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psnet.ahrq.gov/issue/safety-competency-exploring-impact-environmental-and-personal-factors-nurses-ability-deliver
September 14, 2022 - Study
Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care.
Citation Text:
Dillon-Bleich K, Dolansky MA, Burant CJ, et al. Safety competency: exploring the impact of environmental and personal factors on the nurse's abi…
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psnet.ahrq.gov/issue/mgh-halts-pediatric-program-heart-surgeries-hold-after-errors
August 24, 2016 - August 24, 2016
Report faults Children's Hospital for medication errors.
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psnet.ahrq.gov/issue/what-if-doctor-wrong
August 17, 2016 - September 11, 2024
Preventable harm because of outpatient medication errors among children
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
June 01, 2005 - systems and greater participation of pharmacists in clinical activities may play roles in detecting medication … errors, not just reducing them. … Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors. … Role of computerized physician order entry systems in facilitating medication errors.
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psnet.ahrq.gov/issue/workarounds-use-healthcare-case-study-electronic-medication-administration-system
June 29, 2011 - January 15, 2014
Telemedicine consultations and medication errors in rural emergency
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psnet.ahrq.gov/issue/reconciling-medications-admission-safe-practice-recommendations-and-implementation-strategies
January 02, 2017 - April 29, 2018
Reconciliation failures lead to medication errors.
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psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
November 10, 2011 - WebM&M Cases
Syringe Swap During Regional Block: A Case of Medication … Error and Recovery
January 31, 2024
Patient Safety Primers
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psnet.ahrq.gov/node/49635/psn-pdf
September 01, 2011 - overview of intravenous-related medication administration errors as reported to
MEDMARX, a national medication … error-reporting program.
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psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics
September 23, 2020 - Medication errors were the largest source of order errors and commonly involved antibiotics and opioid
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psnet.ahrq.gov/issue/radio-frequency-identification-applications-hospital-environments
March 24, 2021 - A prospective hazard and improvement analytic approach to predicting the effectiveness of medication … error interventions.
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psnet.ahrq.gov/issue/navigating-information-technology-highway-computer-solutions-reduce-errors-and-enhance
September 01, 2016 - Review
Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety.
Citation Text:
Koshy R. Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. Transfusion (Paris). 2005;45(4 Su…
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psnet.ahrq.gov/issue/managing-patient-identification-crisis-healthcare-and-laboratory-medicine
April 22, 2009 - November 17, 2021
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second
March 24, 2019 - Study
Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery.
Citation Text:
Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in sur…
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psnet.ahrq.gov/issue/work-patterns-and-fatigue-related-risk-among-junior-doctors
July 29, 2020 - Study
Work patterns and fatigue-related risk among junior doctors.
Citation Text:
Gander P, Purnell H, Garden A, et al. Work patterns and fatigue-related risk among junior doctors. Occup Environ Med. 2007;64(11):733-8.
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psnet.ahrq.gov/issue/polypharmacy-and-potentially-inappropriate-medication-people-dementia-nationwide-study
March 06, 2012 - Study
Emerging Classic
Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study.
Citation Text:
Kristensen RU, Nørgaard A, Jensen-Dahm C, et al. Polypharmacy and Potentially Inappropriate Medication in People with Dementi…
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psnet.ahrq.gov/issue/realist-synthesis-pharmacist-conducted-medication-reviews-primary-care-after-leaving-hospital
December 16, 2020 - Review
A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why?
Citation Text:
Luetsch K, Rowett D, Twigg MJ. A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: …
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psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences
June 05, 2018 - Chemotherapy in home care: one team's performance improvement journey toward reducing medication … errors.
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psnet.ahrq.gov/issue/prescription-drug-overload-critics-fighting-curb-epidemic-medication-side-effects
January 24, 2024 - March 24, 2016
Report faults Children's Hospital for medication errors.
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psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
March 30, 2020 - 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/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - 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.