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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60680/psn-pdf
    July 15, 2020 - Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. … Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE. … https://psnet.ahrq.gov/issue/contributing-factors-pediatric-ambulatory-diagnostic-process-errors-project … - redde Diagnostic errors, including missed diagnoses of adolescent depression, elevated blood pressure … Factors contributing most commonly to these errors were patient volume, inadequate staffing, clinic
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60180/psn-pdf
    April 01, 2020 - Incidence of wrong-site surgery list errors for a 2-year period in a single national health service … Incidence of wrong-site surgery list errors for a 2-year period in a single national health service … wrong-procedure errors. … Wrong-side list errors accounted for the majority of all list errors (72%). … errors.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839825/psn-pdf
    November 09, 2022 - Preventing medication errors in pediatric anesthesia: a systematic scoping review. … Preventing medication errors in pediatric anesthesia: a systematic scoping review. … https://psnet.ahrq.gov/issue/preventing-medication-errors-pediatric-anesthesia-systematic-scoping-review … Medication errors in pediatric anesthesiology are common and largely preventable. … This scoping review characterizing medication errors in pediatric anesthesia found that dosing errors
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39239/psn-pdf
    September 27, 2017 - NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care … NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care … https://psnet.ahrq.gov/issue/nicu-medication-errors-identifying-risk-profile-medication-errors-neonatal … While most errors did not cause patient harm, prescribing errors, errors involving malfunctioning equipment … https://psnet.ahrq.gov/issue/nicu-medication-errors-identifying-risk-profile-medication-errors-neonatal-intensive-care
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38891/psn-pdf
    January 04, 2010 - Do calculation errors by nurses cause medication errors in clinical practice? … Do calculation errors by nurses cause medication errors in clinical practice? A literature review. … https://psnet.ahrq.gov/issue/do-calculation-errors-nurses-cause-medication-errors-clinical-practice- … This review sought to evaluate the connection between calculation errors and actual medication errors … preventing these errors, few studies have specifically measured the effect of calculation errors on
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45400/psn-pdf
    August 10, 2016 - ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related … https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors- … associated-age Vaccine errors can hinder immunization efforts in the United States. … https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-associated-age … https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-associated-age
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37132/psn-pdf
    June 14, 2011 - Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. … Preventing medication errors in community pharmacy: root- cause analysis of transcription errors. … https://psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis- transcription-errors … https://psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors … https://psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38448/psn-pdf
    March 04, 2009 - Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised … Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised … https://psnet.ahrq.gov/issue/medication-errors-impact-prescribing-and-transcribing-errors-preventable … https://psnet.ahrq.gov/issue/medication-errors-impact-prescribing-and-transcribing-errors-preventable-harm-hospitalised … https://psnet.ahrq.gov/issue/medication-errors-impact-prescribing-and-transcribing-errors-preventable-harm-hospitalised
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46648/psn-pdf
    March 14, 2018 - Parenteral nutrition errors and potential errors reported over the past 10 years. … Parenteral Nutrition Errors and Potential Errors Reported Over the Past 10 Years. … https://psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years … Medication Practices Medication Errors Reporting Program. … https://psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40786/psn-pdf
    December 30, 2014 - Exploring situational awareness in diagnostic errors in primary care. … Exploring situational awareness in diagnostic errors in primary care. … https://psnet.ahrq.gov/issue/exploring-situational-awareness-diagnostic-errors-primary-care Diagnostic … A past PSNet  perspective and interview discussed diagnostic errors in medicine. … /primer/diagnostic-errors https://psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety
  11. Psn-Pdf (pdf file)

    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. … Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. … https://psnet.ahrq.gov/issue/harmful-medication-errors-children-5-year-analysis-data-usps-medmarxr- … Harmful errors were defined as errors that resulted in temporary or permanent harm to the patient or … , collectively accounting for 23.5% of the errors reported. 
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38877/psn-pdf
    April 08, 2011 - Computerized order entry with limited decision support to prevent prescription errors in a PICU. … Computerized order entry with limited decision support to prevent prescription errors in a PICU. … - picu Hospitalized children are particularly vulnerable to medication errors due to the complexity … of weight-based dosing and the resulting potential for calculation errors. … ://psnet.ahrq.gov/issue/do-calculation-errors-nurses-cause-medication-errors-clinical-practice-literature-review
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34996/psn-pdf
    June 22, 2009 - Reducing pediatric medication errors: children are especially at risk for medication errors. … Reducing pediatric medication errors: children are especially at risk for medication errors. … errors, paying particular attention to mathematical miscalculation. … https://psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors … https://psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46302/psn-pdf
    December 22, 2017 - Non–health care facility medication errors resulting in serious medical outcomes. … Non-health care facility medication errors resulting in serious medical outcomes. … medication errors that take place in non–health care settings. … and administration errors. … /unit-measurement-used-and-parent-medication-dosing-errors https://psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43865/psn-pdf
    May 01, 2015 - Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability … Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability … provider order entry (CPOE) at preventing medication errors in real-world settings. … https://psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and … https://psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37133/psn-pdf
    March 24, 2011 - Preventing medication errors in community pharmacy: frequency and seriousness of medication errors. … Preventing medication errors in community pharmacy: frequency and seriousness of medication errors. … https://psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-frequency-and- seriousness-medication-errors … https://psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-frequency-and-seriousness-medication-errors … https://psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-frequency-and-seriousness-medication-errors
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37706/psn-pdf
    December 23, 2016 - Preventing pediatric medication errors. December 23, 2016 Preventing pediatric medication errors. … https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors The Joint Commission issues sentinel … This newly released Sentinel Event Alert focuses on pediatric medication errors, in light of recent … The alert highlights the importance of dosing errors (eg, weight-related and calculation-related errors … means of preventing such errors.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46297/psn-pdf
    March 21, 2018 - Reasons for computerised provider order entry (CPOE)- based inpatient medication ordering errors: an … Reasons for computerised provider order entry (CPOE)- based inpatient medication ordering errors: an … , implementing these systems may introduce new errors. … Common ordering errors included duplicate orders and incorrectly composed orders. … computerized-provider-order-entry https://psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36201/psn-pdf
    July 10, 2008 - US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. … US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients. … Nearly all respondents supported disclosing both minor and serious errors.  … two-thirds of respondents agreed that fully disclosing errors reduced the risk of malpractice.  … with patients, often opting to discuss "adverse events" rather than explicitly admit errors
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41522/psn-pdf
    December 02, 2014 - Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. … Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. … - hospital Hospitalized children are particularly vulnerable to serious medication errors, as many … Tenfold dosing errors, where children receive doses an order of magnitude different than appropriate … https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers

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