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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
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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.
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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
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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
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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
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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
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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
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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
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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
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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
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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. … 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.
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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
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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
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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
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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
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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
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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.
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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
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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.
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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