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psnet.ahrq.gov/node/35110/psn-pdf
April 06, 2011 - Medication safety program reduces adverse drug events
in a community hospital.
April 6, 2011
Cohen MM, Kimmel NL, Benage MK, et al. Medication safety program reduces adverse drug events in a
community hospital. Qual Saf Health Care. 2005;14(3):169-74.
https://psnet.ahrq.gov/issue/medication-safety-program-reduces-…
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psnet.ahrq.gov/node/34741/psn-pdf
December 19, 2018 - Wall of Silence: The Untold Story of the Medical Mistakes
That Kill and Injure Millions of Americans.
December 19, 2018
Gibson R, Singh JP. Washington DC, LifeLine Press; 2003.
https://psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
Written by a program officer at…
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psnet.ahrq.gov/node/37379/psn-pdf
March 28, 2012 - Identifying modifiable barriers to medication error
reporting in the nursing home setting.
March 28, 2012
Handler S, Perera S, Olshansky EF, et al. Identifying modifiable barriers to medication error reporting in the
nursing home setting. J Am Med Dir Assoc. 2007;8(9):568-74.
https://psnet.ahrq.gov/issue/identifyi…
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psnet.ahrq.gov/node/42276/psn-pdf
May 15, 2013 - Kadcyla (ado-trastuzumab emtansine): drug safety
communication—potential medication errors resulting
from name confusion.
May 15, 2013
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; May 6, 2013.
https://psnet.ahrq.gov/issue/kadcyla-ado-trastuzumab-emtansine-drug-safety-communication-pot…
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psnet.ahrq.gov/node/40775/psn-pdf
September 14, 2011 - Ambulatory surgery facilities: a comprehensive review of
medication error reports in Pennsylvania.
September 14, 2011
Grissinger M, Dabliz R. Pa Patient Saf Advis 2011 Sep;8(3):85-93.
https://psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-
pennsylvania
Anal…
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psnet.ahrq.gov/node/37962/psn-pdf
September 12, 2016 - Exploratory analyses of the "failure to rescue" measure:
evaluation through medical record review.
September 12, 2016
Talsma AN, Bahl V, Campbell D. Exploratory analyses of the "failure to rescue" measure: evaluation
through medical record review. J Nurs Care Qual. 2008;23(3):202-210.
doi:10.1097/01.NCQ.0000324583…
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psnet.ahrq.gov/node/40733/psn-pdf
August 31, 2011 - Beyond the prescription: medication monitoring and
adverse drug events in older adults.
August 31, 2011
Steinman MA, Handler S, Gurwitz JH, et al. Beyond the prescription: medication monitoring and adverse
drug events in older adults. J Am Geriatr Soc. 2011;59(8):1513-1520. doi:10.1111/j.1532-
5415.2011.03500.x.
…
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psnet.ahrq.gov/node/36771/psn-pdf
January 22, 2017 - A pediatric medical emergency team manages a complex
child with hypoxia and a worried parent.
January 22, 2017
Shilkofski NA, Hunt EA. A pediatric medical emergency team manages a complex child with hypoxia and
worried parent. Jt Comm J Qual Patient Saf. 2007;33(4):236-41, 185.
https://psnet.ahrq.gov/issue/pediatr…
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psnet.ahrq.gov/node/35113/psn-pdf
April 06, 2011 - Medication errors in intravenous drug preparation and
administration: a multicentre audit in the UK, Germany
and France.
April 6, 2011
Cousins DH, Sabatier B, Begue D, et al. Medication errors in intravenous drug preparation and
administration: a multicentre audit in the UK, Germany and France. Qual Saf Health Car…
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psnet.ahrq.gov/node/35846/psn-pdf
July 22, 2010 - Why worry? Worry, risk perceptions, and willingness to
act to reduce medical errors.
July 22, 2010
Peters E, Slovic P, Hibbard JH, et al. Why worry? Worry, risk perceptions, and willingness to act to reduce
medical errors. Health Psychology. 2006;25(2). doi:10.1037/0278-6133.25.2.144.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/35878/psn-pdf
April 26, 2006 - Quality of Care in Cranial Implant Surgeries at James A.
Haley VA Medical Center, Tampa, Florida.
April 26, 2006
Washington, DC: VA Office of Inspector General; April 10, 2006. OIG Report No. 06-01642-126.
https://psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-
flor…
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psnet.ahrq.gov/node/41710/psn-pdf
November 08, 2012 - Improving teamwork on general medical units: when
teams do not work face-to-face.
November 8, 2012
McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams
do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478.
https://psnet.ahrq.gov/issue/improving-tea…
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psnet.ahrq.gov/node/41501/psn-pdf
January 18, 2013 - Recognition of adverse drug events in older hospitalized
medical patients.
January 18, 2013
Klopotowska JE, Wierenga PC, Smorenburg SM, et al. Recognition of adverse drug events in older
hospitalized medical patients. Eur J Clin Pharmacol. 2013;69(1):75-85. doi:10.1007/s00228-012-1316-4.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/42318/psn-pdf
August 15, 2013 - Potential medication errors associated with computer
prescriber order entry.
August 15, 2013
Villamañán E, Larrubia Y, Ruano M, et al. Potential medication errors associated with computer prescriber
order entry. Int J Clin Pharm. 2013;35(4):577-83. doi:10.1007/s11096-013-9771-2.
https://psnet.ahrq.gov/issue/potent…
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psnet.ahrq.gov/node/43433/psn-pdf
October 01, 2014 - Medical error and systems of signaling: conceptual and
linguistic definition.
October 1, 2014
Smorti A, Cappelli F, Zarantonello R, et al. Medical error and systems of signaling: conceptual and
linguistic definition. Intern Emerg Med. 2014;9(6):681-8. doi:10.1007/s11739-014-1108-1.
https://psnet.ahrq.gov/issue/med…
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psnet.ahrq.gov/node/34971/psn-pdf
May 11, 2005 - Scanning out medication errors: Ohio Valley Hospital's
automated IV system provides real-time access to patient
data.
May 11, 2005
Carbasho T.
https://psnet.ahrq.gov/issue/scanning-out-medication-errors-ohio-valley-hospitals-automated-iv-system-
provides-real-time
This article reports on Ohio Valley General Hosp…
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psnet.ahrq.gov/node/34854/psn-pdf
March 28, 2005 - 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.
March 28, 2005
Albert T. AMNews. February 7, 2005.
https://psnet.ahrq.gov/issue/preventing-lawsuits-coalition-pushes-apologies-an…
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psnet.ahrq.gov/node/36204/psn-pdf
September 30, 2010 - Automated medication error studies with audit
supplementation were effectively designed and analyzed
by time series.
September 30, 2010
Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were
effectively designed and analyzed by time series. J Clin Epidemiol. 2006;59(9).
doi…
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psnet.ahrq.gov/node/35682/psn-pdf
July 10, 2008 - Medication-attributed adverse effects in placebo groups:
implications for assessment of adverse effects.
July 10, 2008
Rief W, Avorn J, Barsky AJ. Medication-attributed adverse effects in placebo groups: implications for
assessment of adverse effects. Arch Intern Med. 2006;166(2):155-60.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/37485/psn-pdf
June 29, 2011 - Perceptions of preventable medical errors in Alberta,
Canada.
June 29, 2011
Northcott H, Vanderheyden L, Northcott J, et al. Perceptions of preventable medical errors in Alberta,
Canada. Int J Qual Health Care. 2007;20(2):115-122. doi:10.1093/intqhc/mzm067.
https://psnet.ahrq.gov/issue/perceptions-preventable-medi…