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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…
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psnet.ahrq.gov/node/44182/psn-pdf
November 03, 2015 - FDA cautions about dose confusion and medication
errors for antibacterial drug Zerbaxa (ceftolozane and
tazobactam).
November 3, 2015
Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/fda-cautions-about-dose-confusion-and-medication-errors-antibacterial-drug-
zerbaxa
Dosing information on drug labe…
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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…
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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…
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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…
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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-…
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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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psnet.ahrq.gov/node/41547/psn-pdf
July 25, 2012 - Changes in intern attitudes toward medical error and
disclosure.
July 25, 2012
Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and
disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x.
https://psnet.ahrq.gov/issue/changes-intern-attitudes-towa…
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psnet.ahrq.gov/node/46593/psn-pdf
November 08, 2017 - Unreadable barcodes and multiple barcodes on packages
can lead to errors.
November 8, 2017
ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3.
https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
Barcodes can both enhance and degrade the medication …
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psnet.ahrq.gov/node/35410/psn-pdf
September 11, 2009 - Intravenous medication safety and smart infusion
systems: lessons learned and future opportunities.
September 11, 2009
Keohane C, Hayes J, Saniuk C, et al. Intravenous medication safety and smart infusion systems: lessons
learned and future opportunities. J Infus Nurs. 2005;28(5):321-328.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/38695/psn-pdf
June 10, 2009 - Medical students benefit from learning about patient
safety in an interprofessional team.
June 10, 2009
Anderson E, Thorpe L, Heney D, et al. Medical students benefit from learning about patient safety in an
interprofessional team. Med Educ. 2009;43(6):542-52. doi:10.1111/j.1365-2923.2009.03328.x.
https://psnet.ah…
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psnet.ahrq.gov/node/36751/psn-pdf
March 21, 2007 - Medmarx Data Report: A Chartbook of Medication-Error
Findings from the Perioperative Settings from 1998-2005.
March 21, 2007
Hicks RW, Becker SC, Cousins DD. Rockville, MD: US Pharmacopeia Center for the Advancement of
Patient Safety; 2006
https://psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error…
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psnet.ahrq.gov/node/38588/psn-pdf
July 13, 2009 - Nursing student medication errors involving tubing and
catheters: a descriptive study.
July 13, 2009
Wolf ZR, Hicks RW, Altmiller G, et al. Nursing student medication errors involving tubing and catheters: A
descriptive study. Nurse Educ Today. 2009;29(6). doi:10.1016/j.nedt.2009.02.010.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/37527/psn-pdf
August 24, 2015 - MEDMARX Data Report: A Report on the Relationship of
Drug Names and Medication Errors in Response to the
Institute of Medicine's Call to Action (2003-2006 Findings
and Trends 2002-2006).
August 24, 2015
Hicks RW, Becker SC, Cousins DD, eds. Rockville, MD: Center for the Advancement of Patient Safety, US
Pharmacop…
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psnet.ahrq.gov/node/35657/psn-pdf
July 05, 2013 - Pharmacist Staffing and the Use of Technology in Small
Rural Hospitals: Implications for Medication Safety.
July 5, 2013
Casey MM, Moscovice I, Davidson G. Minneapolis, MN: Upper Midwest Rural Health Research Center;
2005.
https://psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-im…
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psnet.ahrq.gov/node/36108/psn-pdf
June 30, 2011 - Doctors charged with manslaughter in the course of
medical practice, 1795-2005: a literature review.
June 30, 2011
Ferner RE, McDowell SE. Doctors charged with manslaughter in the course of medical practice, 1795-
2005: a literature review. J R Soc Med. 2006;99(6):309-314.
https://psnet.ahrq.gov/issue/doctors-char…
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psnet.ahrq.gov/node/37624/psn-pdf
September 27, 2017 - Adverse drug events and medication errors in psychiatry:
methodological issues regarding identification and
classification.
September 27, 2017
Mann K, Rothschild JM, Keohane C, et al. Adverse drug events and medication errors in psychiatry:
methodological issues regarding identification and classification. World J…
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psnet.ahrq.gov/node/41174/psn-pdf
February 29, 2012 - The importance of preparation for doctors' handovers in
an acute medical assessment unit: a hierarchical task
analysis.
February 29, 2012
Raduma-Tomàs MA, Flin R, Yule S, et al. The importance of preparation for doctors' handovers in an acute
medical assessment unit: a hierarchical task analysis. BMJ Qual Saf. 201…
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psnet.ahrq.gov/issue/systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
September 24, 2016 - Review
Classic
A systematic review of the psychological literature on interruption and its patient safety implications.
Citation Text:
Li SYW, Magrabi F, Coiera E. A systematic review of the psychological literature on interruption and its patient safety implica…
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psnet.ahrq.gov/issue/meaningful-uses-benefits-and-burdens-us-family-physicians
November 30, 2011 - Study
Meaningful use's benefits and burdens for US family physicians.
Citation Text:
Holman T, Waldren SE, Beasley JW, et al. Meaningful use's benefits and burdens for US family physicians. J Am Med Inform Assoc. 2018;25(6):694-701. doi:10.1093/jamia/ocx158.
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