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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 …
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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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…
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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…
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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.
…
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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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…
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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…