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psnet.ahrq.gov/node/866560/psn-pdf
August 21, 2024 - Patients' perceptions of using technology for self-
reporting cancer medication safety events from home.
August 21, 2024
Gahn K, Hwang M, Cho Y, et al. Patients' perceptions of using technology for self-reporting cancer
medication safety events from home. Stud Health Technol Inform. 2024;315:398-403.
doi:10.3233/s…
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psnet.ahrq.gov/node/43111/psn-pdf
November 04, 2014 - E-prescribing errors in community pharmacies: exploring
consequences and contributing factors.
November 4, 2014
Odukoya OK, Stone JA, Chui MA. E-prescribing errors in community pharmacies: exploring consequences
and contributing factors. Int J Med Inform. 2014;83(6):427-37. doi:10.1016/j.ijmedinf.2014.02.004.
http…
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psnet.ahrq.gov/node/46395/psn-pdf
September 06, 2017 - Deprescribing: a simple method for reducing
polypharmacy.
September 6, 2017
McGrath K, Hajjar ER, Kumar C, et al. Deprescribing: A simple method for reducing polypharmacy. J Fam
Pract. 2017;66(7):436-445. https://www.mdedge.com/familymedicine/article/141753/practice-
management/deprescribing-simple-method-reducing…
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psnet.ahrq.gov/node/74018/psn-pdf
October 27, 2021 - Anatomy of a medical device recall: how defective
products can slip through an outdated system.
October 27, 2021
Zipp R. Medical Tech Dive. October 18, 2021.
https://psnet.ahrq.gov/issue/anatomy-medical-device-recall-how-defective-products-can-slip-through-
outdated-system
This article highlights systems influenc…
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psnet.ahrq.gov/node/44222/psn-pdf
December 04, 2016 - The Institute for Safe Medication Practices and poison
control centers: collaborating to prevent medication
errors and unintentional poisonings.
December 4, 2016
Vaida AJ. The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent
Medication Errors and Unintentional Poisonings…
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psnet.ahrq.gov/node/39330/psn-pdf
March 03, 2010 - Consistency between coded poison center data and
fatality abstract narratives for therapeutic error deaths in
older adults.
March 3, 2010
Hayes BD, Klein-Schwartz W. Consistency between coded poison center data and fatality abstract
narratives for therapeutic error deaths in older adults. Clin Toxicol (Phila). 201…
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psnet.ahrq.gov/node/73524/psn-pdf
July 21, 2021 - Intravenous admixture preparation considerations, Parts
9-A and 9-B: error prevention in intravenous admixture
preparation.
July 21, 2021
Allen LV, Jr. Int J Pharm Compd. 2021;25:131-139; 222-229.
https://psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-
prevention-…
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psnet.ahrq.gov/node/45702/psn-pdf
January 25, 2017 - Implantable infusion pumps in the magnetic resonance
(MR) environment: FDA safety communication—important
safety precautions.
January 25, 2017
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 11, 2017.
https://psnet.ahrq.gov/issue/implantable-infusion-pumps-magnetic-resonance-mr-e…
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psnet.ahrq.gov/node/838193/psn-pdf
September 28, 2022 - Economics of Medication Safety. Improving Medication
Safety Through Collective, Real-time Learning.
September 28, 2022
de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation and
Development. Paris, France: OECD Publishing; 2022. OECD Health Working Papers, No. 147.
…
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psnet.ahrq.gov/node/60697/psn-pdf
July 15, 2020 - FDA alerts health care professionals to the temporary
absence of warning statement on the vial caps of two
neuromuscular blocking agents.
July 15, 2020
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. June 2, 2020.
https://psnet.ahrq.gov/issue/fda-alerts-health-care-professionals-temporar…
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psnet.ahrq.gov/node/44841/psn-pdf
February 03, 2016 - Preventable Tragedies: Superbugs and How Ineffective
Monitoring of Medical Device Safety Fails Patients.
February 3, 2016
Murray P. Washington, DC; Senate Health, Education, Labor, and Pensions Committee; 2016.
https://psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical-
dev…
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psnet.ahrq.gov/node/848041/psn-pdf
April 26, 2023 - Potentiality of algorithms and artificial intelligence
adoption to improve medication management in primary
care: a systematic review.
April 26, 2023
Damiani G, Altamura G, Zedda M, et al. Potentiality of algorithms and artificial intelligence adoption to
improve medication management in primary care: a systematic…
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psnet.ahrq.gov/node/47937/psn-pdf
July 31, 2019 - Special Issue on Medication Safety.
July 31, 2019
Chui MA, Pohjanoksa-Mäntylä M, Snyder ME, eds. Res Social Adm Pharm. 2019;15(7):811-906.
https://psnet.ahrq.gov/issue/special-issue-medication-safety
Medication safety is a worldwide challenge. This special issue discusses factors affecting the reliability of
the o…
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psnet.ahrq.gov/node/73667/psn-pdf
September 01, 2021 - Cardinal Health recalls Argyle UVC insertion tray due to
missing instructions for use for the Safety Scalpel N11.
September 1, 2021
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 20, 2021.
https://psnet.ahrq.gov/issue/cardinal-health-recalls-argyle-uvc-insertion-tray-due-missing-i…
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psnet.ahrq.gov/node/43963/psn-pdf
September 09, 2015 - Color-coded prefilled medication syringes decrease time
to delivery and dosing error in simulated emergency
department pediatric resuscitations.
September 9, 2015
Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to
Delivery and Dosing Error in Simulated Emergency …
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psnet.ahrq.gov/node/47041/psn-pdf
June 27, 2018 - Medicare takes aim at boomerang hospitalizations of
nursing home patients.
June 27, 2018
Rau J. Kaiser Health News. June 13, 2018.
https://psnet.ahrq.gov/issue/medicare-takes-aim-boomerang-hospitalizations-nursing-home-patients
Safety problems are common in nursing homes due to challenges such as poor safety cultu…
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psnet.ahrq.gov/node/74856/psn-pdf
February 23, 2022 - The secondary use of data to support medication safety
in the hospital setting: a systematic review and narrative
synthesis.
February 23, 2022
Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in
the hospital setting: a systematic review and narrative synthesis. Ph…
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psnet.ahrq.gov/node/35909/psn-pdf
October 07, 2008 - Committed to Safety: Ten Case Studies on Reducing
Harm to Patients.
October 7, 2008
McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006.
https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
This report presents ten case studies to illustrate interventions that address p…
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psnet.ahrq.gov/node/46642/psn-pdf
December 13, 2017 - Intravenous fluid prescribing errors in children: mixed
methods analysis of critical incidents.
December 13, 2017
Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods
analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:10.1371/journal.pone.0186210.
…
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psnet.ahrq.gov/node/47995/psn-pdf
July 24, 2019 - Standardising the classification of harm associated with
medication errors: the Harm Associated with Medication
Error Classification (HAMEC).
July 24, 2019
Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with
Medication Errors: The Harm Associated with Medication Error Cl…