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8521. 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.

8522. 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

8523. 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

8524. 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

8525. 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

8526. 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. 

8527. 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

8528. 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

8529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37112/psn-pdf
      May 26, 2011 - The impact of a closed-loop electronic prescribing and administration system on prescribing errors, … administration errors and staff time: a before-and-after study. … The impact of a closed-loop electronic prescribing and administration system on prescribing errors, … administration errors and staff time: a before-and-after study. … and administration errors.

8530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36997/psn-pdf
      June 29, 2011 - Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. … Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. … https://psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical- … and factors contributing to errors.  … Bar coding has been advocated as one means of potentially reducing drug dispensing errors.

8531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42796/psn-pdf
      December 13, 2013 - Telemedicine consultations and medication errors in rural emergency departments. … Telemedicine consultations and medication errors in rural emergency departments. … Children are at high risk for medication errors in emergency departments (EDs). … Physician prescribing has been implicated as the most common source of these errors. … https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors https://psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients

8532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44324/psn-pdf
      September 09, 2015 - Prevalence, nature, severity and risk factors for prescribing errors in hospital inpatients: prospective … Prevalence, Nature, Severity and Risk Factors for Prescribing Errors in Hospital Inpatients: Prospective … https://psnet.ahrq.gov/issue/prevalence-nature-severity-and-risk-factors-prescribing-errors-hospital- … Doctors in their first 2 years of training were more than twice as likely to make prescribing errors … However, many of these errors were minor and the rates of serious or potentially fatal errors did not

8533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34677/psn-pdf
      February 09, 2011 - Patients' and physicians' attitudes regarding the disclosure of medical errors. … Patients' and physicians' attitudes regarding the disclosure of medical errors. … Patients wanted disclosure of all harmful errors, why the errors happened, and how recurrences would … The physicians were unsure where to seek emotional support following errors. … ://psnet.ahrq.gov/primer/disclosure-errors https://psnet.ahrq.gov/issue/views-children-parents-and-health-care-providers-pediatric-disclosure-medical-errors

8534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46642/psn-pdf
      December 13, 2017 - Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. … Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. … - incidents Intravenous medication administration is complex and can lead to dosing errors, especially … found a range of errors and underlying causes. … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

8535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45343/psn-pdf
      August 10, 2016 - Medication errors involving the intravenous administration route: characteristics of voluntarily reported … medication errors. … Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily Reported … Medication Errors. … This study analyzed medication administration errors voluntarily reported to the Institute for Safe

8536. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38692/psn-pdf
      March 04, 2015 - Errare humanum est: frequency of laterality errors in radiology reports. … Errare humanum est: frequency of laterality errors in radiology reports. … https://psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports Errors … This study investigated the anecdotally common yet poorly studied incidence of laterality errors in … https://psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports https:/

8537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41301/psn-pdf
      April 18, 2012 - Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports … Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports … errors in laboratory medicine. … many errors arising from misidentification of specimens. … The vast majority of the more than 30,000 errors analyzed did not lead to patient harm.

8538. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36575/psn-pdf
      August 17, 2011 - Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized … Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized … https://psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential … - benefit Prior research documents the effectiveness of pharmacists at preventing medication errors … Researchers analyzed the frequency of medication errors, the types of errors, and whether the error was

8539. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43643/psn-pdf
      November 04, 2014 - Out-of-hospital medication errors among young children in the United States, 2002–2012. … Out-of-hospital medication errors among young children in the United States, 2002-2012. … https://psnet.ahrq.gov/issue/out-hospital-medication-errors-among-young-children-united-states-2002-2012 … Medication errors are prevalent among children, especially those younger than 6 years old. … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue

8540. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38902/psn-pdf
      November 13, 2009 - Out-of-hospital medication errors: a 6-year analysis of the national poison data system. … Out-of-hospital medication errors: a 6-year analysis of the national poison data system. … https://psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system … Most errors involved nonprescription medications such as cough and cold medications, and dosing errors … Reducing outpatient medication errors will require new approaches to patient education, especially in