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421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46510/psn-pdf
     January 01, 2019 - Pediatric weight errors and resultant medication dosing errors in the emergency department. … Pediatric Weight Errors and Resultant Medication Dosing Errors in the Emergency Department. … https://psnet.ahrq.gov/issue/pediatric-weight-errors-and-resultant-medication-dosing-errors-emergency … errors and potential for harm. … https://psnet.ahrq.gov/issue/pediatric-weight-errors-and-resultant-medication-dosing-errors-emergency-department

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60252/psn-pdf
     April 22, 2020 - Pediatric clinician comfort discussing diagnostic errors for improving patient safety: a survey. … Pediatric Clinician Comfort Discussing Diagnostic Errors for Improving Patient Safety. … discussing diagnostic errors compared with other medical errors. … https://psnet.ahrq.gov/primer/disclosure-errors https://psnet.ahrq.gov/primer/disclosure-errors https … /issue/discussion-medical-errors-morbidity-and-mortality-conferences

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837136/psn-pdf
     May 18, 2022 - What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency … What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency … https://psnet.ahrq.gov/issue/what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors … https://psnet.ahrq.gov/issue/what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors-emergency … https://psnet.ahrq.gov/issue/what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors-emergency

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862601/psn-pdf
     February 14, 2024 - Why simulation matters: a systematic review on medical errors occurring during simulated health care … Why simulation matters: a systematic review on medical errors occurring during simulated health care … https://psnet.ahrq.gov/issue/why-simulation-matters-systematic-review-medical-errors-occurring-during … - simulated-health Simulation provides a safe environment to learn new skills or identify medical errors … Errors were categorized into errors of commission, errors of omission, systems-related, or communication-related

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853431/psn-pdf
     September 13, 2023 - Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. … Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. … https://psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports- diagnostic-errors … https://psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors … https://psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73447/psn-pdf
     June 30, 2021 - Errors in adult trauma resuscitation: a systematic review. … Errors in adult trauma resuscitation: a systematic review. … is a complex, specialized care process with a high risk for errors. … ; team communication errors; procedure-related errors; or errors in disposition. … /teamwork-errors-trauma-resuscitation

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47947/psn-pdf
     May 29, 2019 - Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary … Transcription Errors of Blood Glucose Values and Insulin Errors in an Intensive Care Unit: Secondary … https://psnet.ahrq.gov/issue/transcription-errors-blood-glucose-values-and-insulin-errors-intensive-care … Investigators identified multiple insulin dosing errors as a result of transcription errors. … https://psnet.ahrq.gov/issue/transcription-errors-blood-glucose-values-and-insulin-errors-intensive-care-unit-secondary

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60887/psn-pdf
     September 09, 2020 - Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies … Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies … Error categories included (1) undocumented errors, (2)  drug library  errors, (3) programming errors … , (4) administration errors, and (5) ancillary equipment errors.  … that some errors (e.g., drug library errors) are introduced by the implementation of smart pump technology

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50708/psn-pdf
     December 04, 2019 - Identifying medication errors in neonatal intensive care units: a two-center study December 4, 2019 … Identifying medication errors in neonatal intensive care units: a two-center study. … Medication errors are thought to be common in neonatal intensive care units (NICUs). … Errors in prescription dosage and administration were the most common errors. … https://psnet.ahrq.gov/primer/medication-administration-errors https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851452/psn-pdf
     July 19, 2023 - Factors influencing in-hospital prescribing errors: a systematic review. … hospital prescribing errors: a systematic review. … extensive research and interventions, medication prescribing errors in hospital continue to occur. … errors. … Most errors were organization-related.

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74126/psn-pdf
     December 01, 2021 - Effect of automated unit dose dispensing with barcode scanning on medication administration errors: … Effect of automated unit dose dispensing with barcode scanning on medication administration errors: … Reducing medication administration errors (MAEs) is an ongoing patient safety priority. … dose errors), but impact would likely be greater with increased compliance with barcode scanning.  … -10-medication-errors-and-hazards https://psnet.ahrq.gov/issue/automated-drug-dispensing-system-reduces-medication-errors-intensive-care-setting

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50370/psn-pdf
     January 01, 2020 - Debunking the myth that the majority of medical errors are attributed to communication. … Debunking the myth that the majority of medical errors are attributed to communication. … , errors of omission, and errors resulting from communication deficiencies. … Of the 42 articles that met inclusion criteria, errors of communication were common in 3 studies. … They conclude that medical errors more often result from errors of commission or omission rather than

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74059/psn-pdf
     January 01, 2022 - Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and … Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and … analysis-nature-and Medication dosing errors can lead to serious patient harm. … These errors occurred due to lack of proper safeguards to intercept prescribing errors, stress, and … ://psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50448/psn-pdf
     October 09, 2019 - Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive … https://psnet.ahrq.gov/issue/diagnostic-errors-reported-primary-healthcare-and-emergency-departments- … retrospective-and Diagnostic errors are still one of the most common types of errors found. … The PSNet Primer "Diagnostic Errors" provides a detailed explanation of diagnostic errors and its importance … https://psnet.ahrq.gov/primer/diagnostic-errors

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72820/psn-pdf
     March 10, 2021 - Medication errors related to computerized provider order entry systems in hospitals and how they change … Medication errors related to computerized provider order entry systems in hospitals and how they change … , but some errors persist. … should explore the types of errors that occur, when they occur, and the system factors contributing … to the errors.

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60618/psn-pdf
     June 24, 2020 - Differences between methods of detecting medication errors: a secondary analysis of medication administration … errors using incident reports, the Global Trigger Tool method, and observations. … errors using incident reports, the Global Trigger Tool method, and observations. … Omission errors were commonly identified by all three methods, but identification of other errors varied … For example, incident reports most commonly identified wrong dose and wrong time errors.

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50736/psn-pdf
     December 11, 2019 - Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal … Prevalence and Nature of Medication Errors and Preventable Adverse Drug Events in Paediatric and Neonatal … The prevalence and nature of medication errors and preventable adverse drug events in pediatric and … In the 35 quantitative studies included in the review, prescribing and medication administration errors … were the most common errors reported, with dosing errors the most frequent subtype, in both types of

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73464/psn-pdf
     July 07, 2021 - Errors in breast imaging: how to reduce errors and promote a safety environment. … Errors in breast imaging: how to reduce errors and promote a safety environment. … https://psnet.ahrq.gov/issue/errors-breast-imaging-how-reduce-errors-and-promote-safety-environment … across four hierarchical levels (active errors, situational factors, local working conditions, and … https://psnet.ahrq.gov/issue/errors-breast-imaging-how-reduce-errors-and-promote-safety-environment https

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72579/psn-pdf
     January 01, 2021 - Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017 … Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017 … https://psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national … - analysis-2008-2017 Transfusion errors can have serious consequences. … https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844549/psn-pdf
     February 15, 2023 - Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: … Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: … https://psnet.ahrq.gov/issue/systematic-review-pediatric-medication-errors-parents-or-caregivers-home … /primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events … https://psnet.ahrq.gov/issue/preventing-home-medication-administration-errors