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psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct
August 28, 2024 - Study
Risk factors associated with medication administration errors in children: … Risk factors associated with medication administration errors in children: a prospective direct observational … Medication administration errors remain a common source of preventable harm for hospitalized patients … Intravenous injections had highest rate of potentially serious errors (59.7%) followed by intravenous … , administration errors and staff time: a before-and-after study.
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psnet.ahrq.gov/issue/using-good-design-eliminate-medical-errors
December 09, 2020 - Newspaper/Magazine Article
Using good design to eliminate medical errors. … Citation Text:
Using good design to eliminate medical errors. Jaffe E. … initiative that studied health care processes for the purpose of designing devices to prevent medical errors … Cite
Citation
Citation Text:
Using good design to eliminate medical errors … September 11, 2009
Ounce of prevention: to reduce errors, hospitals prescribe innovative
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psnet.ahrq.gov/issue/medication-errors-intensive-care-unit
October 12, 2022 - Study
Medication errors in an intensive care unit. … Medication errors in an intensive care unit. … of medication availability and transcription problems, were the principal contributors to medication errors … Medication errors in an intensive care unit. … June 16, 2019
Impact of a drug shortage on medication errors and clinical outcomes in
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psnet.ahrq.gov/issue/potential-medication-dosing-errors-outpatient-pediatrics
July 29, 2020 - Study
Potential medication dosing errors in outpatient pediatrics. … Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7. … Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7. … September 9, 2011
Adverse drug events resulting from patient errors in older adults. … September 23, 2020
Medication errors in the homes of children with chronic conditions
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psnet.ahrq.gov/issue/medication-errors-2018-year-review
October 23, 2019 - Newspaper/Magazine Article
Medication errors 2018: the year in review. … Citation Text:
Medication errors 2018: the year in review. … Despite considerable effort, medication errors continue to occur and result in patient harm . … September 22, 2021
Preventing medication errors at small and rural hospitals. … /Preventable Adverse Drug Events
Epidemiology of Errors and Adverse Events
Error Analysis
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psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
February 01, 2023 - Newspaper/Magazine Article
Double key bounce and double keying errors. … Citation Text:
Double key bounce and double keying errors. ISMP Medication Safety Alert! … describes problems involving the keys on infusion pumps and includes recommendations to help prevent errors … February 1, 2023
Harmful errors: how will your facility respond? … April 29, 2018
Rapid response team activation by patients can mitigate errors.
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psnet.ahrq.gov/issue/nearing-zeroreducing-grade-c-medication-errors
October 05, 2022 - Commentary
Nearing zero...reducing grade C medication errors. … Nearing zero..reducing grade C medication errors. … unit that used quiet zones, safety huddles , and independent double checks to reduce medication errors … Nearing zero..reducing grade C medication errors. … October 17, 2018
The sterile cockpit: an effective approach to reducing medication errors
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psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
May 18, 2022 - Study
Overnight and postcall errors in medication orders. … Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34. … This study examined the incidence of prescribing errors that occurred on-call, post-call, and off-call … Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34. … July 14, 2010
Potential medication dosing errors in outpatient pediatrics.
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psnet.ahrq.gov/issue/preventing-errors-relating-commonly-used-anticoagulants
June 16, 2019 - Sentinel Event Alerts
Preventing errors relating to commonly used anticoagulants. … Citation Text:
Preventing errors relating to commonly used anticoagulants. … June 16, 2019
Preventing pediatric medication errors. … December 23, 2016
Using medication reconciliation to prevent errors. … December 30, 2014
Preventing Medication Errors: A $21 Billion Opportunity.
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psnet.ahrq.gov/issue/preventing-medication-errors-information-age
February 15, 2023 - Commentary
Preventing medication errors in the information age. … Preventing medication errors in the information age. … Preventing medication errors in the information age. … February 23, 2022
Reducing medication errors for adults in hospital settings. … of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors
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psnet.ahrq.gov/issue/errors-medicine-and-law
August 06, 2016 - Book/Report
Classic
Merry and McCall Smith's Errors, Medicine … Citation Text:
Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. … The authors suggest that most errors are due to systems factors, not moral lapses, and thus the tort … system, which focuses on assigning individual blame, is an imperfect tool for dealing with these errors … Cite
Citation
Citation Text:
Merry and McCall Smith's Errors
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psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
January 24, 2024 - Newspaper/Magazine Article
Preventing medical errors: how to proceed with caution … Preventing Medical Errors. … Preventing Medical Errors. … January 17, 2018
Pediatric weight errors and resultant medication dosing errors in the … Discontinuities, Gaps, and Hand-Off Problems
Active Errors
View More
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psnet.ahrq.gov/issue/patient-identification-errors-detective-laboratory
March 09, 2022 - Study
Patient identification errors: the detective in the laboratory. … Patient identification errors: the detective in the laboratory. … Although electronic test ordering resulted in fewer patient identification errors in a clinical laboratory … Patient identification errors: the detective in the laboratory. … Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors
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effectivehealthcare.ahrq.gov/products/diagnostic-errors-emergency/protocol
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psnet.ahrq.gov/issue/diagnostic-errors-primary-care-lessons-learned
September 12, 2011 - Study
Diagnostic errors in primary care: lessons learned. … Diagnostic errors in primary care: lessons learned. … Diagnostic errors in primary care: lessons learned. … June 29, 2011
Communication about medical errors. … October 19, 2022
Preventing diagnostic errors in primary care.
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psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors
May 02, 2018 - Newspaper/Magazine Article
Misprogramming PCA concentration leads to dosing errors … Citation Text:
Misprogramming PCA concentration leads to dosing errors. … analgesia (PCA) pumps and provides recommendations for preventing future errors. … May 2, 2018
Epidural-IV route mix-ups: reducing the risk of deadly errors. … May 2, 2018
Preventing errors relating to commonly used anticoagulants.
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psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
December 23, 2008 - Study
Classic
Medication prescribing errors in a teaching … Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34. … Additional data presented include classes of medication involved in errors, types of errors detected, … and frequency of errors by specialty service. … Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34.
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psnet.ahrq.gov/issue/analgesic-prescribing-errors-and-associated-medication-characteristics
November 01, 2003 - Study
Analgesic prescribing errors and associated medication characteristics. … Analgesic prescribing errors and associated medication characteristics. … Analgesic prescribing errors and associated medication characteristics. … January 4, 2017
The frequency of intravenous medication administration errors related … January 23, 2017
Medication prescribing errors in a teaching hospital.
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psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
January 06, 2017 - Study
Decreasing errors in pediatric continuous intravenous infusions. … Decreasing errors in pediatric continuous intravenous infusions. … Decreasing errors in pediatric continuous intravenous infusions. … May 15, 2019
Diagnostic errors in primary care pediatrics: Project RedDE. … March 11, 2011
Medication errors in paediatric outpatients.
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psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
August 30, 2017 - Study
Learning mechanisms to limit medication administration errors. … Learning mechanisms to limit medication administration errors. … and the effect these learning strategies had on subsequent incidence of errors. … Learning mechanisms to limit medication administration errors. … May 13, 2015
(How) do we learn from errors?