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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35612/psn-pdf
    June 23, 2010 - Case-control analysis of the financial cost of medication errors in hospitalized patients. June 23, 2010 Pinilla J, Murillo C, Carrasco G, et al. Case-control analysis of the financial cost of medication errors in hospitalized patients. Eur J Health Econ. 2006;7(1):66-71. https://psnet.ahrq.gov/issue/case-control-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34699/psn-pdf
    January 04, 2017 - Organizational costs of preventable medical errors. January 4, 2017 Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. https://psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors Using two composite case studies a…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35701/psn-pdf
    July 12, 2010 - Improving the accuracy of patient identification in the medication-use process. July 12, 2010 Trapskin PJ, White L, Armitstead JA. Improving the accuracy of patient identification in the medication-use process. Am J Health Syst Pharm. 2006;63(3):218, 220-2. https://psnet.ahrq.gov/issue/improving-accuracy-patient-i…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35279/psn-pdf
    June 30, 2009 - Results of a survey on medical error reporting systems in Korean hospitals. June 30, 2009 KIM J, Bates DW. Results of a survey on medical error reporting systems in Korean hospitals. Int J Med Inform. 2005;75(2). doi:10.1016/j.ijmedinf.2005.06.005. https://psnet.ahrq.gov/issue/results-survey-medical-error-reportin…
  5. psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-crp-policy-or-commitment-statement-cr
    February 28, 2024 - Tools/Toolkit Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. Citation Text: Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. Collaborative for Accountability and Improvement Po…
  6. psnet.ahrq.gov/issue/ability-practitioners-identify-solid-oral-dosage-tablets
    January 02, 2017 - Study Ability of practitioners to identify solid oral dosage tablets. Citation Text: Ability of practitioners to identify solid oral dosage tablets. Schiff GD; Kim S; Seger AC; Bult J; Bates DW. Copy Citation Save Save to your library Print Download …
  7. psnet.ahrq.gov/issue/another-tragic-parenteral-nutrition-compounding-error
    June 10, 2018 - Newspaper/Magazine Article Another tragic parenteral nutrition compounding error. Citation Text: Another tragic parenteral nutrition compounding error. ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3. Copy Citation Save Save to your library…
  8. psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
    October 21, 2020 - Government Resource Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Citation Text: Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory Copy Citation Save …
  9. psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
    June 10, 2018 - Newspaper/Magazine Article Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. Citation Text: Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. ISMP Medication Safety Alert! Acute care…
  10. psnet.ahrq.gov/issue/challenges-requiring-five-characters-during-adc-drug-searches-override
    October 20, 2021 - Newspaper/Magazine Article Challenges with requiring five characters during ADC drug searches via override. Citation Text: Challenges with requiring five characters during ADC drug searches via override. ISMP Medication Safety Alert! Acute care edition. October 21, 2021;26(21):1-3. Cop…
  11. psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols-both-handwritten-and-computer-generated-information
    May 07, 2018 - Newspaper/Magazine Article Misidentification of alphanumeric symbols in both handwritten and computer-generated information. Citation Text: Misidentification of alphanumeric symbols in both handwritten and computer-generated information. ISMP Medication Safety Alert! Acute Care Edition. …
  12. psnet.ahrq.gov/issue/preventing-lawsuits-coalition-pushes-apologies-and-cash-front-dealing-medical-errors-when
    February 20, 2019 - Newspaper/Magazine Article Preventing lawsuits: Coalition pushes apologies and cash up-front. Dealing with medical errors when they happen--instead of in court--can benefit doctors and patients, supporters say. Citation Text: Preventing lawsuits: Coalition pushes apologies and cash up-fr…
  13. psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
    November 19, 2014 - Book/Report Classic When Things Go Wrong: Responding to Adverse Events. Citation Text: When Things Go Wrong: Responding to Adverse Events. Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006. Copy Citation Save …
  14. psnet.ahrq.gov/issue/fostering-rational-regulation-patient-safety
    May 20, 2015 - Review Fostering rational regulation of patient safety. Citation Text: Mello MM, Kelly CN, Brennan TA. Fostering rational regulation of patient safety. J Health Polit Policy Law. 2005;30(3):375-426. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …
  15. psnet.ahrq.gov/issue/telling-true-stories-ismp-hallmark-heres-why-you-should-tell-stories-too
    June 10, 2018 - Newspaper/Magazine Article Telling true stories is an ISMP hallmark: here's why you should tell stories, too. Citation Text: Telling true stories is an ISMP hallmark: here's why you should tell stories, too. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2011;16:1-3. Co…
  16. psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk
    October 03, 2018 - Newspaper/Magazine Article Latex: a lingering and lurking safety risk. Citation Text: Latex: a lingering and lurking safety risk. Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15. Copy Citation Save Save to your library Print Download PDF S…
  17. psnet.ahrq.gov/issue/rapid-response-team-activation-patients-can-mitigate-errors
    July 18, 2018 - Newspaper/Magazine Article Rapid response team activation by patients can mitigate errors. Citation Text: Rapid response team activation by patients can mitigate errors. ISMP Medication Safety Alert! Acute care edition. June 1, 2006. Copy Citation Save Save to you…
  18. psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm
    September 09, 2015 - Book/Report The Report of the Short Life Working Group on Reducing Medication-related Harm. Citation Text: The Report of the Short Life Working Group on Reducing Medication-related Harm. Department of Health and Social Care. London, England: Crown Publishing; February 2018. Copy Citati…
  19. psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
    February 24, 2011 - Commentary The Swiss cheese model of safety incidents: are there holes in the metaphor? Citation Text: Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71. Copy Citation Format: Google Scholar PubMed BibT…
  20. psnet.ahrq.gov/issue/serious-medication-errors-intravenous-administration-nimodipine-oral-capsules
    March 01, 2010 - Government Resource Serious medication errors from intravenous administration of nimodipine oral capsules. Citation Text: Serious medication errors from intravenous administration of nimodipine oral capsules. United States Food and Drug Administration; FDA. Copy Citation …

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