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psnet.ahrq.gov/node/865483/psn-pdf
April 03, 2024 - Risks in the analogue and digitally-supported medication
process and potential solutions to increase patient safety
in the hospital: a mixed methods study.
April 3, 2024
Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication
process and potential solutions to increase…
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psnet.ahrq.gov/node/36852/psn-pdf
August 29, 2011 - Medication errors among acutely ill and injured children
treated in rural emergency departments.
August 29, 2011
Marcin JP, Dharmar M, Cho M, et al. Medication errors among acutely ill and injured children treated in
rural emergency departments. Ann Emerg Med. 2007;50(4):361-7, 367.e1-2.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/45446/psn-pdf
November 16, 2016 - Evidence-based interventions to reduce adverse events in
hospitals: a systematic review of systematic reviews.
November 16, 2016
Zegers M, Hesselink G, Geense W, et al. Evidence-based interventions to reduce adverse events in
hospitals: a systematic review of systematic reviews. BMJ Open. 2016;6(9):e012555.
doi:10…
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psnet.ahrq.gov/node/37891/psn-pdf
June 09, 2011 - Classifying and predicting errors of inpatient medication
reconciliation.
June 9, 2011
Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication
reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9.
https://psnet.ahrq.gov/issue/classifying-and-…
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psnet.ahrq.gov/node/37655/psn-pdf
September 24, 2010 - Reducing anticoagulant medication adverse events and
avoidable patient harm.
September 24, 2010
Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and
avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200.
https://psnet.ahrq.gov/issue/reducing-anticoagulant…
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psnet.ahrq.gov/node/43626/psn-pdf
November 05, 2014 - Effects of skilled nursing facility structure and process
factors on medication errors during nursing home
admission.
November 5, 2014
Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on
medication errors during nursing home admission. Health Care Manag Rev…
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psnet.ahrq.gov/node/47346/psn-pdf
February 22, 2019 - The prevalence of dose errors among paediatric patients
in hospital wards with and without health information
technology: a systematic review and meta-analysis.
February 22, 2019
Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in
Hospital Wards with and without Heal…
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psnet.ahrq.gov/node/838633/psn-pdf
October 19, 2022 - ASHP National Survey of Pharmacy Practice in Hospital
Settings: clinical services and workforce-2021.
October 19, 2022
Schneider PJ, Pedersen CA, Ganio MC, et al. ASHP National Survey of Pharmacy Practice in Hospital
Settings: clinical services and workforce—2021. Am J Health Syst Pharm. 2022;79(18):1531-1550.
doi…
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psnet.ahrq.gov/node/46134/psn-pdf
September 24, 2017 - Sources of unsafe primary care for older adults: a mixed-
methods analysis of patient safety incident reports.
September 24, 2017
Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods
analysis of patient safety incident reports. Age Ageing. 2017;46(5):833-839. doi:…
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psnet.ahrq.gov/node/855084/psn-pdf
November 08, 2023 - Validation of a reduced set of high-performance triggers
for identifying patient safety incidents with harm in
primary care.
November 8, 2023
Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high-
performance triggers for identifying patient safety incidents with harm in …
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psnet.ahrq.gov/node/60194/psn-pdf
April 01, 2020 - Do you know what doses are being programmed in the
OR? Make it an expectation to use smart infusion pumps
with DERS.
April 1, 2020
Do you know what doses are being programmed in the OR? Make it an expectation to use smart infusion
pumps with DERS. ISMP Medication Safety Alert! Acute care edition!. 25(5):1-5.
http…
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psnet.ahrq.gov/node/44970/psn-pdf
May 09, 2017 - Analysis of prescribers' notes in electronic prescriptions
in ambulatory practice.
May 9, 2017
Dhavle AA, Yang Y, Rupp MT, et al. Analysis of Prescribers' Notes in Electronic Prescriptions in
Ambulatory Practice. JAMA Intern Med. 2016;176(4):463-70. doi:10.1001/jamainternmed.2015.7786.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/37849/psn-pdf
March 23, 2011 - The incidence and nature of in-hospital adverse events: a
systematic review.
March 23, 2011
de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse
events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.2007.023622.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/37875/psn-pdf
July 08, 2008 - Impact of adverse events on outcomes in intensive care
unit patients.
July 8, 2008
Orgeas MG, Timsit JF, Soufir L, et al. Impact of adverse events on outcomes in intensive care unit patients.
Crit Care Med. 2008;36(7):2041-2047. doi:10.1097/CCM.0b013e31817b879c.
https://psnet.ahrq.gov/issue/impact-adverse-events-o…
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psnet.ahrq.gov/node/854384/psn-pdf
January 01, 2024 - Look-alike medications in the perioperative setting:
scoping review of medication incidents and risk reduction
interventions.
October 11, 2023
Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of
medication incidents and risk reduction interventions. Int J Clin Ph…
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psnet.ahrq.gov/node/844764/psn-pdf
September 11, 2019 - IV Push Gap Analysis Tool (GAT) helps uncover national
priorities for safe injection practices.
September 11, 2019
ISMP Medication Safety Alert! Acute Care Edition. August 29, 2019;24.
https://psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-
practices
Mistakes i…
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psnet.ahrq.gov/node/40841/psn-pdf
October 16, 2012 - How dangerous is a day in hospital?: A model of adverse
events and length of stay for medical inpatients.
October 16, 2012
Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for
medical inpatients. Med Care. 2011;49(12):1068-75. doi:10.1097/MLR.0b013e31822efb09.
https…
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psnet.ahrq.gov/node/836984/psn-pdf
April 27, 2022 - A 6-year thematic review of reported incidents associated
with cardiopulmonary resuscitation calls in a United
Kingdom hospital.
April 27, 2022
Beed M, Hussain S, Woodier N, et al. A 6-year thematic review of reported incidents associated with
cardiopulmonary resuscitation calls in a United Kingdom hospital. J Pat…
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psnet.ahrq.gov/node/47127/psn-pdf
June 05, 2018 - Incorporating medication indications into the prescribing
process.
June 5, 2018
Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J
Health-syst Pharm. 2018;75(11):774-783. doi:10.2146/ajhp170346.
https://psnet.ahrq.gov/issue/incorporating-medication-indications-…
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psnet.ahrq.gov/node/847046/psn-pdf
April 05, 2023 - Indication documentation and indication-based
prescribing within electronic prescribing systems: a
systematic review and narrative synthesis.
April 5, 2023
Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within
electronic prescribing systems: a systematic review an…