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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840164/psn-pdf
    November 16, 2022 - Medical error and vulnerable communities. November 16, 2022 Jean-Pierre P. Boston U Law Rev. 2022; 102(1):327-392. https://psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities Bias and discrimination are receiving overdue attention as primary barriers to patient safety. This article discusses medical erro…

  2. Psn-Pdf (pdf file)

    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…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44472/psn-pdf
    January 22, 2016 - Understanding medical errors and adverse events in ICU patients. January 22, 2016 Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x. https://psnet.ahrq.gov/issue/understanding-medical-errors…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38190/psn-pdf
    May 14, 2009 - Oncology medication safety: a 3D status report 2008. May 14, 2009 Johnson PE, Chambers C, Vaida AJ. Oncology medication safety: a 3D status report 2008. J Oncol Pharm Pract. 2008;14(4):169-80. doi:10.1177/1078155208097634. https://psnet.ahrq.gov/issue/oncology-medication-safety-3d-status-report-2008 This survey di…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40160/psn-pdf
    January 19, 2011 - Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose. January 19, 2011 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 10, 2011. https://psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-us…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36736/psn-pdf
    March 21, 2012 - FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. March 21, 2012 Silver Spring MD; Center for Devices and Radiological Health, Food and Drug Administration; March1, 2007. https://psnet.ahrq.gov/issue/fda-preliminary-public-health-notific…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40293/psn-pdf
    April 17, 2011 - Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. April 17, 2011 Holden RJ. Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for patient safety. Cogn Technol Work. …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38415/psn-pdf
    February 18, 2009 - Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait. February 18, 2009 Al-Kandari F, Thomas D. Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait. J Clin Nurs. 20…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42793/psn-pdf
    December 04, 2013 - Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? December 4, 2013 Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J Patient Saf. 2013;9(4):232-238. doi:10…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43247/psn-pdf
    August 02, 2015 - Characteristics of medical professional liability claims against internists. August 2, 2015 Mangalmurti SS, Harold JG, Parikh PD, et al. Characteristics of medical professional liability claims against internists. JAMA Intern Med. 2014;174(6):993-5. doi:10.1001/jamainternmed.2014.1116. https://psnet.ahrq.gov/issue…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44363/psn-pdf
    May 05, 2018 - Selection of incorrect medication pump leads to chemotherapy overdose. May 5, 2018 ISMP Canada. August 26, 2015;15:1-4. https://psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose Checklists are cognitive aids that help clinicians remember important steps to ensure safe practice. I…

  12. Psn-Pdf (pdf file)

    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.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35317/psn-pdf
    July 14, 2009 - Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills. July 14, 2009 Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical Skills Competency Compliance: Urologic Surgical Skills. J Am Coll Surg. 2005;201(3). …

  14. Psn-Pdf (pdf file)

    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…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37857/psn-pdf
    May 26, 2011 - The impact of computerized physician medication order entry in hospitalized patients—a systematic review. May 26, 2011 Eslami S, de Keizer NF, Abu-Hanna A. The impact of computerized physician medication order entry in hospitalized patients--a systematic review. Int J Med Inform. 2008;77(6):365-76. https://psnet.a…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35079/psn-pdf
    November 04, 2015 - Medical Error: What Do We Know? What Do We Do? November 4, 2015 Rosenthal MM; Sutcliffe KM, eds. San Francisco, CA: Jossey-Bass; 2002. https://psnet.ahrq.gov/issue/medical-error-what-do-we-know-what-do-we-do Opening with a review of lessons learned since the Harvard Medical Practice Study (HMPS), this book explore…

  17. Psn-Pdf (pdf file)

    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…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36309/psn-pdf
    January 05, 2017 - The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. January 5, 2017 DiNardo M, Noschese M, Korytkowski M, et al. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Jt Comm J Qual Patient Saf. 2006;32(10):591-5. htt…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41272/psn-pdf
    April 06, 2012 - Closed medical negligence claims can drive patient safety and reduce litigation. April 6, 2012 Pegalis SE, Bal S. Closed medical negligence claims can drive patient safety and reduce litigation. Clin Orthop Relat Res. 2012;470(5):1398-404. doi:10.1007/s11999-012-2308-5. https://psnet.ahrq.gov/issue/closed-medical-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41040/psn-pdf
    January 04, 2012 - Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. January 4, 2012 Horning R. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Am J Health Syst Pharm. 2011;68(23):2288-92. doi:10.2146/ajh…
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