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psnet.ahrq.gov/node/73447/psn-pdf
June 30, 2021 - Errors in adult trauma resuscitation: a systematic review. … Errors in adult trauma resuscitation: a systematic review. … is a complex, specialized care process with a high risk for errors. … ; team communication errors; procedure-related errors; or errors
in disposition. … /teamwork-errors-trauma-resuscitation
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psnet.ahrq.gov/node/47947/psn-pdf
May 29, 2019 - Transcription errors of blood glucose values and insulin
errors in an intensive care unit: secondary … Transcription Errors of Blood Glucose Values and Insulin Errors in an
Intensive Care Unit: Secondary … https://psnet.ahrq.gov/issue/transcription-errors-blood-glucose-values-and-insulin-errors-intensive-care … Investigators identified multiple insulin dosing errors as a result of transcription errors. … https://psnet.ahrq.gov/issue/transcription-errors-blood-glucose-values-and-insulin-errors-intensive-care-unit-secondary
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psnet.ahrq.gov/node/60887/psn-pdf
September 09, 2020 - Human-based errors involving smart infusion pumps: a
catalog of error types and prevention strategies … Human-based errors involving smart infusion pumps: a catalog of
error types and prevention strategies … Error categories included (1) undocumented errors, (2) drug library
errors, (3) programming errors, … (4) administration errors, and (5) ancillary equipment errors. … that some errors
(e.g., drug library errors) are introduced by the implementation of smart pump technology
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psnet.ahrq.gov/node/50708/psn-pdf
December 04, 2019 - Identifying medication errors in neonatal intensive care
units: a two-center study
December 4, 2019 … Identifying medication errors in neonatal intensive care units: a
two-center study. … Medication errors are thought to be common in neonatal intensive care units (NICUs). … Errors in prescription dosage and administration were the most common errors. … https://psnet.ahrq.gov/primer/medication-administration-errors
https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
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psnet.ahrq.gov/node/74126/psn-pdf
December 01, 2021 - Effect of automated unit dose dispensing with barcode
scanning on medication administration errors: … Effect of automated unit dose dispensing with barcode
scanning on medication administration errors: … Reducing medication administration errors (MAEs) is an ongoing patient safety priority. … dose errors), but impact would likely be greater with
increased compliance with barcode scanning. … -10-medication-errors-and-hazards
https://psnet.ahrq.gov/issue/automated-drug-dispensing-system-reduces-medication-errors-intensive-care-setting
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psnet.ahrq.gov/node/50370/psn-pdf
January 01, 2020 - Debunking the myth that the majority of medical errors
are attributed to communication. … Debunking the myth that the majority of medical errors are attributed to
communication. … , errors of omission, and errors
resulting from communication deficiencies. … Of the 42 articles that met inclusion criteria, errors of
communication were common in 3 studies. … They conclude that medical errors more often result from errors
of commission or omission rather than
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psnet.ahrq.gov/node/853431/psn-pdf
September 13, 2023 - Diagnostic errors in uncommon conditions: a systematic
review of case reports of diagnostic errors. … Diagnostic errors in uncommon conditions: a systematic review of
case reports of diagnostic errors. … https://psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-
diagnostic-errors … https://psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors … https://psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors
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psnet.ahrq.gov/node/50448/psn-pdf
October 09, 2019 - Diagnostic errors reported in primary healthcare and
emergency departments: a retrospective and descriptive … https://psnet.ahrq.gov/issue/diagnostic-errors-reported-primary-healthcare-and-emergency-departments- … retrospective-and
Diagnostic errors are still one of the most common types of errors found. … The PSNet Primer "Diagnostic Errors" provides a detailed explanation of diagnostic errors
and its importance … https://psnet.ahrq.gov/primer/diagnostic-errors
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psnet.ahrq.gov/node/74059/psn-pdf
January 01, 2022 - Medication dose calculation errors and other numeracy
mishaps in hospitals: analysis of the nature and … Medication dose calculation errors and other numeracy mishaps in
hospitals: analysis of the nature and … analysis-nature-and
Medication dosing errors can lead to serious patient harm. … These errors occurred due to lack of proper safeguards to
intercept prescribing errors, stress, and … ://psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors
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psnet.ahrq.gov/node/72820/psn-pdf
March 10, 2021 - Medication errors related to computerized provider order
entry systems in hospitals and how they change … Medication errors related to computerized provider order entry
systems in hospitals and how they change … , but some errors persist. … should explore the types of errors
that occur, when they occur, and the system factors contributing … to the errors.
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psnet.ahrq.gov/node/60618/psn-pdf
June 24, 2020 - Differences between methods of detecting medication
errors: a secondary analysis of medication administration … errors using incident reports, the Global Trigger Tool
method, and observations. … errors using incident reports, the Global Trigger
Tool method, and observations. … Omission errors were commonly identified by all three
methods, but identification of other errors varied … For example, incident reports most commonly identified
wrong dose and wrong time 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/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
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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/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/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/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/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