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psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention
May 07, 2018 - Newspaper/Magazine Article
Inattentional blindness: what captures your attention?
Citation Text:
Inattentional blindness: what captures your attention? ISMP Medication Safety Alert! Acute Care Edition. February 26, 2009;14:1-3.
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psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors
April 01, 2010 - Study
Organizational costs of preventable medical errors.
Citation Text:
Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9.
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psnet.ahrq.gov/issue/trends-health-information-technology-safety-technology-induced-errors-current-approaches
July 14, 2009 - Review
Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety.
Citation Text:
Borycki EM. Trends in health information technology safety: from technology-induced errors to current approaches for ensuring techn…
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psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
January 03, 2017 - Study
The cost of serious fall-related injuries at three midwestern hospitals.
Citation Text:
Wong CA, Recktenwald AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. Jt Comm J Qual Patient Saf. 2011;37(2):81-87.
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psnet.ahrq.gov/issue/quality-improvement-decrease-specimen-mislabeling-transfusion-medicine
September 11, 2024 - Study
Quality improvement to decrease specimen mislabeling in transfusion medicine.
Citation Text:
Quillen K, Murphy K. Quality improvement to decrease specimen mislabeling in transfusion medicine. Arch Pathol Lab Med. 2006;130(8):1196-1198.
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psnet.ahrq.gov/issue/nursing-handovers-resilient-points-care-linking-handover-strategies-treatment-errors-patient
August 30, 2017 - Study
Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift.
Citation Text:
Drach-Zahavy A, Hadid N. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the p…
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psnet.ahrq.gov/node/48116/psn-pdf
July 17, 2019 - patient-safety-superheroes-training-using-comic-book-teach-patient-safety-residents
https://psnet.ahrq.gov/primer/patient-safety-101
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/74055/psn-pdf
January 01, 2022 - (HIE) can improve the quality and
safety of care by improving diagnostic concordance and reducing medication … errors.
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psnet.ahrq.gov/node/45895/psn-pdf
February 22, 2017 - perspective/patient-safety-and-opioid-medications
https://psnet.ahrq.gov/issue/quantifying-burden-opioid-medication-errors-adult-oncology-and-palliative-care-settings
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psnet.ahrq.gov/node/47591/psn-pdf
January 01, 2021 - speaking-when-doctors-navigate-medical-hierarchy
https://psnet.ahrq.gov/issue/incidence-clinically-relevant-medication-errors-era-electronically-prepopulated-medication
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psnet.ahrq.gov/node/848822/psn-pdf
May 10, 2023 - anti-coagulants (DOACs) are considered safer than warfarin, DOAC dosing is
complex and can lead to medication … errors.
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psnet.ahrq.gov/node/43794/psn-pdf
January 14, 2015 - potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/45626/psn-pdf
October 29, 2017 - impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
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psnet.ahrq.gov/node/46255/psn-pdf
September 06, 2017 - toward-increased-patient-safety-electronic-communication-medication-information-between
https://psnet.ahrq.gov/issue/medication-errors-caregivers-home-neonates-discharged-neonatal-intensive-care-unit
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psnet.ahrq.gov/node/36496/psn-pdf
February 28, 2011 - Although the study
did not directly evaluate if misunderstanding led to medication errors, the study
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psnet.ahrq.gov/node/45362/psn-pdf
January 23, 2017 - capturing-essential-information-achieve-safe-interoperability
https://psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider
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psnet.ahrq.gov/node/74192/psn-pdf
January 01, 2022 - psnet.ahrq.gov/issue/identifying-high-risk-medication-systematic-literature-review
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - Medication errors in the neonatal intensive care unit: special patients, unique
issues.
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psnet.ahrq.gov/issue/adapting-cognitive-task-analysis-investigate-clinical-decision-making-and-medication-safety
March 10, 2021 - Study
Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents.
Citation Text:
Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Sa…
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psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
July 19, 2023 - Study
Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field.
Citation Text:
Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile f…