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  1. psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library-update-delays
    September 25, 2019 - Analysis of an academic medical center’s corrective action plan in response to fatal medicationerror using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. … August 24, 2022 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … January 23, 2017 ISMP medication error report analysis.
  2. psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
    August 21, 2005 - errors, with over half of all hospital medication errors occurring at discharge or transfer to the care … Management of Sepsis May 31, 2023 Systemic defenses to prevent intravenous medicationerrors in hospitals: a systematic review. … Start Date: an Unknown Risk of E-prescribing October 30, 2019 Preventing medicationerrors in hospitals through a systems approach and technological innovation: a prescription for 2010
  3. psnet.ahrq.gov/issue/guiding-principles-achieve-continuity-medication-management
    October 14, 2020 - Book/Report Guiding Principles to Achieve Continuity in Medication Management. Citation Text: Guiding Principles to Achieve Continuity in Medication Management. Department of Health and Aged Care. Canberra ACT: Commonwealth of Australia; 2022. ISBN 978-1-76007-471-5. Copy Citation…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45370/psn-pdf
    July 27, 2016 - Correct use of inhalers: help patients breathe easier. July 27, 2016 ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6. https://psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier Patients and clinicians can make medication administration mistakes when new drug delivery mecha…
  5. psnet.ahrq.gov/issue/role-artificial-intelligence-patient-safety-outcomes-systematic-literature-review
    September 20, 2011 - machine learning-based clinical decision support system to identify prescriptions with a high risk of medicationerror. … 17, 2022 Identifying health information technology usability issues contributing to medicationerrors across medication process stages.
  6. psnet.ahrq.gov/issue/ins-and-outs-change-shift-handoffs-between-nurses-communication-challenge
    October 19, 2022 - June 16, 2011 Health literacy-informed communication to reduce discharge medication errors … June 3, 2020 Field test results of a new ambulatory care Medication Error and Adverse
  7. psnet.ahrq.gov/issue/determining-patients-comfort-inquiring-about-healthcare-providers-hand-washing-behavior
    September 03, 2011 - May 4, 2022 Effect of a pharmacist intervention on clinically important medication errors … January 7, 2015 ISMP medication error report analysis.
  8. psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
    March 01, 2005 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.
  9. psnet.ahrq.gov/issue/us-inaction-lets-look-alike-tubes-kill-patients
    September 01, 2008 - Newspaper/Magazine Article U.S. inaction lets look-alike tubes kill patients. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 1, 2010 View more articles from the same aut…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33864/psn-pdf
    January 01, 2019 - errors. … errors: "Learning by simulation is an additional support in educational programs for health care professions … Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J, Bootman JL, Cronenwett … Preventing Medication Errors: Quality Chasm Series. … Human-simulation-based learning to prevent medication error: a systematic review.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48090/psn-pdf
    August 28, 2019 - Preventing errors with high-risk medications. August 28, 2019 Wiley F. Drug Topics. August 2019;1633:16-18. https://psnet.ahrq.gov/issue/preventing-errors-high-risk-medications High-alert medications have the potential to cause serious patient harm if not administered correctly. Reporting on challenges to medicati…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47761/psn-pdf
    May 22, 2019 - inexperience, the drug preparation environment, and poor communication as contributory factors for medicationerrors.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864857/psn-pdf
    March 20, 2024 - safety-ground-using-critical-incident-technique-explore-factors-influencing-medical https://psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47729/psn-pdf
    April 10, 2019 - reclaiming-systems-approach-paediatric-safety Children are vulnerable to delayed or missed diagnosis, infections, and medicationerrors.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44570/psn-pdf
    October 21, 2015 - enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record https://psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and
  16. psnet.ahrq.gov/issue/medical-resident-pharmacist-collaboration-improves-rate-medication-reconciliation
    September 24, 2010 - Study A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge. Citation Text: Caroff DA, Bittermann T, Leonard CE, et al. A Medical Resident-Pharmacist Collaboration Improves the Rate of Medication Reconciliation Verification a…
  17. psnet.ahrq.gov/issue/oncologist-perceptions-racial-disparity-racial-anxiety-and-unconscious-bias-clinical
    October 19, 2022 - Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medicationerrors: a before-and-after study.
  18. psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
    February 15, 2023 - Opioid-Induced Respiratory Depression May 27, 2020 Clinicians' perceptions of medicationerrors with opioids in cancer and palliative care services: a priority setting report.
  19. psnet.ahrq.gov/issue/effectiveness-continuous-or-intermittent-vital-signs-monitoring-preventing-adverse-events
    July 19, 2023 - December 21, 2016 Quantifying the burden of opioid medication errors in adult oncology
  20. psnet.ahrq.gov/issue/looking-back-history-patient-safety-opportunity-reflect-and-ponder-future-challenges
    July 10, 2019 - December 9, 2020 Impact of pharmacist interventions on medication errors in hospitalized

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