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psnet.ahrq.gov/issue/prevention-perioperative-medication-errors
March 22, 2023 - Review
Prevention of perioperative medication errors. … Citation Text:
Prevention of perioperative medication errors. Nanji K. UpToDate. March 7, 2023. … March 22, 2023
Disclosure of errors in surgical procedures. … March 22, 2023
Diagnostic errors. … March 27, 2024
Disclosure of errors in surgical procedures.
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psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - One Dose, Two Errors
Citation Text:
Filice GA. One Dose, Two Errors. PSNet [internet]. … One Dose, Two Errors. PSNet [internet]. … The patient safety movement has taught us that all manner of errors—including entering errors on the … One Dose, Two Errors. PSNet [internet]. … May 18, 2022
Antibiotic prescribing errors in patients discharged from the pediatric
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psnet.ahrq.gov/issue/war-error-common-diagnostic-errors
April 13, 2016 - Slideset
The War on Error: Common Diagnostic Errors. … Citation Text:
The War on Error: Common Diagnostic Errors. Medscape. 2016–2017. … The articles offer expert commentary and review strategies to avoid common reasoning errors. … December 16, 2015
Seven (potentially) deadly prescribing errors. … July 23, 2018
Diagnostic errors that lead to inappropriate antimicrobial use.
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - Adverse Events, Near Misses, and Errors
Citation Text:
Adverse Events, Near Misses, and Errors … Cite
Citation
Citation Text:
Adverse Events, Near Misses, and Errors … Errors are defined as "an act of commission (doing something wrong) or omission (failing to do the right … The related primer on Systems Approach discusses the relationship between errors and adverse events … Cite
Citation
Citation Text:
Adverse Events, Near Misses, and Errors
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psnet.ahrq.gov/issue/top-medication-errors-reported-ismp-2020
December 23, 2020 - Meeting/Conference
Upcoming Meeting/Conference
Published December 23, 2020
Top Medication Errors Reported … Topics
Approach to Improving Safety
Error Reporting and Analysis
Safety Target
Medication Errors/ … More
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Routine monitoring and analysis of errors offers … error reporting program to provide suggestions to mitigate the factors that contribute to these common errors … 2021
Newspaper/Magazine Article
Start the new year off right by preventing these top 10 medication errors
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psnet.ahrq.gov/issue/perceptions-preventable-medical-errors-alberta-canada
January 21, 2019 - Study
Perceptions of preventable medical errors in Alberta, Canada. … Perceptions of preventable medical errors in Alberta, Canada. … The same respondents, compared to those without such an experience, believed that errors occurred more … Perceptions of preventable medical errors in Alberta, Canada. … About The Topic
Health Care Executives and Administrators
Policy Makers
Epidemiology of Errors
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psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
October 19, 2022 - Commentary
Identification errors in pathology and laboratory medicine. … Identification errors in pathology and laboratory medicine. Clin Lab Med. 2004;24(4):979-96, vii. … Identification errors in pathology and laboratory medicine. … February 15, 2010
Responding to large-scale testing errors. … February 6, 2013
Preventing home medication administration errors.
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psnet.ahrq.gov/issue/walgreens-complaints-medication-errors-go-missing
February 19, 2020 - Newspaper/Magazine Article
At Walgreens, complaints of medication errors go missing … Citation Text:
At Walgreens, complaints of medication errors go missing. Gabler E. … safety concerns is a primary indicator of an organizational commitment to reducing and learning from errors … chain's lack of transparency regarding work conditions contributing to fulfillment pressures and errors … June 12, 2019
How common mental shortcuts can cause major physician errors.
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psnet.ahrq.gov/issue/medication-errors-care-transition-trauma-patients
September 02, 2020 - Study
Medication errors in the care transition of trauma patients
Citation … Medication errors in the care transition of trauma patients. … Results indicate that most medication errors occurred in the trauma unit and 64.2% of these types of … errors were detected during the medication reconciliation process. … Medication errors in the care transition of trauma patients.
