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psnet.ahrq.gov/node/35200/psn-pdf
July 27, 2005 - Hospital R.Ph.s weigh in on new JCAHO patient safety
goals.
July 27, 2005
Vecchione A. Drug Topics. July 11, 2005
https://psnet.ahrq.gov/issue/hospital-rphs-weigh-new-jcaho-patient-safety-goals
This article summarizes the 2006 Joint Commission on Accreditation of Healthcare Organizations patient
safety goals and …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-bias_methods.pdf
February 01, 2013 - For example, in a recent Comparative Effectiveness Review on
drugs to treat low bone density, the EPC … and pharmaceutical interventions, studies on surgical
interventions may be smaller than studies on pharmaceuticals … , thus biasing a review that
excludes small studies to find evidence on drugs but insufficient evidence … Ottawa: Canadian Agency for
Drugs and Technologies in Health; 2009. p.
1-17.
35.
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psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - thought that the underlying physiologic models would allow animatronic human patients that you could give drugs
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www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
October 27, 2014 - Interim Update on 2013 Annual Hospital-Acquired Condition Rate
Page 1 of 26
Interim Update on 2013 Annual Hospital-Acquired Condition
Rate and Estimates of Cost Savings and Deaths Averted
From 2010 to 2013
Summary
Preliminary estimates for 2013 show a further 9 percent decline in the rate of hospital-acqu…
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
January 01, 2008 - Any confusion between brand names and generic names of drugs has been
resolved, since the med reconciliation
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hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2017_IP_MaskedStats.PDF
January 01, 2017 - REACTIONS W MCC 1,397 0.03
916: ALLERGIC REACTIONS W/O MCC 3,963 0.08
917: POISONING & TOXIC EFFECTS OF DRUGS … W MCC 30,143 0.64
918: POISONING & TOXIC EFFECTS OF DRUGS W/O MCC 29,387 0.62
919: COMPLICATIONS OF … W MCC 30,162 0.64
918: POISONING & TOXIC EFFECTS OF DRUGS W/O MCC 29,389 0.62
919: COMPLICATIONS OF … ALCOHOL/DRUG INDUCED ORGANIC MENTAL DISORDERS 80,812 1.72
21: INJURIES, POISONINGS & TOXIC EFFECTS OF DRUGS … ALCOHOL/DRUG INDUCED ORGANIC MENTAL DISORDERS 80,869 1.72
21: INJURIES, POISONINGS & TOXIC EFFECTS OF DRUGS
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/8cRJsjSJUjfEhBpDNuPysb
December 01, 2014 - in mutually monogamous
relationships; previous or concurrent STI; and exchanging sex for money or drugs … in mu-
tually monogamous relationships; previous or coexisting
STI; and exchanging sex for money or drugs
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-safety-and-quality-program/forging-pathway-eprescribing-controlled-substances
January 01, 2023 - Forging a Pathway for E-Prescribing of Controlled Substances
Your browser does not support inline frames. Please go to https://youtu.be/vk-jrfsLDO4 to view the video. Principal Investigator: Grant Carrow (Grant No. R18 HS017157) [6 min., 14 sec.] This project provided the first demonstrati…
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psnet.ahrq.gov/node/40830/psn-pdf
October 05, 2011 - "Tech-check-tech": a review of the evidence on its safety
and benefits.
October 5, 2011
Adams AJ, Martin SJ, Stolpe SF. "Tech-check-tech": a review of the evidence on its safety and benefits.
Am J Health Syst Pharm. 2011;68(19):1824-33. doi:10.2146/ajhp110022.
https://psnet.ahrq.gov/issue/tech-check-tech-review-ev…
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psnet.ahrq.gov/node/50645/psn-pdf
November 06, 2019 - FDA Funding Available for Research Aimed at Reducing
Preventable Harm from Medication
November 6, 2019
Silver Spring, MD; US Food and Drug Administration: October 4, 2019.
https://psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
Medication error is a persistent challen…
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psnet.ahrq.gov/node/42630/psn-pdf
June 10, 2018 - Small effort, big payoff...automated maximum dose alerts
with hard stops.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition! September 19, 2013;18:1-4.
https://psnet.ahrq.gov/issue/small-effort-big-payoffautomated-maximum-dose-alerts-hard-stops
This newsletter article relates three incidents involving…
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psnet.ahrq.gov/node/40751/psn-pdf
September 07, 2011 - Developing a programme for medication reconciliation at
the time of admission into hospital.
September 7, 2011
Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time
of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi:10.1007/s11096-011-9530-1.
http…
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psnet.ahrq.gov/node/42960/psn-pdf
February 19, 2014 - Risk Management Pearls for Medication Safety: Part I and
Part II.
February 19, 2014
Chicago, IL: American Society for Healthcare Risk Management; 2014.
https://psnet.ahrq.gov/issue/risk-management-pearls-medication-safety-part-i-and-part-ii
These guides cover medication safety principles, common causes for errors,…
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psnet.ahrq.gov/node/35202/psn-pdf
December 23, 2016 - Preventing vincristine administration errors.
December 23, 2016
Preventing vincristine administration errors. Sentinel Event Alert. 2005;34(34):1-3.
https://psnet.ahrq.gov/issue/preventing-vincristine-administration-errors
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) issued this alert t…
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psnet.ahrq.gov/node/41691/psn-pdf
September 19, 2012 - Events associated with the prescribing, dispensing, and
administering of medication loading doses.
September 19, 2012
Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.
https://psnet.ahrq.gov/issue/events-associated-prescribing-dispensing-and-administering-medication-
loading-doses
This article discuss…
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psnet.ahrq.gov/node/40196/psn-pdf
March 03, 2011 - Association between license status and medication
errors.
March 3, 2011
Conroy S. Association between licence status and medication errors. Arch Dis Child. 2011;96(3):305-6.
doi:10.1136/adc.2010.191940.
https://psnet.ahrq.gov/issue/association-between-license-status-and-medication-errors
This study found that unl…
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psnet.ahrq.gov/node/36401/psn-pdf
December 22, 2010 - Epidemiology of medication-related adverse events in
nursing homes.
December 22, 2010
Handler S, Wright RM, Ruby CM, et al. Epidemiology of medication-related adverse events in nursing
homes. Am J Geriatr Pharmacother. 2006;4(3):264-72.
https://psnet.ahrq.gov/issue/epidemiology-medication-related-adverse-events-nu…
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psnet.ahrq.gov/node/39247/psn-pdf
January 27, 2010 - Origins of and solutions for neonatal medication-
dispensing errors.
January 27, 2010
Sauberan JB, Dean LM, Fiedelak J, et al. Origins of and solutions for neonatal medication-dispensing
errors. Am J Health Syst Pharm. 2010;67(1):49-57. doi:10.2146/ajhp090122.
https://psnet.ahrq.gov/issue/origins-and-solutions-neo…
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psnet.ahrq.gov/node/38450/psn-pdf
March 04, 2009 - Variability in pharmacy interpretations of physician
prescriptions.
March 4, 2009
Wolf MS, Shekelle PG, Choudhry NK, et al. Variability in pharmacy interpretations of physician
prescriptions. Med Care. 2009;47(3):370-373. doi:10.1097/MLR.0b013e31818af91a.
https://psnet.ahrq.gov/issue/variability-pharmacy-interpret…
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psnet.ahrq.gov/node/36922/psn-pdf
June 22, 2015 - Fluorouracil Incident Root Cause Analysis Report.
June 22, 2015
Toronto, CA: Institute for Safe Medication Practices Canada; May 2007.
https://psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
This report shares findings from a root cause analysis of a medication error incident that led to a pat…