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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/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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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…
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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…
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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…
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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…
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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…
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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.…
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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.…
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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…
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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…
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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…
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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 …
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psnet.ahrq.gov/issue/minor-mistakes-deadly-results
April 02, 2008 - Newspaper/Magazine Article
Minor mistakes, deadly results.
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February 8, 2012
View more articles from the same authors.
This magazine article discu…
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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…
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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…
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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.…
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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…
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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…
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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 …