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psnet.ahrq.gov/issue/strategies-reduce-diagnostic-errors-systematic-review
February 02, 2022 - Review
Strategies to reduce diagnostic errors: a systematic review
Citation … Strategies to reduce diagnostic errors: a systematic review. … There are challenges to identifying and measuring diagnostic errors in healthcare settings. … Strategies to reduce diagnostic errors: a systematic review. … March 24, 2021
The frequency of intravenous medication administration errors related
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psnet.ahrq.gov/issue/closing-disclosure-gap-medical-errors-pediatrics
March 30, 2022 - Review
Closing the disclosure gap: medical errors in pediatrics. … Closing the Disclosure Gap: Medical Errors in Pediatrics. … Disclosure of errors and adverse events is now endorsed by a broad array of organizations. … Closing the Disclosure Gap: Medical Errors in Pediatrics. … August 3, 2017
Reducing pediatric emergency department prescription errors.
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psnet.ahrq.gov/issue/effect-pharmacists-medication-errors-emergency-department
September 23, 2020 - Study
Effect of pharmacists on medication errors in an emergency department. … Effect of pharmacists on medication errors in an emergency department. … found that using pharmacists to prospectively review medication orders reduced the likelihood of errors … Effect of pharmacists on medication errors in an emergency department. … November 8, 2012
On-site pharmacists in the ED improve medical errors.
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psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review
December 01, 2021 - Review
Errors in adult trauma resuscitation: a systematic review. … Errors in adult trauma resuscitation: a systematic review. … Trauma resuscitation is a complex, specialized care process with a high risk for errors . … ; team communication errors ; procedure-related errors; or errors in disposition. … Errors in adult trauma resuscitation: a systematic review.
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psnet.ahrq.gov/issue/using-good-design-eliminate-medical-errors
December 09, 2020 - Newspaper/Magazine Article
Using good design to eliminate medical errors. … Citation Text:
Using good design to eliminate medical errors. Jaffe E. … initiative that studied health care processes for the purpose of designing devices to prevent medical errors … Cite
Citation
Citation Text:
Using good design to eliminate medical errors … September 11, 2009
Ounce of prevention: to reduce errors, hospitals prescribe innovative
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psnet.ahrq.gov/issue/errors-administration-intravenous-medication-brazilian-hospitals
October 05, 2022 - Study
Errors in the administration of intravenous medication in Brazilian hospitals … Errors in the administration of intravenous medication in Brazilian hospitals. … The authors report a low overall error rate with the most frequent types of errors associated with wrong … Errors in the administration of intravenous medication in Brazilian hospitals. … April 4, 2011
Learning mechanisms to limit medication administration errors.
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psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
October 21, 2021 - Newspaper/Magazine Article
Learning from errors with the new COVID-19 vaccines. … Citation Text:
Learning from errors with the new COVID-19 vaccines. ISMP Medication Safety Alert! … This article examined reports of COVID-19 vaccine errors to highlight common risks that are likely … June 10, 2018
ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and … March 12, 2021
Learning from influenza vaccine errors to prepare for COVID
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psnet.ahrq.gov/issue/risk-factors-associated-medication-ordering-errors
December 02, 2020 - Study
Risk factors associated with medication ordering errors. … Risk factors associated with medication ordering errors. … Computerized provider order entry (CPOE) can prevent prescribing errors. … Risk factors associated with medication ordering errors. … Latent Errors
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psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic-errors-hospital
September 16, 2020 - Study
Classic
Malpractice claims related to diagnostic errors … Malpractice claims related to diagnostic errors in the hospital. … severity of inpatient diagnostic error and estimate the clinical and economic consequences of these errors … Malpractice claims related to diagnostic errors in the hospital. … Active Errors
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psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
October 21, 2020 - Commentary
A framework for the analysis of communication errors in health care. … A framework for the analysis of communication errors in health care. … This article describes the development of a framework to classify communication errors that contributed … Nine types of communication errors were identified. … A framework for the analysis of communication errors in health care.
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit
October 05, 2022 - Study
Medication errors in a neonatal intensive care unit. … Medication errors in a neonatal intensive care unit. … A high incidence of medication errors was documented in a neonatal intensive care unit in Brazil. … Medication errors in a neonatal intensive care unit. … /Preventable Adverse Drug Events
Epidemiology of Errors and Adverse Events