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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 medication … error 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.
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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 medication … errors in hospitals: a systematic review. … Start Date: an Unknown Risk of E-prescribing
October 30, 2019
Preventing medication … errors in hospitals through a systems approach and technological innovation: a prescription for 2010
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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.
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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…
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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 medication … error. … 17, 2022
Identifying health information technology usability issues contributing to medication … errors across medication process stages.
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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
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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.
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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.
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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.
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September 1, 2010
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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.
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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…
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psnet.ahrq.gov/node/47761/psn-pdf
May 22, 2019 - inexperience, the drug preparation environment, and poor
communication as contributory factors for medication … errors.
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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
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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 medication … errors.
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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
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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…
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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 medication … errors: a before-and-after study.
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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 medication … errors with opioids in cancer and palliative care services: a priority setting report.
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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
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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