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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/node/73076/psn-pdf
March 24, 2021 - COVID-19 dominates annual list of patient safety
concerns.
March 24, 2021
Brooks M. Medscape Medical News. March 15, 2021.
https://psnet.ahrq.gov/issue/covid-19-dominates-annual-list-patient-safety-concerns
Safe care is influenced by both global and local changes in the environment. This news story summarizes a
p…
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psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-names-recommended-tall-man-letters
November 16, 2022 - Fact Sheet/FAQs
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters.
Citation Text:
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Ins…
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psnet.ahrq.gov/node/38938/psn-pdf
July 26, 2023 - ISMP's List of Confused Drug Names.
July 26, 2023
Horsham, PA; Institute for Safe Medication Practices: July 2023.
https://psnet.ahrq.gov/issue/ismps-list-confused-drug-names
Drawing on information gathered from the ISMP Medication Errors Reporting Program, this fact sheet
provides a comprehensive list of commonly…
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psnet.ahrq.gov/node/45409/psn-pdf
May 17, 2021 - ISMP List of High-Alert Medications in Long-Term Care
(LTC) Settings.
May 17, 2021
Horsham, PA: Institute of Safe Medication Practices; 2021
https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-long-term-care-ltc-settings
Long-term care patients often have concurrent conditions that increase their risk of…
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psnet.ahrq.gov/issue/home-medical-device-safety-tops-ecris-list-healthcare-technology
February 08, 2023 - Newspaper/Magazine Article
Home medical device safety tops ECRI'S list of healthcare technology.
Citation Text:
Home medical device safety tops ECRI'S list of healthcare technology. Wicklund E. HealthLeaders. January 19, 2023.
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psnet.ahrq.gov/web-mm/over-counter-oversight
March 21, 2009 - patients seem to forget to include medications they take most frequently and often add medications not listed
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psnet.ahrq.gov/issue/ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey-results
March 14, 2023 - Newspaper/Magazine Article
ISMP updates its list of drug names with tall man (mixed case) letters based on survey results.
Citation Text:
ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. ISMP Medication Safety Alert! Acute care edition. …
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psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-list-immediate-release
July 21, 2021 - Study
Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products
Citation Text:
Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products Uttaro E, Zhao F, Schweigha…
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psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
January 05, 2017 - Discontinued Medications: Are They Really Discontinued?
Citation Text:
Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/node/40712/psn-pdf
August 24, 2011 - Automatic detection of omissions in medication lists.
August 24, 2011
Hasan S, Duncan GT, Neill DB, et al. Automatic detection of omissions in medication lists. J Am Med
Inform Assoc. 2011;18(4):449-58. doi:10.1136/amiajnl-2011-000106.
https://psnet.ahrq.gov/issue/automatic-detection-omissions-medication-lists
Thi…
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psnet.ahrq.gov/node/38686/psn-pdf
May 07, 2018 - Survey on LASA drug name pairs: who knows what’s on
your list and the best ways to prevent mix-ups?
May 7, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 21, 2009;14:1-3.
https://psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-
prevent-mix-ups
This article shar…
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psnet.ahrq.gov/node/38606/psn-pdf
January 02, 2017 - Using an electronic prescribing system to ensure
accurate medication lists in a large multidisciplinary
medical group.
January 2, 2017
Stock R, Scott J, Gurtel S. Using an electronic prescribing system to ensure accurate medication lists in a
large multidisciplinary medical group. Jt Comm J Qual Patient Saf. 2009;…
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psnet.ahrq.gov/node/44959/psn-pdf
March 09, 2016 - Patient, physician, medical assistant, and office visit
factors associated with medication list agreement.
March 9, 2016
Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors
Associated With Medication List Agreement. J Patient Saf. 2016;12(1):18-24.
doi:10.1097/PTS.0…
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psnet.ahrq.gov/node/45949/psn-pdf
July 11, 2017 - Beyond medication reconciliation: the correct medication
list.
July 11, 2017
Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List.
JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628.
https://psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medicati…
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - Yes/No Is the patient on medications listed on either the Beers or STOPP lists?
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psnet.ahrq.gov/node/45099/psn-pdf
December 07, 2018 - Improving Patient Safety in Ambulatory Surgery Centers:
A Resource List for Users of the AHRQ Ambulatory
Surgery Center Survey on Patient Safety Culture.
December 7, 2018
Rockville, MD; Agency for Healthcare Quality and Research; March 2016.
https://psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-…
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psnet.ahrq.gov/node/45673/psn-pdf
December 07, 2016 - Report on the Safe Use of Pick Lists in Ambulatory Care
Settings.
December 7, 2016
Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016.
https://psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
Standard term selection tools—like pick lists or drop-d…
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psnet.ahrq.gov/node/44409/psn-pdf
January 22, 2016 - "Anybody on this list that you're more worried about?"
Qualitative analysis exploring the functions of questions
during end of shift handoffs.
January 22, 2016
O'Brien CM, Flanagan ME, Bergman AA, et al. "Anybody on this list that you're more worried about?"
Qualitative analysis exploring the functions of question…
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psnet.ahrq.gov/node/49768/psn-pdf
September 01, 2016 - Yes/No
Is the patient on medications listed on either the Beers or STOPP
lists?