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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/40089/psn-pdf
July 27, 2011 - The list focuses on seven areas, with 29 total
serious reportable events.
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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
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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…
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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.