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psnet.ahrq.gov/node/34880/psn-pdf
April 04, 2005 - Cedars-Sinai doctors cling to pen and paper: transition to
electronic medical records proves difficult.
April 4, 2005
Connolly C. Washington Post. March 21, 2005
https://psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical-
records-proves
A high-profile misstep in implementi…
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psnet.ahrq.gov/node/40259/psn-pdf
December 04, 2016 - Successful remediation of patient safety incidents: a tale
of two medication errors.
December 4, 2016
Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two
medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.1097/HMR.0b013e318200f916.
https://psn…
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psnet.ahrq.gov/node/45495/psn-pdf
January 01, 2021 - Medical students raising concerns.
October 12, 2016
Druce MR, Hickey A, Warrens AN, et al. Medical Students Raising Concerns. J Patient Saf.
2021;17(5):e367-e372.
https://psnet.ahrq.gov/issue/medical-students-raising-concerns
A key aspect of safety culture is that all team members feel comfortable with raising saf…
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psnet.ahrq.gov/node/34973/psn-pdf
September 29, 2017 - Disclosure of medical errors: ethical considerations for
the development of a facility policy and organizational
culture change.
September 29, 2017
Henry LL. Disclosure of medical errors: ethical considerations for the development of a facility policy and
organizational culture change. Policy Polit Nurs Pract. 200…
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psnet.ahrq.gov/node/60165/psn-pdf
March 25, 2020 - The threat within: mitigating the risk of medical error.
March 25, 2020
Bennett S. The Threat Within: Mitigating The Risk Of Medical Error. Springer International Publishing;
2020. doi:10.1007/978-3-030-23491-1_3.
https://psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error
Despite efforts to protect p…
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psnet.ahrq.gov/node/36215/psn-pdf
September 30, 2010 - Oral outpatient chemotherapy medication errors in
children with acute lymphoblastic leukemia.
September 30, 2010
Taylor JA, Winter L, Geyer LJ, et al. Oral outpatient chemotherapy medication errors in children with acute
lymphoblastic leukemia. Cancer. 2006;107(6):1400-6.
https://psnet.ahrq.gov/issue/oral-outpatie…
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psnet.ahrq.gov/node/37605/psn-pdf
February 22, 2010 - Sorry Works! 2.0: Disclosure, Apology, and Relationships
Prevent Medical Malpractice Claims.
February 22, 2010
Wojcieszak D, Saxton JW, Finkelstein MM. Bloomington, IN: AuthorHouse; 2010.
https://psnet.ahrq.gov/issue/sorry-works-20-disclosure-apology-and-relationships-prevent-medical-
malpractice-claims
This manu…
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psnet.ahrq.gov/node/39180/psn-pdf
December 16, 2009 - Description of inpatient medication management using
cognitive work analysis.
December 16, 2009
Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using
cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181bcad2f.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/41487/psn-pdf
June 27, 2012 - Investigating the safety of medication administration in
adult critical care settings.
June 27, 2012
Mansour M, James V, Edgley A. Investigating the safety of medication administration in adult critical care
settings. Nurs Crit Care. 2012;17(4):189-97. doi:10.1111/j.1478-5153.2012.00500.x.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/35888/psn-pdf
July 23, 2010 - Medication errors and patient complications with
continuous renal replacement therapy.
July 23, 2010
Barletta JF, Barletta G-M, Brophy PD, et al. Medication errors and patient complications with continuous
renal replacement therapy. Pediatr Nephrol. 2006;21(6):842-5.
https://psnet.ahrq.gov/issue/medication-errors-…
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psnet.ahrq.gov/node/36828/psn-pdf
August 29, 2011 - Pediatric medication errors in the postanesthesia care
unit: analysis of MEDMARX data.
August 29, 2011
Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit:
analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4.
https://psnet.ahrq.gov/issue/pediatric-medicati…
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psnet.ahrq.gov/node/47915/psn-pdf
April 03, 2019 - Adversarial attacks on medical machine learning.
April 3, 2019
Finlayson SG, Bowers JD, Ito J, et al. Adversarial attacks on medical machine learning. Science (1979).
2019;363(6433):1287-1289. doi:10.1126/science.aaw4399.
https://psnet.ahrq.gov/issue/adversarial-attacks-medical-machine-learning
This review article…
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psnet.ahrq.gov/node/38184/psn-pdf
February 16, 2011 - Interprofessional communication and medical error: a
reframing of research questions and approaches.
February 16, 2011
Varpio L, Hall P, Lingard LA, et al. Interprofessional communication and medical error: a reframing of
research questions and approaches. Acad Med. 2008;83(10 Suppl):S76-81.
doi:10.1097/ACM.0b013e…
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psnet.ahrq.gov/node/39522/psn-pdf
May 12, 2010 - Reporting trends in a regional medication error data-
sharing system.
May 12, 2010
Anderson J, Ramanujam R, Hensel DJ, et al. Reporting trends in a regional medication error data-sharing
system. Health Care Manag Sci. 2010;13(1):74-83.
https://psnet.ahrq.gov/issue/reporting-trends-regional-medication-error-data-sh…
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psnet.ahrq.gov/node/42826/psn-pdf
December 18, 2013 - Improvement of medication event interventions through
use of an electronic database.
December 18, 2013
Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an
electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajhp130021.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/60690/psn-pdf
January 01, 2021 - A description of medical malpractice claims involving
advanced practice providers.
July 15, 2020
Myers LC, Sawicki D, Heard L, et al. A description of medical malpractice claims involving advanced
practice providers. J Healthc Risk Manag. 2021;40(3):8-16. doi:10.1002/jhrm.21412.
https://psnet.ahrq.gov/issue/descri…
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psnet.ahrq.gov/node/39320/psn-pdf
March 28, 2010 - The Emergency Medical Services Safety Attitudes
Questionnaire.
March 28, 2010
Patterson D, Huang DT, Fairbanks RJ, et al. The emergency medical services safety attitudes
questionnaire. Am J Med Qual. 2010;25(2):109-15. doi:10.1177/1062860609352106.
https://psnet.ahrq.gov/issue/emergency-medical-services-safety-att…
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psnet.ahrq.gov/node/35395/psn-pdf
September 10, 2009 - Toward a theoretical approach to medical error reporting
system research and design.
September 10, 2009
Karsh B-T, Escoto KH, Beasley JW, et al. Toward a theoretical approach to medical error reporting system
research and design. Appl Ergon. 2006;37(3):283-95.
https://psnet.ahrq.gov/issue/toward-theoretical-approa…
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psnet.ahrq.gov/node/35757/psn-pdf
July 19, 2010 - Effects of working conditions on intravenous medication
errors in a Japanese hospital.
July 19, 2010
Seki Y, Yamazaki Y. Effects of working conditions on intravenous medication errors in a Japanese hospital.
J Nurs Manag. 2006;14(2):128-39.
https://psnet.ahrq.gov/issue/effects-working-conditions-intravenous-medica…
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psnet.ahrq.gov/node/37014/psn-pdf
September 15, 2011 - Medication safety messages for patients via the web
portal: the MedCheck intervention.
September 15, 2011
Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the
MedCheck intervention. Int J Med Inform . 2008;77(3):161-168.
https://psnet.ahrq.gov/issue/medication-s…