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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37489/psn-pdf
    March 03, 2011 - trail-quality-and-safety-health-care This article addresses the gap in health care quality and safety research and offers a list
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35401/psn-pdf
    April 06, 2011 - From the results, the authors developed a definition of prescribing error as well as a list of the events
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36778/psn-pdf
    August 26, 2011 - what-medications-does-your-patient-take-enhancing-medication-safety-outpatient-setting https://psnet.ahrq.gov/primer/medication-reconciliation https://psnet.ahrq.gov/issue/med-list
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40738/psn-pdf
    June 10, 2018 - misadministration-iv-insulin-associated-dose-measurement-and-hyperkalemia-treatment https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40518/psn-pdf
    June 15, 2011 - consensus-building-development-outpatient-adverse-drug-event-triggers An expert consensus process was used to develop a list
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39750/psn-pdf
    August 11, 2010 - patient, mostly pertaining to medications that had been discontinued but remained on the pharmacy list
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41195/psn-pdf
    March 07, 2012 - psnet.ahrq.gov/issue/look-alike-and-sound-alike-medicines-risks-and-solutions https://psnet.ahrq.gov/issue/ismps-list-confused-drug-names
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37238/psn-pdf
    September 04, 2018 - toolkit illustrates how the council worked with the hospital to develop and implement a medication list
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39826/psn-pdf
    September 08, 2010 - guidelines-informing-media-after-adverse-event This guideline provides an organizational strategy, flow charts, and a task list
  10. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.311_slideshow.ppt
    December 01, 2013 - perioperative considerations related to TSOAC use Describe potential errors associated with use of TSOACs List … As was his usual practice, he scanned the medication list to be sure she was not on enoxaparin or warfarin … or other traditional anticoagulants, but he did not review the rest of the list. … Anticoagulants (4) Later when writing his note about the procedure, the fellow glanced at the medication list
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46590/psn-pdf
    November 01, 2017 - high-alert-medications-safeguards-you-should-put-place-reduce-risks https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42956/psn-pdf
    February 19, 2014 - family member to appointments, asking questions prior to surgery, and keeping an accurate medication list
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38550/psn-pdf
    May 08, 2018 - issue/fatal-outcome-after-inadvertent-injection-topical-epinephrine https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41932/psn-pdf
    December 19, 2012 - do-calculation-errors-nurses-cause-medication-errors-clinical-practice-literature-review https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46408/psn-pdf
    November 29, 2017 - psnet.ahrq.gov/issue/preventing-vincristine-administration-errors https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40832/psn-pdf
    June 10, 2018 - durasal-durezol-mix-illustrates-how-dangerous-product-problems-persist-long-after-recognition https://psnet.ahrq.gov/issue/ismps-list-confused-drug-names
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40089/psn-pdf
    July 27, 2011 - The list focuses on seven areas, with 29 total serious reportable events. 
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40560/psn-pdf
    June 22, 2011 - medication-errors-resulting-confusion-between-risperidone-risperdal-and-ropinirole-requip https://psnet.ahrq.gov/issue/ismps-list-confused-drug-names
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39730/psn-pdf
    December 21, 2014 - Surgical case listing accuracy: failure analysis at a high- volume academic medical center. December 21, 2014 Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archsurg.2010.112. https://psnet.a…
  20. psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
    September 25, 2011 - November 26, 2008 The top 10 list for a safe and effective sign-out.

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