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  1. Psn-Pdf (pdf file)

    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-…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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. …
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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/…
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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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