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psnet.ahrq.gov/node/74249/psn-pdf
January 12, 2022 - Medication safety issues with newly authorized
PAXLOVID.
January 12, 2022
Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022.
https://psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
Emerging care practices can produce unsafe situations due to the newness…
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psnet.ahrq.gov/issue/patient-safety-tool-helps-id-hospital-errors
October 01, 2014 - Newspaper/Magazine Article
Patient safety tool helps ID hospital errors.
Citation Text:
Patient safety tool helps ID hospital errors. Clark C. HealthLeaders Media. December 2012.
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psnet.ahrq.gov/issue/using-good-design-eliminate-medical-errors
December 09, 2020 - Newspaper/Magazine Article
Using good design to eliminate medical errors.
Citation Text:
Using good design to eliminate medical errors. Jaffe E.
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psnet.ahrq.gov/node/60002/psn-pdf
March 04, 2020 - reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-
commentary
The Joint Commission previously issued a sentinel event alert for medication … errors relating to
anticoagulant therapies and included them as part of the National Patient Safety
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psnet.ahrq.gov/node/867382/psn-pdf
December 18, 2024 - //psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-systems
https://psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
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psnet.ahrq.gov/node/72475/psn-pdf
November 18, 2020 - errors-omission-missed-nursing-care
https://psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during
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psnet.ahrq.gov/node/866351/psn-pdf
July 24, 2024 - This
study used incident reports involving anticoagulant medication errors to demonstrate the effectiveness
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psnet.ahrq.gov/node/47382/psn-pdf
August 29, 2018 - systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes
https://psnet.ahrq.gov/issue/impact-drug-shortage-medication-errors-and-clinical-outcomes-pediatric-intensive-care-unit
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psnet.ahrq.gov/node/867134/psn-pdf
November 13, 2024 - issue/improving-adverse-drug-event-reporting-healthcare-professionals
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/60280/psn-pdf
April 29, 2020 - The review concludes that medication errors as the biggest threat to patient
safety resulting from missed
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psnet.ahrq.gov/node/866959/psn-pdf
October 16, 2024 - defining-health-information-technology-related-errors-new-developments-err-human
https://psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
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psnet.ahrq.gov/node/35762/psn-pdf
January 02, 2017 - failure mode and effects analysis
(FMEA) to develop strategies for reducing the risk of chemotherapeutic medication … errors.
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psnet.ahrq.gov/topics-0
March 03, 2025 - Thromboembolism Go to this topic
Medication Safety Go to this topic
Medication … Errors/Preventable Adverse Drug Events Go to this topic
Administration Errors Go to this
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psnet.ahrq.gov/issue/safe-care-patient-safety-education-program
May 13, 2021 - resources, including posters and videos with information on hand hygiene, infection prevention, and medication … errors.
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psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-hfmea-effective-mechanism-preventing-infection
April 05, 2023 - April 5, 2023
How effective are electronic medication systems in reducing medication … error rates and associated harm among hospital inpatients?
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psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study
April 13, 2022 - Study
Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study.
Citation Text:
Shafer GJ, Singh H, Thomas EJ, et al. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. J Perinatol. 2022;42(10):1312-131…
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psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
April 04, 2011 - Study
Classic
Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain?
Citation Text:
Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical record: do any safet…
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psnet.ahrq.gov/node/33575/psn-pdf
March 15, 2025 - Patient Engagement and Safety
March 15, 2025
Patient Engagement and Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/patient-engagement-and-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the pati…
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psnet.ahrq.gov/node/840142/psn-pdf
November 16, 2022 - The neglected barrier to medication use: a systematic
review of difficulties associated with opening medication
packaging.
November 16, 2022
Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of
difficulties associated with opening medication packaging. Age Ageing. 2022…
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psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
May 02, 2018 - Newspaper/Magazine Article
Benefits and risks of including patients on RCA teams.
Citation Text:
Benefits and risks of including patients on RCA teams. ISMP Medication Safety Alert! Acute Care Edition. June 5, 2008;13:1-3.
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