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digital.ahrq.gov/organization/university-mississippi-medical-center
January 01, 2023 - University of Mississippi Medical Center
Detecting Med (Medication) Errors in Rural Hospitals Using Technology - 2008
Principal Investigator
Brown, Andrew
Project Name
Detecting Med (Medication) Errors in Rural Hospitals Using Technology
D…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - that require large scale
organizational change; not difficult, for PSPs that require
protocols for drugs … Practices Designed for a Specific Patient Safety Target
Adverse Drug Events
High-alert drugs: patient
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psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - Drugs. 2015;75(4):353-365. [Free full text]
12. Perry EC. … CNS Drugs.
2014;28(5):401-410. [Free full text]
13. Crispo AL, Daley MJ, Pepin JL, et al.
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digital.ahrq.gov/ahrq-funded-projects/value-new-drug-labeling-knowledge-e-prescribing/citation/assessing-impact
January 01, 2023 - Assessing the impact of HL7/FDA Structured Product Label (SPL) content for medication knowledge management.
Citation
Schadow G. Assessing the impact of HL7/FDA Structured Product Label (SPL) content for medication knowledge management. AMIA Annu Symp Proc 2007 Oct 11:646-50.
Link
Schadow G. A…
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psnet.ahrq.gov/node/37044/psn-pdf
September 05, 2007 - Make no mistake about it: chain pharmacies are finding
innovative ways to combat medication errors.
September 5, 2007
Levy S. Drug Topics. July 9, 2007
https://psnet.ahrq.gov/issue/make-no-mistake-about-it-chain-pharmacies-are-finding-innovative-ways-
combat-medication
This article reports on ways in which chain …
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/participation
January 01, 2023 - Participation in an ambulatory e-pharmacovigilance system.
Citation
Haas JS, Iyer A, Orav EJ, et al. Participation in an ambulatory e-pharmacovigilance system. Pharmacoepidemiol Drug Saf 2010 Sep;19(9):961-9.
Link
http://www.ncbi.nlm.nih.gov/pubmed/20623512
Principal Investigator
Bat…
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psnet.ahrq.gov/node/41972/psn-pdf
January 23, 2013 - Impact of a pharmacotherapy alerting system on
medication errors.
January 23, 2013
Natali BJ, Varkey AC, Garey KW, et al. Impact of a pharmacotherapy alerting system on medication errors.
American Journal of Health-System Pharmacy. 2012;70(1). doi:10.2146/ajhp120126.
https://psnet.ahrq.gov/issue/impact-pharmacothe…
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psnet.ahrq.gov/node/41955/psn-pdf
January 09, 2013 - Making Medical Devices Safer at Home.
January 9, 2013
Consumer Updates. Silver Spring, MD: US Food and Drug Administration; December 12, 2012.
https://psnet.ahrq.gov/issue/making-medical-devices-safer-home
Highlighting concerns associated with patients' use of medical devices at home, such as difficulty
understand…
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psnet.ahrq.gov/node/47176/psn-pdf
June 06, 2018 - Report faults Children's Hospital for medication errors.
June 6, 2018
Kowalczyk L. Boston Globe. May 27, 2018.
https://psnet.ahrq.gov/issue/report-faults-childrens-hospital-medication-errors
Pediatric patients are particularly vulnerable to medication errors. This news article reports on serious
medication errors …
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psnet.ahrq.gov/node/37669/psn-pdf
June 29, 2011 - Detection and prevention of medication misadventures in
general practice.
June 29, 2011
Tam KWT, Kwok KH, Fan YMC, et al. Detection and prevention of medication misadventures in general
practice. Int J Qual Health Care. 2008;20(3):192-9. doi:10.1093/intqhc/mzn002.
https://psnet.ahrq.gov/issue/detection-and-prevent…
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psnet.ahrq.gov/node/42088/psn-pdf
December 18, 2014 - A paradigm shift to balance safety and quality in pediatric
pain management.
