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  1. Psn-Pdf (pdf file)

    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…
  2. 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…
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. 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…
  8. 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.…
  9. 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.…
  10. 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…
  11. 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…
  12. 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…
  13. psnet.ahrq.gov/issue/coping-medical-error-systematic-review-papers-assess-effects-involvement-medical-errors
    March 04, 2015 - Review Coping with medical error: a systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals' psychological well-being. Citation Text: Sirriyeh R, Lawton R, Gardner P, et al. Coping with medical error: a systematic review of papers …
  14. psnet.ahrq.gov/issue/minor-mistakes-deadly-results
    April 02, 2008 - Newspaper/Magazine Article Minor mistakes, deadly results. Save Save to your library Print Share Facebook Twitter Linkedin Copy URL February 8, 2012 View more articles from the same authors. This magazine article discu…
  15. psnet.ahrq.gov/issue/state-launches-3rd-priority-investigation-childrens
    October 13, 2010 - Audiovisual Published October 13, 2010 State launches 3rd priority investigation into Children's. Vedder T. Topics Approach to Improving Safety Credentialing, Licensure, and Discipline Error Analysis Safet…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72755/psn-pdf
    February 17, 2021 - Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. February 17, 2021 Shah SN, Amato MG, Garlo KG, et al. Renal medication-related clinical decisio…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844787/psn-pdf
    September 11, 2019 - TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records. September 11, 2019 Mirarchi FL, Juhasz K, Cooney TE, et al. TRIAD XII: Are Patients Aware of and Agree With DNR or POLST Orders in Their Medical Records. J Patient Saf. 2019;15(3):230-237. doi:10.1097/PTS.0000000000000631.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40750/psn-pdf
    September 07, 2011 - Are temporary staff associated with more severe emergency department medication errors? September 7, 2011 Pham JC, Andrawis M, Shore AD, et al. Are temporary staff associated with more severe emergency department medication errors? J Healthc Qual. 2011;33(4):9-18. doi:10.1111/j.1945-1474.2010.00116.x. https://psne…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47153/psn-pdf
    October 12, 2018 - Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. October 12, 2018 Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Support Care Ca…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39252/psn-pdf
    August 08, 2010 - Where errors occur in the preparation and administration of intravenous medicines: a systematic review and Bayesian analysis. August 8, 2010 McDowell SE, Mt-Isa S, Ashby D, et al. Where errors occur in the preparation and administration of intravenous medicines: a systematic review and Bayesian analysis. Qual Saf …

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