov/issue/information-design-patient-safety-guide-graphic-design-medication-p…
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psnet.ahrq.gov/node/39326/psn-pdf
July 31, 2012 - Initiative to Reduce Unnecessary Radiation Exposure
from Medical Imaging.
July 31, 2012
Center for Devices and Radiological Health; CDRH; US Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/initiative-reduce-unnecessary-radiation-exposure-medical-imaging
This Web site provides information on an init…
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psnet.ahrq.gov/node/36720/psn-pdf
July 26, 2011 - Patient-physician racial and ethnic concordance and
perceived medical errors.
July 26, 2011
Stepanikova I. Patient-physician racial and ethnic concordance and perceived medical errors. Social Sci
Med. 2006;63(12):3060-3066.
https://psnet.ahrq.gov/issue/patient-physician-racial-and-ethnic-concordance-and-perceived-…
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psnet.ahrq.gov/node/34039/psn-pdf
June 16, 2010 - Spike in fatal medication errors at the beginning of each
month.
June 16, 2010
Phillips DP, Jarvinen JR, Phillips RR. A spike in fatal medication errors at the beginning of each month.
Pharmacotherapy. 2005;25(1):1-9.
https://psnet.ahrq.gov/issue/spike-fatal-medication-errors-beginning-each-month
This study found…
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psnet.ahrq.gov/node/36650/psn-pdf
January 05, 2017 - Intralipid medication errors in the neonatal intensive care
unit.
January 5, 2017
Chuo J, Lambert G, Hicks RW. Intralipid medication errors in the neonatal intensive care unit. Jt Comm J
Qual Patient Saf. 2007;33(2):104-11.
https://psnet.ahrq.gov/issue/intralipid-medication-errors-neonatal-intensive-care-unit
The…