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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47683/psn-pdf
    April 10, 2019 - Design of hospital errors and omissions activities that include patient-specific medication related problems. April 10, 2019 Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific medication related problems. Curr Pharm Teach Learn. 2019;11(1):66-75. doi:10.1016/j.cp…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39164/psn-pdf
    December 09, 2009 - Predictors of misunderstanding pediatric liquid medication instructions. December 9, 2009 Bailey SC, Pandit AU, Yin S, et al. Predictors of misunderstanding pediatric liquid medication instructions. Fam Med. 2009;41(10):715-21. https://psnet.ahrq.gov/issue/predictors-misunderstanding-pediatric-liquid-medication-in…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61051/psn-pdf
    October 21, 2020 - Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). October 21, 2020 ISMP Medication Safety Alert! Acute Care Edition. October 8, 2020;25(20):1-4 https://psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safe…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45946/psn-pdf
    July 02, 2017 - Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications. July 2, 2017 Counter D, Stewart D, MacLeod J, et al. Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications. Br J Clin Pharmacol. 2017;83(7):1515-1520. doi…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45597/psn-pdf
    December 14, 2016 - An E.R. kicks the habit of opioids for pain. December 14, 2016 Hoffman J. New York Times. June 10, 2016. https://psnet.ahrq.gov/issue/er-kicks-habit-opioids-pain Overprescribing of opioids for pain management contributes to the growing crisis involving opioid-related harm. This newspaper article reports on one hos…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45806/psn-pdf
    January 01, 2021 - Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: a prospective observational study. February 15, 2017 Huckels-Baumgart S, Baumgart A, Buschmann U, et al. Separate Medication Preparation Rooms Reduce Interruptions and Medication Errors in the Hospital Setting…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36529/psn-pdf
    August 09, 2011 - 5 Million Lives Campaign. August 9, 2011 Institute for Healthcare Improvement; IHI https://psnet.ahrq.gov/issue/5-million-lives-campaign The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than 3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37906/psn-pdf
    July 16, 2008 - Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. July 16, 2008 Thomas AN, Panchagnula U. Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. Anaesthesia. 2008;63(7):726…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46292/psn-pdf
    August 02, 2017 - Clinical alerts to decrease high-risk medication use in older adults. August 2, 2017 Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60798/psn-pdf
    January 01, 2021 - How accurately do older adult emergency department patients recall their medications? August 12, 2020 Goldberg EM, Marks SJ, Merchant RC, et al. How accurately do older adult emergency department patients recall their medications? Acad Emerg Med. 2021;28(2):248-252. doi:10.1111/acem.14032. https://psnet.ahrq.gov/i…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73995/psn-pdf
    October 20, 2021 - Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. October 20, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 12, 2021. https://psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety- communication …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42784/psn-pdf
    January 15, 2014 - A multi-disciplinary approach to medication safety and the implication for nursing education and practice. January 15, 2014 Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ Today. 2014;34(2):185-90. doi:10.101…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43918/psn-pdf
    September 27, 2017 - Medication-administration errors in an urban mental health hospital: a direct observation study. September 27, 2017 Cottney A, Innes J. Medication-administration errors in an urban mental health hospital: a direct observation study. Int J Ment Health Nurs. 2015;24(1):65-74. doi:10.1111/inm.12096. https://psnet.ahr…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44076/psn-pdf
    May 19, 2018 - The trigger tool as a method to measure harmful medication errors in children. May 19, 2018 Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177. https://psnet.ahrq.gov/issue/trigg…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44505/psn-pdf
    January 22, 2016 - Reducing continuous intravenous medication errors in an intensive care unit. January 22, 2016 O?Byrne N, Kozub EI, Fields W. Reducing Continuous Intravenous Medication Errors in an Intensive Care Unit. J Nurs Care Qual. 2016;31(1):13-16. doi:10.1097/NCQ.0000000000000144. https://psnet.ahrq.gov/issue/reducing-conti…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35112/psn-pdf
    June 22, 2009 - Medication safety in older adults: home-based practice patterns. June 22, 2009 Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc. 2005;53(6):976-982. https://psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns This s…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43149/psn-pdf
    July 23, 2014 - FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based Framework. July 23, 2014 Washington, DC: Office of the National Coordinator for Health Information Technology, Federal Communications Commission. Silver Spring, MD: Food and Drug Administration. April 2014. https://psnet.ahrq.gov/issue…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38839/psn-pdf
    August 05, 2009 - Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.   August 5, 2009 Flood KL, Carroll MB, Le C, et al. Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40476/psn-pdf
    September 09, 2011 - Medication administration technologies and patient safety: a mixed-method systematic review. September 9, 2011 Wulff K, Cummings GG, Marck P, et al. Medication administration technologies and patient safety: a mixed- method systematic review. J Adv Nurs. 2011;67(10):2080-95. doi:10.1111/j.1365-2648.2011.05676.x. h…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46906/psn-pdf
    May 30, 2018 - Making an infusion error: the second victims of infusion therapy-related medication errors. May 30, 2018 Treiber LA, Jones JH. Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors. J Infus Nurs. 2018;41(3):156-163. doi:10.1097/NAN.0000000000000273. https://psnet.ahrq.gov/issue…