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psnet.ahrq.gov/node/43406/psn-pdf
August 06, 2014 - comparison-effects-different-typographical-methods-recognizability-printed-
drug-names
Limited data exists regarding how pharmacies can prevent look-alike … , sound-alike medication errors.
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psnet.ahrq.gov/issue/frequency-hiv-related-medication-errors-and-associated-risk-factors-hospitalized-patients
April 24, 2018 - Study
Frequency of HIV-related medication errors and associated risk factors in hospitalized … Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. … Frequency of HIV-related medication errors and associated risk factors in hospitalized patients. … August 26, 2015
Medication error reporting in rural critical access hospitals in the … April 24, 2013
Impact of a pharmacotherapy alerting system on medication errors.
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psnet.ahrq.gov/issue/8-ways-prevent-medication-errors-kids
September 28, 2016 - Newspaper/Magazine Article
8 ways to prevent medication errors in kids. … Citation Text:
8 ways to prevent medication errors in kids. Payne JW. US News & World Report. … errors in kids. … June 27, 2018
Sick children face potentially deadly danger: medication errors. … Errors/Preventable Adverse Drug Events
Provider-Patient Communication
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psnet.ahrq.gov/issue/reduction-medication-errors-hospitals-due-adoption-computerized-provider-order-entry-systems
June 13, 2018 - Review
Reduction in medication errors in hospitals due to adoption of computerized … Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems … errors , but thus far, the effect of its implementation on medication error rates has been inconsistent … Also, as prior research has pointed out, variations in medication error definitions between studies … makes it difficult to determine the true prevalence of medication errors in different clinical settings
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psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california
July 13, 2010 - Study
Characteristics of medication errors and adverse drug events in hospitals participating … Characteristics of medication errors and adverse drug events in hospitals participating in the California … This study, conducted at five California children's hospitals, used several medication error detection … methods to characterize the frequency and types of medication errors in this population. … April 11, 2011
Association between license status and medication errors.
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psnet.ahrq.gov/issue/separate-medication-preparation-rooms-reduce-interruptions-and-medication-errors-hospital
March 11, 2013 - Study
Separate medication preparation rooms reduce interruptions and medication errors … Separate Medication Preparation Rooms Reduce Interruptions and Medication Errors in the Hospital Setting … This pre–post study found that nurses experienced fewer interruptions and made fewer medication errors … Separate Medication Preparation Rooms Reduce Interruptions and Medication Errors in the Hospital Setting … November 11, 2020
Medication errors involving nursing students: a systematic review.
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psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication-errors
June 27, 2018 - Commentary
A medication safety education program to reduce the risk of harm caused by medication … errors. … A medication safety education program to reduce the risk of harm caused by medication errors. … A medication safety education program to reduce the risk of harm caused by medication errors. … May 11, 2011
Detection and prevention of medication errors using real-time bedside nurse
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psnet.ahrq.gov/issue/effect-clinical-pharmacist-led-training-programme-intravenous-medication-errors-controlled
March 04, 2011 - The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled … The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled … December 29, 2014
Medication errors: the impact of prescribing and transcribing errors … June 13, 2011
Implementation of medication error reporting through Med Safe Tool: the … April 8, 2009
Unit-based clinical pharmacists' prevention of serious medication errors
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psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness
May 26, 2021 - Study
Medication errors in anesthesiology: is it time to train by example? … Medication errors in anesthesiology: is it time to train by example? … This study used clinical vignettes describing a medication error or near miss to explore error awareness … Perioperative medication error awareness and assessment of potential harm were variable, and the likelihood … Medication errors in anesthesiology: is it time to train by example?
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psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
March 20, 2019 - Review
New solutions to reduce wrong route medication errors. … New solutions to reduce wrong route medication errors. … New solutions to reduce wrong route medication errors. … March 20, 2019
Medication errors in pediatric anesthesia: a report from the Wake Up Safe
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psnet.ahrq.gov/issue/nursing-student-medication-errors-snapshot-view-school-nursings-quality-and-safety-officer
October 19, 2022 - Commentary
Nursing student medication errors: a snapshot view from a school of nursing's … Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer … This commentary illustrates how a medication error reporting project in nursing school improved student … Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer
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psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system
January 12, 2022 - errors in "high-risk" patients. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … May 7, 2018
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/liquid-medication-errors-and-dosing-tools-randomized-controlled-experiment
December 21, 2017 - Study
Liquid medication errors and dosing tools: a randomized controlled experiment … Liquid Medication Errors and Dosing Tools: A Randomized Controlled Experiment. … Misinterpretation of medication labels is a well-recognized source of medication error in the outpatient … Liquid Medication Errors and Dosing Tools: A Randomized Controlled Experiment. … April 19, 2017
Sick children face potentially deadly danger: medication errors.
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psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
July 13, 2009 - of voluntarily reported medication errors. … error-reporting database. … error-reporting program. … July 12, 2010
Antiretroviral medication errors in a national medication error database … July 1, 2016
Medication error reduction and the use of PDA technology.
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psnet.ahrq.gov/issue/medication-errors-pharmacy-based-bar-code-repackaging-center
June 28, 2010 - Study
Medication errors in a pharmacy-based bar-code-repackaging center. … Medication errors in a pharmacy-based bar-code-repackaging center. … Medication errors in a pharmacy-based bar-code-repackaging center. … September 23, 2020
ISMP medication error report analysis. … August 15, 2007
Point-of-care medication error prevention: best practices in action.
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psnet.ahrq.gov/issue/making-infusion-error-second-victims-infusion-therapy-related-medication-errors
June 27, 2018 - Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors. … Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors. … June 27, 2018
Medication errors, routines, and differences between perioperative and … error accounts. … July 19, 2023
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Related Resources
Medication errors: the
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit-influence-observation-error-rate
May 13, 2009 - Study
Medication errors in a neonatal intensive care unit. … Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. … Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. … September 30, 2020
ISMP medication error report analysis. … March 28, 2012
Medication-error reporting and pharmacy resident experience during implementation
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psnet.ahrq.gov/issue/identifying-understanding-and-overcoming-barriers-medication-error-reporting-hospitals-focus
March 13, 2015 - Study
Identifying, understanding and overcoming barriers to medication error reporting … Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus … focus group study explored reasons why pharmacists, nurses, and physicians do not voluntarily report medication … errors and identified specific barriers to error reporting. … Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus
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psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based
June 15, 2011 - Study
Preventing medication errors in long-term care: results and evaluation of a … Preventing medication errors in long-term care: results and evaluation of a large scale web-based error … This study reports the initial results of an Internet-based medication error reporting system for nursing … June 15, 2011
Patterns in nursing home medication errors: disproportionality analysis … December 15, 2011
Medication error reporting in nursing homes: identifying targets for
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psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
June 28, 2017 - Commentary
The alarming reality of medication error: a patient case and review of … The alarming reality of medication error: a patient case and review of Pennsylvania and National data … This commentary describes an incident involving a medication error to illustrate how the Swiss cheese … The authors review estimated incidence of medication errors at both local and national levels. … May 13, 2015
Determining medication errors in an adult intensive care unit.