December 18, 2014
Avansino JR, Peters LM, Stockfish SL, et al. A paradigm shift to balance safety and quality in pediatric pain
management. Pediatrics. 2013;131(3):e921-7. doi:10.1542/peds.2012-1378.
https://psnet.ahrq.gov/issue/paradigm-…
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psnet.ahrq.gov/node/39770/psn-pdf
August 18, 2010 - Comparison of potential risk factors for medication errors
with and without patient harm.
August 18, 2010
Zaal RJ, van Doormaal JE, Lenderink AW, et al. Comparison of potential risk factors for medication errors
with and without patient harm. Pharmacoepidemiol Drug Saf. 2010;19(8). doi:10.1002/pds.1977.
https://ps…
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psnet.ahrq.gov/node/35862/psn-pdf
November 18, 2016 - Medical gas containers and closures; current good
manufacturing practice requirements.
November 18, 2016
Fed Regist. 2016 Nov 18;81(223):81685-81697.
https://psnet.ahrq.gov/issue/medical-gas-containers-and-closures-current-good-manufacturing-practice-
requirements
This U.S. Food and Drug Administration (FDA)…
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psnet.ahrq.gov/node/44732/psn-pdf
December 09, 2015 - Over-the-counter medicines' benefits and dangers.
December 9, 2015
Brody JE. New York Times. November 30, 2015.
https://psnet.ahrq.gov/issue/over-counter-medicines-benefits-and-dangers
Over-the-counter medications are often convenient and cost-effective for patients. This newspaper article
discusses how patients' …
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psnet.ahrq.gov/node/42234/psn-pdf
June 03, 2013 - Pharmacovigilance using clinical notes.
June 3, 2013
LePendu P, Iyer S, Bauer-Mehren A, et al. Pharmacovigilance using clinical notes. Clin Pharmacol Ther.
2013;93(6):547-55. doi:10.1038/clpt.2013.47.
https://psnet.ahrq.gov/issue/pharmacovigilance-using-clinical-notes
This study reports on the use of natural langu…
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psnet.ahrq.gov/node/38689/psn-pdf
June 10, 2009 - Omitted and unjustified medications in the discharge
summary.
June 10, 2009
Perren A, Previsdomini M, Cerutti B, et al. Omitted and unjustified medications in the discharge summary.
Qual Saf Health Care. 2009;18(3):205-8. doi:10.1136/qshc.2007.024588.
https://psnet.ahrq.gov/issue/omitted-and-unjustified-medication…
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psnet.ahrq.gov/node/39361/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR, Smetzer JL. Oral Syringes: A Crucial and Economical Risk-Reduction Strategy that has Not
Been Fully Utilized; Caution regarding Once-Weekly Levothyroxine; When Drug Strengths Differ by 10-
Fold; Lower Colchicine Dose Effective and Safer. Hosp Pharm. 201…
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/rose
January 01, 2023 - A rose by any other name would smell as sweet: Defining patient safety-related terminology.
Citation
Wahr JA, Nanji KC, Merry AF. A rose by any other name would smell as sweet: Defining patient safety-related terminology. Br J Anaesth. 2022 Apr;128(4):605-607. doi: 10.1016/j.bja.2022.01.028. Epub 2022…
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digital.ahrq.gov/ahrq-funded-projects/preventing-perioperative-medication-errors-and-adverse-drug-events-through-use/citation/patient
January 01, 2023 - Patient harm in cataract surgery: A series of adverse events in Massachusetts.
Citation
Roberto SA, Bayes J, Karner PE, Morley MG, Nanji KC. Patient harm in cataract surgery: A series of adverse events in Massachusetts. Anesth Analg. 2018 May;126(5):1548-1550. doi: 10.1213/ANE.0000000000002526. PMID: …
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digital.ahrq.gov/sites/default/files/docs/page/SuccessStory072012_Lapane.pdf
June 16, 2021 - Individualized, Multi-Media Materials in Spanish and English Help Seniors Manage Medications and Communicate with Clinician Team
“
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9HRQ HE9LTH INFORM9TION TECHNOLOGY 1
9MBUL9TORY S9FETY 9ND QU9LITY • PCC
Individualized, Multi-Media Materials in Spanish and English Hel…