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psnet.ahrq.gov/web-mm/check-bags
January 03, 2017 - A recent Food and Drug Administration (FDA) report listed a number of human factors associated with medication … Performance deficit (as opposed to knowledge deficit), such as seen in this case, was the human factor listed
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psnet.ahrq.gov/issue/key-potentially-inappropriate-drugs-pediatrics-kids-list
September 23, 2020 - Study
Emerging Classic
Key potentially inappropriate drugs in pediatrics: the KIDs list.
Citation Text:
Meyers RS, Thackray J, Matson KL, et al. Key potentially inappropriate drugs in pediatrics: the KIDs list. J Pediatr Pharmacol Ther. 2020;25(3). doi:10.5863/1…
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psnet.ahrq.gov/node/49644/psn-pdf
December 01, 2011 - must be able to
diagnose, as well as start immediate therapeutic management for all of the conditions listed … Likewise, skipping or
bypassing the other components of a complete ocular examination listed above can
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psnet.ahrq.gov/web-mm/making-do
September 05, 2018 - team discovered that the equipment typically used for hysteroscopy was unavailable—the case had been listed … Moreover, the surgeon should have reviewed the OR schedule to ensure that the case was listed correctly
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psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
April 17, 2024 - Fact Sheet/FAQs
ISMP's List of High-Alert Medications in Acute Care Settings.
Citation Text:
ISMP's List of High-Alert Medications in Acute Care Settings. Horsham, PA; Institute for Safe Medication Practices: 2024.
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psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
January 14, 2024 - Fact Sheet/FAQs
ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations.
Citation Text:
ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. Horsham, PA; Institute for Safe Medication Practices; April 17, 2024.
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psnet.ahrq.gov/node/33886/psn-pdf
August 01, 2019 - These recommendations address many of the sources of variation listed previously; a 2012 practice brief … In addition to the competencies listed by The Joint Commission, new
scribes may need to be oriented
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psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
April 12, 2019 - Commentary
The top 10 list for a safe and effective sign-out.
Citation Text:
Kemp CD, Bath JM, Berger J, et al. The top 10 list for a safe and effective sign-out. Arch Surg. 2008;143(10):1008-10. doi:10.1001/archsurg.143.10.1008.
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psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare
December 15, 2021 - Fact Sheet/FAQs
ISMP List of High-Alert Medications in Community/Ambulatory Healthcare.
Citation Text:
ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. Horsham, PA: Institute for Safe Medication Practices; 2021.
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psnet.ahrq.gov/issue/covid-19-dominates-annual-list-patient-safety-concerns
May 26, 2021 - Newspaper/Magazine Article
COVID-19 dominates annual list of patient safety concerns.
Citation Text:
COVID-19 dominates annual list of patient safety concerns. Brooks M. Medscape Medical News. March 15, 2021.
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psnet.ahrq.gov/node/867088/psn-pdf
November 06, 2024 - Deficiencies in electronic medical record inpatient list
capabilities negatively impact patient safety, resident
education, and wellness.
November 6, 2024
Davalos RA, Aden J, Pluta N, et al. Deficiencies in electronic medical record inpatient list capabilities
negatively impact patient safety, resident education, …
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psnet.ahrq.gov/node/60180/psn-pdf
April 01, 2020 - Incidence of wrong-site surgery list errors for a 2-year
period in a single national health service board.
April 1, 2020
Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period
in a single national health service board. J Patient Saf. 2020;16(1):79-83.
doi:10.109…
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psnet.ahrq.gov/node/74699/psn-pdf
January 26, 2022 - Indication alerts to improve problem list documentation.
January 26, 2022
Grauer A, Kneifati-Hayek J, Reuland B, et al. Indication alerts to improve problem list documentation. J Am
Med Inform Assoc. 2022;29(5):909-917. doi:10.1093/jamia/ocab285.
https://psnet.ahrq.gov/issue/indication-alerts-improve-problem-list-d…
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psnet.ahrq.gov/node/49529/psn-pdf
February 01, 2007 - the cross-covering intern reviewed the written signout on the patient and
noted that warfarin was listed … turns out, the primary intern had not
updated the written signout that day, and warfarin was still listed
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psnet.ahrq.gov/web-mm/missing-point-eye-injury
March 01, 2005 - must be able to diagnose, as well as start immediate therapeutic management for all of the conditions listed … Likewise, skipping or bypassing the other components of a complete ocular examination listed above can
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psnet.ahrq.gov/node/50869/psn-pdf
February 05, 2020 - How can patient-held lists of medication enhance patient
safety? A mixed-methods study with a focus on user
experience.
February 5, 2020
Garfield S, Furniss D, Husson F, et al. How can patient-held lists of medication enhance patient safety? A
mixed-methods study with a focus on user experience. BMJ Qual Saf. 2020…
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psnet.ahrq.gov/issue/effort-improve-electronic-health-record-medication-list-accuracy-between-visits-patients-and
May 15, 2024 - Study
An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response.
Citation Text:
Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list accuracy between visits: patients' a…
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psnet.ahrq.gov/node/60615/psn-pdf
June 24, 2020 - Key potentially inappropriate drugs in pediatrics: the KIDs
list.
June 24, 2020
Meyers RS, Thackray J, Matson KL, et al. Key potentially inappropriate drugs in pediatrics: the KIDs list. J
Pediatr Pharmacol Ther. 2020;25(3). doi:10.5863/1551-6776-25.3.175.
https://psnet.ahrq.gov/issue/key-potentially-inappropriate…
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psnet.ahrq.gov/issue/deficiencies-electronic-medical-record-inpatient-list-capabilities-negatively-impact-patient
October 19, 2022 - Study
Deficiencies in electronic medical record inpatient list capabilities negatively impact patient safety, resident education, and wellness.
Citation Text:
Davalos RA, Aden J, Pluta N, et al. Deficiencies in electronic medical record inpatient list capabilities negatively impact patie…
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psnet.ahrq.gov/node/49543/psn-pdf
September 01, 2007 - A consultation prior to
surgery listed her home medication as "Neurontin 250 mg." … The
admitting history and physical note listed her current medications as "See her list."