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psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - clinicians before the medication is administered.(4) For
instance, for a medication that requires a dose calculation
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psnet.ahrq.gov/node/49571/psn-pdf
October 01, 2008 - As growth is a process over time, it requires at least two
measurements, separated in time, and the calculation
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - prescribing practices
Build alerts for unsafe prescribing
Provide conversion support to ensure the calculation
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psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
June 16, 2021 - clinicians before the medication is administered.( 4 ) For instance, for a medication that requires a dose calculation
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.45_slideshow.ppt
January 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case January 2004
Crushing Chest Pain:
A Missed Opportunity
Source and Credits
This presentation is based on the Jan. 2004
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Mark Grabe…
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psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
January 06, 2017 - Study
Decreasing errors in pediatric continuous intravenous infusions.
Citation Text:
Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30.
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Format:
Google Scholar PubMed …
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psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review
September 09, 2015 - Review
What causes prescribing errors in children? Scoping review.
Citation Text:
Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680.
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Format:
DOI Google …
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psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality-measure
July 31, 2013 - Study
The impact of electronic medical records data sources on an adverse drug event quality measure.
Citation Text:
Kahn MG, Ranade D. The impact of electronic medical records data sources on an adverse drug event quality measure. J Am Med Inform Assoc. 2010;17(2):185-91. doi:10.1136/…
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psnet.ahrq.gov/issue/standardized-formulary-reduce-pediatric-medication-dosing-errors-mixed-methods-study
August 25, 2021 - Study
A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study.
Citation Text:
Bosson N, Kaji AH, Gausche-Hill M. A standardized formulary to reduce pediatric medication dosing errors: a mixed methods study. Prehosp Emerg Care. 2022;26(4):492-502. doi:…
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psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses
May 25, 2022 - Study
Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children.
Citation Text:
Packendorff N, Magnusson C, Axelsson C, et al. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and nea…
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psnet.ahrq.gov/issue/clinical-data-sharing-improves-quality-measurement-and-patient-safety
April 21, 2021 - Study
Clinical data sharing improves quality measurement and patient safety.
Citation Text:
D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039.
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psnet.ahrq.gov/web-mm/coming-short
May 20, 2020 - As growth is a process over time, it requires at least two measurements, separated in time, and the calculation
-
psnet.ahrq.gov/node/36846/psn-pdf
March 03, 2011 - Information technology cannot guarantee patient safety.
March 3, 2011
de Wildt SN, Verzijden R, van den Anker JN, et al. Information technology cannot guarantee patient safety.
BMJ. 2007;334(7598):851-2.
https://psnet.ahrq.gov/issue/information-technology-cannot-guarantee-patient-safety
The authors provide a case …
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - surrounding the error (e.g., technology and interface ergonomics, lipid administration for neonates, dose
calculation
-
psnet.ahrq.gov/node/35954/psn-pdf
August 02, 2010 - Decreasing errors in pediatric continuous intravenous
infusions.
August 2, 2010
Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions.
Pediatr Crit Care Med. 2006;7(3):225-30.
https://psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
Th…
-
psnet.ahrq.gov/node/48135/psn-pdf
August 28, 2019 - What causes prescribing errors in children? Scoping
review.
August 28, 2019
Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ
Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680.
https://psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-rev…
-
psnet.ahrq.gov/node/867524/psn-pdf
January 15, 2025 - Longitudinal analysis of culture of patient safety survey
results in surgical departments.
January 15, 2025
Butler LR, Lashani S, Mitchell C, et al. Longitudinal analysis of culture of patient safety survey results in
surgical departments. Front Health Serv. 2024;4:1419248. doi:10.3389/frhs.2024.1419248.
https://p…
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psnet.ahrq.gov/node/47894/psn-pdf
April 03, 2019 - What does safety commitment mean to leaders? A multi-
method investigation.
April 3, 2019
Fruhen LS, Griffin MA, Andrei DM. What does safety commitment mean to leaders? A multi-method
investigation. J Safety Res. 2019;68:203-214. doi:10.1016/j.jsr.2018.12.011.
https://psnet.ahrq.gov/issue/what-does-safety-commitme…
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psnet.ahrq.gov/node/42216/psn-pdf
June 28, 2013 - Simulation for ward processes of surgical care.
June 28, 2013
Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg.
2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013.
https://psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
This commentary describes one hospital…
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psnet.ahrq.gov/node/44188/psn-pdf
June 03, 2015 - The fate of pediatric prescriptions in community
pharmacies.
June 3, 2015
Condren ME, Desselle SP. The fate of pediatric prescriptions in community pharmacies. J Patient Saf.
2015;11(2):79-88. doi:10.1097/PTS.0b013e3182948a7d.
https://psnet.ahrq.gov/issue/fate-pediatric-prescriptions-community-pharmacies
The need…