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psnet.ahrq.gov/node/42546/psn-pdf
October 02, 2013 - Detection of medication-related problems in hospital
practice: a review.
October 2, 2013
Manias E. Detection of medication-related problems in hospital practice: a review. Br J Clin Pharmacol.
2013;76(1):7-20. doi:10.1111/bcp.12049.
https://psnet.ahrq.gov/issue/detection-medication-related-problems-hospital-practi…
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psnet.ahrq.gov/node/37780/psn-pdf
March 10, 2011 - Evaluation of an inpatient computerized medication
reconciliation system.
March 10, 2011
Turchin A, Hamann C, Schnipper JL, et al. Evaluation of an inpatient computerized medication
reconciliation system. J Am Med Inform Assoc. 2008;15(4):449-52. doi:10.1197/jamia.M2561.
https://psnet.ahrq.gov/issue/evaluation-inp…
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psnet.ahrq.gov/node/41593/psn-pdf
August 15, 2012 - Facility-level variation in potentially inappropriate
prescribing for older veterans.
August 15, 2012
Gellad WF, Good CB, Amuan ME, et al. Facility-level variation in potentially inappropriate prescribing for
older veterans. J Am Geriatr Soc. 2012;60(7):1222-9. doi:10.1111/j.1532-5415.2012.04042.x.
https://psnet.a…
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psnet.ahrq.gov/node/40765/psn-pdf
September 14, 2011 - Medication errors reported in a pediatric intensive care
unit for oncologic patients.
September 14, 2011
Belela ASC, Peterlini MAS, Pedreira MLG. Medication errors reported in a pediatric intensive care unit for
oncologic patients. Cancer Nurs. 2011;34(5):393-400. doi:10.1097/NCC.0b013e3182064a6a.
https://psnet.ah…
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psnet.ahrq.gov/node/37742/psn-pdf
May 07, 2008 - A national survey of safe practice with epidural analgesia
in obstetric units.
May 7, 2008
Jones R, Swales HA, Lyons GR. A national survey of safe practice with epidural analgesia in obstetric
units. Anaesthesia. 2008;63(5):516-9. doi:10.1111/j.1365-2044.2007.05398.x.
https://psnet.ahrq.gov/issue/national-survey-s…
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psnet.ahrq.gov/node/39700/psn-pdf
November 02, 2010 - Patient report on information given, consultation time and
safety in primary care.
November 2, 2010
Mira JJ, Nebot C, Lorenzo S, et al. Patient report on information given, consultation time and safety in
primary care. Qual Saf Health Care. 2010;19(5):e33. doi:10.1136/qshc.2009.037978.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/38714/psn-pdf
June 17, 2009 - Quality-monitoring program for bar-code–assisted
medication administration.
June 17, 2009
Mims E, Tucker C, Carlson R, et al. Quality-monitoring program for bar-code-assisted medication
administration. Am J Health Syst Pharm. 2009;66(12):1125-31. doi:10.2146/ajhp080172.
https://psnet.ahrq.gov/issue/quality-monit…
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psnet.ahrq.gov/node/45990/psn-pdf
August 24, 2022 - Medication Safety Certificate Program.
August 24, 2022
American Society of Health-System Pharmacists, Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/medication-safety-certificate-program
Leadership commitment to reduce medication errors can help address this safety problem. This certificate
…
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psnet.ahrq.gov/node/844762/psn-pdf
September 25, 2019 - 10 Medication Safety Tips for Hospitalized Patients.
September 25, 2019
Horsham, PA: Institute for Safe Medication Practices; 2019.
https://psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
Hospitalized patients are at risk for medication errors. This set of tips seeks to help hospitalized patien…
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psnet.ahrq.gov/node/37533/psn-pdf
April 22, 2011 - Systematic evaluation of errors occurring during the
preparation of intravenous medication.
April 22, 2011
Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of
intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.061743.
https://psnet.ahrq.gov/issue/sys…
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psnet.ahrq.gov/node/44550/psn-pdf
September 30, 2015 - Infections associated with reprocessed flexible
bronchoscopes.
September 30, 2015
FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015.
https://psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes
Use of incompletely cleaned medical devices has b…
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psnet.ahrq.gov/node/42284/psn-pdf
May 22, 2013 - Current approaches to punitive action for medication
errors by boards of pharmacy.
May 22, 2013
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.
https://psnet.ahrq.gov/issue/current…
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psnet.ahrq.gov/node/43060/psn-pdf
June 27, 2016 - Medication administration errors in hospitals—challenges
and recommendations for their measurement.
June 27, 2016
McLeod M, Barber N, Franklin BD. National Quality Measures Clearinghouse: Expert Commentaries;
March 10, 2014.
https://psnet.ahrq.gov/issue/medication-administration-errors-hospitals-challenges-and-rec…
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psnet.ahrq.gov/node/851364/psn-pdf
April 24, 2024 - Anesthesia Patient Safety Podcast.
April 24, 2024
Anesthesia Patient Safety Foundation. 2020-2024.
https://psnet.ahrq.gov/issue/anesthesia-patient-safety-podcast
Work to improve anesthesia is longstanding. This free podcast series from the Anesthesia Patient Safety
Foundation is updated regularly to cover a range …
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psnet.ahrq.gov/node/836788/psn-pdf
March 23, 2022 - A widow’s mission to change NC dental sedation rules.
March 23, 2022
Blythe A. NC Health News. March 10, 2022
https://psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules
Patient harm in dentistry is receiving increased attention and scrutiny. This story covers a medication
incident and the lack of …
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psnet.ahrq.gov/node/38664/psn-pdf
September 23, 2009 - Bar-code technology for medication administration:
medication errors and nurse satisfaction.
September 23, 2009
Fowler SB, Sohler P, Zarillo DF. Bar-code technology for medication administration: medication errors and
nurse satisfaction. Medsurg Nurs. 2009;18(2):103-9.
https://psnet.ahrq.gov/issue/bar-code-technol…
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psnet.ahrq.gov/node/40569/psn-pdf
June 29, 2011 - Inappropriate medications in elderly ICU survivors: where
to intervene?
June 29, 2011
Morandi A, Vasilevskis EE, Pandharipande PP, et al. Inappropriate medications in elderly ICU survivors:
where to intervene? Arch Intern Med. 2011;171(11):1032-4. doi:10.1001/archinternmed.2011.233.
https://psnet.ahrq.gov/issue/in…
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digital.ahrq.gov/ahrq-funded-projects/improving-missing-data-analysis-distributed-research-networks/citation/applying
January 01, 2023 - Applying machine learning in distributed data networks for pharmacoepidemiologic and pharmacovigilance studies: Opportunities, challenges, and considerations.
Citation
Wong J, Prieto-Alhambra D, Rijnbeek PR, Desai RJ, Reps JM, Toh S. Applying machine learning in distributed data networks for pharmacoe…
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digital.ahrq.gov/ahrq-funded-projects/artificial-intelligence-based-health-it-tools-optimize-critical-care/citation/evaluating
January 01, 2025 - Evaluating accuracy and reproducibility of large language model performance on critical care assessments in pharmacy education.
Citation
Yang H, Hu M, Most A, Hawkins WA, Murray B, Smith SE, Li S, Sikora A. Evaluating accuracy and reproducibility of large language model performance on critical care as…
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digital.ahrq.gov/ahrq-funded-projects/preventing-wrong-drug-and-wrong-patient-errors-indication-alerts-cpoe-systems/citation/effect
January 01, 2023 - Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department.
Citation
Kannampallil TG, Manning JD, Chestek DW, Adelman J, Salmasian H, Lambert BL, Galanter WL. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency …