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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…
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psnet.ahrq.gov/node/35946/psn-pdf
July 26, 2010 - A review of educational philosophies as applied to
radiation safety training at medical institutions.
July 26, 2010
Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at
medical institutions. Health Phys. 2006;90(5 Suppl):S67-72.
https://psnet.ahrq.gov/issue/review…
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psnet.ahrq.gov/node/35698/psn-pdf
July 13, 2010 - Patterns of medical and nursing staff communication in
nursing homes: implications and insights from
complexity science.
July 13, 2010
Colón-Emeric CS, Ammarell N, Bailey D, et al. Patterns of medical and nursing staff communication in
nursing homes: implications and insights from complexity science. Qual Health R…
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psnet.ahrq.gov/node/40571/psn-pdf
February 24, 2012 - The disclosure of unanticipated outcomes of care and
medical errors: what does this mean for
anesthesiologists?
February 24, 2012
Souter KJ, Gallagher TH. The Disclosure of Unanticipated Outcomes of Care and Medical Errors. Anesth
Analg. 2011;114(3):615-621. doi:10.1213/ane.0b013e3182228604.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/35999/psn-pdf
May 09, 2014 - Internally-developed online adverse drug reaction and
medication error reporting systems.
May 9, 2014
Smith KM, Trapskin PJ, Empey PE, et al. Internally-Developed Online Adverse Drug Reaction and
Medication Error Reporting Systems. Hosp Pharm. 2010;41(5):428-436. doi:10.1310/hpj4105-428.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/35325/psn-pdf
July 14, 2009 - A safe haven for nurses to report medication errors?
Clarian and Spectrum Health Systems prove it is
possible!
July 14, 2009
Paparella S. A Safe Haven for Nurses to Report Medication Errors? Clarian and Spectrum Health Systems
Prove It Is Possible!. J Emerg Nurs. 2005;31(4). doi:10.1016/j.jen.2005.04.029.
https:/…
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psnet.ahrq.gov/node/40560/psn-pdf
June 22, 2011 - Medication errors resulting from confusion between
risperidone (Risperdal) and ropinirole (Requip).
June 22, 2011
MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug
Administration; June 13, 2011.
https://psnet.ahrq.gov/issue/medication-errors-resulting-confusion-between-rispe…