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psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error
December 19, 2018 - Commentary
JAMA professionalism: disclosure of medical error.
Citation Text:
Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136.
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psnet.ahrq.gov/issue/defining-patient-safety-events-inpatient-psychiatry
January 30, 2019 - Study
Defining patient safety events in inpatient psychiatry.
Citation Text:
Marcus SC, Hermann R, Cullen SW. Defining Patient Safety Events in Inpatient Psychiatry. J Patient Saf. 2018;17(8):e1452-e1457. doi:10.1097/PTS.0000000000000520.
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psnet.ahrq.gov/issue/identifying-and-reducing-distractions-and-interruptions-pharmacy-department
August 22, 2015 - Study
Identifying and reducing distractions and interruptions in a pharmacy department.
Citation Text:
Raimbault M, Guérin A, Caron E, et al. Identifying and reducing distractions and interruptions in a pharmacy department. Am J Health Syst Pharm. 2013;70(3):186, 188, 190. doi:10.2146/aj…
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psnet.ahrq.gov/issue/medication-errors-associated-transition-insulin-pens-insulin-vials
May 29, 2019 - Study
Medication errors associated with transition from insulin pens to insulin vials.
Citation Text:
Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726.
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psnet.ahrq.gov/issue/risk-factors-iv-compounding-errors-when-using-automated-workflow-management-system
September 23, 2020 - Study
Risk factors for i.v. compounding errors when using an automated workflow management system.
Citation Text:
Deng Y, Lin AC, Hingl J, et al. Risk factors for i.v. compounding errors when using an automated workflow management system. Am J Health Syst Pharm. 2016;73(12):887-893. doi:…
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psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-1-review-extent-and-causes
October 14, 2009 - Review
Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008.
Citation Text:
Roughead EE, Semple SJ. Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and c…
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psnet.ahrq.gov/issue/disclosing-errors-and-adverse-events-intensive-care-unit
February 17, 2017 - Study
Disclosing errors and adverse events in the intensive care unit.
Citation Text:
Boyle DJ, O'Connell D, Platt FW, et al. Disclosing errors and adverse events in the intensive care unit. Crit Care Med. 2006;34(5):1532-7.
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psnet.ahrq.gov/issue/integrating-patient-safety-education-early-medical-education-utilizing-cadaver-sponges-and
September 23, 2020 - Commentary
Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team.
Citation Text:
Kutaimy R, Zhang L, Blok D, et al. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an …
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psnet.ahrq.gov/issue/rate-occult-specimen-provenance-complications-routine-clinical-practice
January 05, 2012 - Study
Rate of occult specimen provenance complications in routine clinical practice.
Citation Text:
Pfeifer JD, Liu J. Rate of occult specimen provenance complications in routine clinical practice. Am J Clin Pathol. 2013;139(1):93-100. doi:10.1309/AJCP50WEZHWIFCIV.
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psnet.ahrq.gov/issue/patterns-dementia-treatment-and-frank-prescribing-errors-older-adults-parkinson-disease
September 18, 2024 - Study
Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease.
Citation Text:
Mantri S, Fullard M, Gray SL, et al. Patterns of Dementia Treatment and Frank Prescribing Errors in Older Adults With Parkinson Disease. JAMA Neurol. 2019;76(1):41-49.…
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psnet.ahrq.gov/issue/medical-emergency-team-system-two-hospital-comparison
January 15, 2009 - Study
The medical emergency team system: a two hospital comparison.
Citation Text:
Young L, Donald M, Parr M, et al. The Medical Emergency Team system: a two hospital comparison. Resuscitation. 2008;77(2):180-8. doi:10.1016/j.resuscitation.2007.11.016.
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psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
May 26, 2011 - Study
Current approaches to punitive action for medication errors by boards of pharmacy.
Citation Text:
Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …
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psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
May 18, 2022 - Study
Overnight and postcall errors in medication orders.
Citation Text:
Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34.
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psnet.ahrq.gov/issue/occurrence-potential-patient-safety-events-among-trauma-patients-are-they-random
July 19, 2018 - Study
The occurrence of potential patient safety events among trauma patients: are they random?
Citation Text:
Chang DC, Handly N, Abdullah F, et al. The occurrence of potential patient safety events among trauma patients: are they random? Ann Surg. 2008;247(2):327-34. doi:10.1097/SLA.…
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psnet.ahrq.gov/issue/communicating-patients-about-medical-errors-review-literature
December 23, 2008 - Review
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Communicating with patients about medical errors: a review of the literature.
Citation Text:
Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7.
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psnet.ahrq.gov/issue/guideline-order-set-patient-harm
October 10, 2017 - Commentary
From guideline to order set to patient harm.
Citation Text:
Shah SD, Cifu AS. From Guideline to Order Set to Patient Harm. JAMA. 2018;319(12):1207-1208. doi:10.1001/jama.2018.1666.
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psnet.ahrq.gov/issue/interventions-reduce-medication-prescribing-errors-paediatric-cardiac-intensive-care-unit
November 16, 2022 - Study
Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit.
Citation Text:
Burmester MK, Dionne R, Thiagarajan RR, et al. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. Intensive Care Med. …
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psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and
December 13, 2013 - Review
Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors.
Citation Text:
Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Eval…
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psnet.ahrq.gov/issue/creating-distraction-simulation-safe-medication-administration
May 27, 2011 - Commentary
Creating a distraction simulation for safe medication administration.
Citation Text:
Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004.
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psnet.ahrq.gov/issue/maximizing-student-potential-lessons-pharmacy-programs-patient-safety-movement
October 23, 2024 - Commentary
Maximizing student potential: lessons for pharmacy programs from the patient safety movement.
Citation Text:
Abebe E, Bao A, Kokkinias P, et al. Maximizing student potential: lessons for pharmacy programs from the patient safety movement. Explor Res Clin Soc Pharm. 2023;9:1002…