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psnet.ahrq.gov/node/37346/psn-pdf
March 28, 2012 - Medication administration discrepancies persist despite
electronic ordering.
March 28, 2012
FitzHenry F, Peterson JF, Arrieta M, et al. Medication Administration Discrepancies Persist Despite
Electronic Ordering. J Am Med Inform Assoc. 2007;14(6):756-764. doi:10.1197/jamia.m2359.
https://psnet.ahrq.gov/issue/medic…
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psnet.ahrq.gov/node/858162/psn-pdf
January 01, 2024 - Assessing the clinical, economic, and health resource
utilization impacts of prefilled syringes versus
conventional medication administration methods: results
from a systematic literature review.
December 13, 2023
Benhamou D, Weiss M, Borms M, et al. Assessing the clinical, economic, and health resource utilizatio…
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psnet.ahrq.gov/node/73324/psn-pdf
May 26, 2021 - Medication-related hospital readmissions within 30 days
of discharge: prevalence, preventability, type of
medication errors and risk factors.
May 26, 2021
Uitvlugt EB, Janssen MJA, Siegert CEH, et al. Medication-related hospital readmissions within 30 days of
discharge: prevalence, preventability, type of medicati…
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psnet.ahrq.gov/node/36154/psn-pdf
September 29, 2010 - Harmful medication errors in children: a 5-year analysis of
data from the USP's MEDMARX(R) program.
September 29, 2010
Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from
the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8.
https://psnet.ahrq.gov/issue/har…
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psnet.ahrq.gov/node/44501/psn-pdf
January 22, 2016 - Patient safety perceptions in pediatric out-of-hospital
emergency care: Children's Safety Initiative.
January 22, 2016
Guise J-M, Meckler G, O'Brien K, et al. Patient Safety Perceptions in Pediatric Out-of-Hospital Emergency
Care: Children's Safety Initiative. J Pediatr. 2015;167(5):1143-8.e1. doi:10.1016/j.jpeds.2…
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psnet.ahrq.gov/node/40596/psn-pdf
December 31, 2014 - Errors associated with outpatient computerized
prescribing systems.
December 31, 2014
Nanji KC, Rothschild JM, Salzberg C, et al. Errors associated with outpatient computerized prescribing
systems. J Am Med Inform Assoc. 2011;18(6):767-73. doi:10.1136/amiajnl-2011-000205.
https://psnet.ahrq.gov/issue/errors-associ…
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psnet.ahrq.gov/node/36928/psn-pdf
September 09, 2011 - Characteristics of pediatric chemotherapy medication
errors in a national error reporting database.
September 9, 2011
Rinke ML, Shore AD, Morlock L, et al. Characteristics of pediatric chemotherapy medication errors in a
national error reporting database. Cancer. 2007;110(1):186-95.
https://psnet.ahrq.gov/issue/ch…
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psnet.ahrq.gov/node/47059/psn-pdf
May 16, 2018 - Participating in a multisite study exploring operational
failures encountered by frontline nurses: lessons learned.
May 16, 2018
Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures
Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208.
do…
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psnet.ahrq.gov/node/46124/psn-pdf
April 17, 2018 - Improving the safety of health information technology
requires shared responsibility: it is time we all step up.
April 17, 2018
Sittig DF, Belmont E, Singh H. Improving the safety of health information technology requires shared
responsibility: It is time we all step up. Healthc (Amst). 2017;6(1):7-12. doi:10.1016/…
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psnet.ahrq.gov/node/61092/psn-pdf
November 04, 2020 - Patient race and opioid misuse history influence provider
risk perceptions for future opioid-related problems.
November 4, 2020
Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk
perceptions for future opioid-related problems. Am Psychol. 2020;75(6):784-795.
doi:…
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psnet.ahrq.gov/node/37745/psn-pdf
May 07, 2008 - Clinical outcomes of a home-based medication
reconciliation program after discharge from a skilled
nursing facility.
May 7, 2008
Delate T, Chester EA, Stubbings TW, et al. Clinical outcomes of a home-based medication reconciliation
program after discharge from a skilled nursing facility. Pharmacotherapy. 2008;28(4…
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psnet.ahrq.gov/node/50868/psn-pdf
February 05, 2020 - Adverse medication events related to hospitalization in
the United States: a comparison between adults with
intellectual and developmental disabilities and those
without.
February 5, 2020
Erickson SR, Kamdar N, Wu C-H. Adverse Medication Events Related to Hospitalization in the United
States: A Comparison Between…
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psnet.ahrq.gov/node/72726/psn-pdf
February 10, 2021 - Wrong administration route of medications in the
domestic setting: a review of an underestimated public
health topic.
February 10, 2021
Gualano MR, Lo Moro G, Voglino G, et al. Wrong administration route of medications in the domestic
setting: a review of an underestimated public health topic. Expert Opin Pharmaco…
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psnet.ahrq.gov/node/45902/psn-pdf
October 13, 2018 - Are informed policies in place to promote safe and usable
EHRs? A cross-industry comparison.
October 13, 2018
Savage EL, Fairbanks RJ, Ratwani RM. Are informed policies in place to promote safe and usable EHRs?
A cross-industry comparison. J Am Med Inform Assoc. 2017;24(4):769-775. doi:10.1093/jamia/ocw185.
https:…
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psnet.ahrq.gov/node/74033/psn-pdf
November 03, 2021 - Identifying electronic medication administration record
(eMAR) usability issues from patient safety event reports.
November 3, 2021
Iqbal AR, Parau CA, Kazi S, et al. Identifying electronic medication administration record (eMAR) usability
issues from patient safety event reports. Jt Comm J Qual Patient Saf. 2021;4…
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psnet.ahrq.gov/node/47813/psn-pdf
March 06, 2019 - Using a spare medication vial to store multiple
medications: a potentially fatal in-home medication error.
March 6, 2019
Leonard JB, Klein-Schwartz W. Using a spare medication vial to store multiple medications: A potentially
fatal in-home medication error. Ame J Health-syst Pharm. 2019;76(5):264-265. doi:10.1093/a…
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psnet.ahrq.gov/node/846440/psn-pdf
March 22, 2023 - "Are we there yet?" Ten persistent hazards and
inefficiencies with the use of medication administration
technology from the perspective of practicing nurses.
March 22, 2023
Taft T, Rudd EA, Thraen I, et al. “Are we there yet?” Ten persistent hazards and inefficiencies with the use
of medication administration tech…
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psnet.ahrq.gov/node/856589/psn-pdf
January 01, 2024 - Prevented harm and cost avoidance with pharmacist
intervention while utilizing a discharge medication
reconciliation tool.
November 29, 2023
Hoffman AM, Walls JL, Prusch A, et al. Prevented harm and cost avoidance with pharmacist intervention
while utilizing a discharge medication reconciliation tool. Am J Health …
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psnet.ahrq.gov/node/72743/psn-pdf
February 17, 2021 - Preventable medication harm across health care settings:
a systematic review and meta-analysis.
February 17, 2021
Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a
systematic review and meta-analysis. BMC Med. 2020;18(1):313. doi:10.1186/s12916-020-01774-9.
https:…
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psnet.ahrq.gov/node/72792/psn-pdf
March 03, 2021 - Avoiding a Med-Wreck: a structured medication
reconciliation framework and standardized auditing tool
utilized to optimize patient safety and reallocate hospital
resources.
March 3, 2021
Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication
reconciliation framework and stan…