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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48053/psn-pdf
    July 17, 2019 - Review of medication errors that are new or likely to occur more frequently with electronic medication management systems. July 17, 2019 Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur more frequently with electronic medication management systems. Aust Health …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45626/psn-pdf
    October 29, 2017 - The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy. October 29, 2017 Battis B, Clifford L, Huq M, et al. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chem…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45200/psn-pdf
    May 09, 2017 - Safe implementation of standard concentration infusions in paediatric intensive care. May 9, 2017 Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5). doi:10.1111/jphp.12580. https://ps…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43146/psn-pdf
    August 12, 2014 - Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review. August 12, 2014 Ranji SR, Rennke S, Wachter R. Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review. BMJ …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47964/psn-pdf
    May 15, 2019 - Deaths among opioid users: impact of potential inappropriate prescribing practices. May 15, 2019 Jayawardhana J, Abraham AJ, Perri M. Deaths among opioid users: impact of potential inappropriate prescribing practices. Am J Manag Care. 2019;25(4):e98-e103. https://psnet.ahrq.gov/issue/deaths-among-opioid-users-impa…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45144/psn-pdf
    November 23, 2016 - Strategies for flipping the script on opioid overprescribing. November 23, 2016 Wright AP, Becker WC, Schiff G. Strategies for Flipping the Script on Opioid Overprescribing. JAMA Intern Med. 2016;176(1):7-8. doi:10.1001/jamainternmed.2015.5946. https://psnet.ahrq.gov/issue/strategies-flipping-script-opioid-overpre…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44280/psn-pdf
    July 15, 2015 - Innovation in practice: a multidisciplinary medication safety initiative. July 15, 2015 Eid KA. Innovation in practice: A multidisciplinary medication safety initiative. Nursing. 2015;45(7):14-6. doi:10.1097/01.NURSE.0000466458.62870.99. https://psnet.ahrq.gov/issue/innovation-practice-multidisciplinary-medication…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43805/psn-pdf
    February 11, 2015 - Understanding the nature of medication errors in an ICU with a computerized physician order entry system. February 11, 2015 Cho IS, Park H, Choi YJ, et al. Understanding the nature of medication errors in an ICU with a computerized physician order entry system. PLoS One. 2014;9(12):e114243. doi:10.1371/journal.pon…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60769/psn-pdf
    August 05, 2020 - FDA recommends health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines to treat opioid use disorder. August 5, 2020 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. July 23, 2020. https://psnet.ahrq.gov/issue/fda-recommends-health-c…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47024/psn-pdf
    November 28, 2018 - FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. November 28, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 14, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pum…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47326/psn-pdf
    August 29, 2018 - Trends in opioid use in commercially insured and Medicare Advantage populations in 2007–16: retrospective cohort study. August 29, 2018 Jeffery MM, Hooten M, Henk HJ, et al. Trends in opioid use in commercially insured and Medicare Advantage populations in 2007-16: retrospective cohort study. BMJ. 2018;362:k2833. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45561/psn-pdf
    January 01, 2021 - Measuring patient safety: the Medicare Patient Safety Monitoring System (past, present, and future). November 2, 2016 Classen D, Munier W, Verzier N, et al. Measuring Patient Safety: The Medicare Patient Safety Monitoring System (Past, Present, and Future). J Patient Saf. 2021;17(3):e234-e240. https://psnet.ahrq.g…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42982/psn-pdf
    March 13, 2014 - Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. March 13, 2014 Cooper E. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. J Nurs Educ. 2014;53(3):S51-4. doi:10.3928/01484834-20140211-03. https://psnet…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47628/psn-pdf
    March 13, 2019 - Prescribing in 2019: what are the safety concerns? March 13, 2019 Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038. https://psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns Medication errors present challenges to …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865530/psn-pdf
    April 10, 2024 - Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. April 10, 2024 Washington, DC: The Veterans Affairs Inspector General; March 21, 2024. Report No. 23-01450- 114. https://psnet.ahrq.gov/issue/electronic-he…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47264/psn-pdf
    October 03, 2018 - Potentially inappropriate opioid prescribing, overdose, and mortality in Massachusetts, 2011–2015. October 3, 2018 Rose AJ, Bernson D, Chui KKH, et al. Potentially Inappropriate Opioid Prescribing, Overdose, and Mortality in Massachusetts, 2011-2015. J Gen Intern Med. 2018;33(9):1512-1519. doi:10.1007/s11606-018-45…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60947/psn-pdf
    September 23, 2020 - FDA Advise-ERR: reported medication errors with Veklury (remdesivir) emergency use authorization. September 23, 2020 ISMP Medication Safety Alert! Acute care edition. September 10, 2020;25(18) https://psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use- authorizatio…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74699/psn-pdf
    January 26, 2022 - Indication alerts to improve problem list documentation. January 26, 2022 Grauer A, Kneifati-Hayek J, Reuland B, et al. Indication alerts to improve problem list documentation. J Am Med Inform Assoc. 2022;29(5):909-917. doi:10.1093/jamia/ocab285. https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-d…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45857/psn-pdf
    July 11, 2017 - Assessing the impact of the anesthesia medication template on medication errors during anesthesia: a prospective study. July 11, 2017 Grigg EB, Martin LD, Ross FJ, et al. Assessing the Impact of the Anesthesia Medication Template on Medication Errors During Anesthesia: A Prospective Study. Anesth Analg. 2017;124(5…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60213/psn-pdf
    April 08, 2020 - FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. April 8, 2020 FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. MedWatch Safety Alert. Silv…