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461. 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

462. 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

463. 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

464. 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

465. 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

466. 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. 

467. 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

468. 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

469. 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

470. 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

471. 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

472. 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.

473. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.215_slideshow.ppt
     April 01, 2010 - Relationship between medication errors and adverse drug events. … Occurrence of dispensing errors and efforts to reduce medication errors at the Central Arkansas Veteran … Causes of medication errors. In: Cohen MR, ed. Medication Errors, 2nd ed. … Causes of medication errors. In: Cohen MR, ed. Medication Errors, 2nd ed. … Causes of medication errors. In: Cohen MR, ed. Medication Errors, 2nd ed.

474. 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

475. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.167_slideshow.ppt
     January 01, 2008 - Do Providers Recover from Errors? … Impact of Medical Errors on Providers Proportion of hospitalized patients affected by medical errors … Doctors’ responses to medical errors. … to their errors: an exploration. … Require curriculum addressing medical errors throughout medical training: Emphasize errors are part

476. 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

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41963/psn-pdf
     February 01, 2013 - National study on the distribution, causes, and consequences of voluntarily reported medication errors … National study on the distribution, causes, and consequences of voluntarily reported medication errors … This analysis of medication errors that were voluntarily reported to the MEDMARX database compared errors … The authors found that errors were more frequent in the ICU and that errors in ICU patients were more … Most concerningly, less than 2% of all errors were disclosed to patients, regardless of the error's

478. 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. 

479. 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

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36644/psn-pdf
     July 10, 2008 - Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. … Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. … ' attitudes toward errors.  … The majority of physicians had direct experience with errors and supported disclosing errors to patients … Respondents expressed dissatisfaction with current means of reporting errors (eg, incident reporting