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  1. psnet.ahrq.gov/issue/case-investing-patient-safety-canada
    October 05, 2021 - Book/Report The Case for Investing in Patient Safety in Canada. Citation Text: The Case for Investing in Patient Safety in Canada. RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017. Copy Citation Save Save to your library Print Download …
  2. psnet.ahrq.gov/issue/culture-civility-positively-impacting-practice-and-patient-safety
    July 13, 2022 - Commentary A culture of civility: positively impacting practice and patient safety. Citation Text: Makic MBF. A Culture of Civility: Positively Impacting Practice and Patient Safety. J Perianesth Nurs. 2018;33(2):220-222. doi:10.1016/j.jopan.2017.12.006. Copy Citation Format: …
  3. psnet.ahrq.gov/issue/handoff-communication-tools
    May 25, 2022 - Government Resource Handoff Communication Tools. Citation Text: Handoff Communication Tools. Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8. Copy Citation Save Save to your library Print Download PDF Share Fa…
  4. Psn-Pdf (pdf file)

    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…
  5. psnet.ahrq.gov/web-mm/too-tight-control
    March 20, 2013 - Adverse drug events and medication errors in Australia. … September 23, 2020 Anticoagulant medication errors in hospitals and primary care: a cross-sectional
  6. psnet.ahrq.gov/issue/awareness-patient-safety-grows-increased-outpatient-surgeries
    June 17, 2014 - June 17, 2014 Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance
  7. psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors
    November 12, 2014 - December 1, 2021 Interventions to reduce pediatric medication errors: a systematic review
  8. psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
    October 31, 2014 - March 27, 2013 National and local medication error reporting systems—a survey of practices
  9. psnet.ahrq.gov/primer/measurement-patient-safety
    September 15, 2024 - standardized and reliable measurement strategies , and studies have shown that variation in how medicationerrors are defined can result in widely varying estimates of error prevalence.
  10. psnet.ahrq.gov/issue/non-luer-connectors-are-we-nearly-there-yet
    March 01, 2023 - October 20, 2010 View More Related Resources ISMP medication error
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35957/psn-pdf
    August 02, 2010 - A practical approach to measure the quality of handwritten medication orders: a tool for improvement. August 2, 2010 Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000205738.45580.5a. https://ps…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45400/psn-pdf
    August 10, 2016 - ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. August 10, 2016 ISMP Medication Safety Alert! Acute Care Edition. July 28, 2016;21:1-6. https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors- associated-a…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855002/psn-pdf
    November 01, 2023 - Temporarily holding medication orders safely in order to prevent patient harm. November 1, 2023 ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4. https://psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm Process disconnects can cause administr…
  14. psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
    November 10, 2021 - March 2, 2022 Effective strategies to increase reporting of medication errors in hospitals … June 25, 2010 Nonpunitive medication error reporting: 3-year findings from one hospital's
  15. psnet.ahrq.gov/issue/opioid-deprescribing-toolkit
    May 01, 2023 - Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression May 27, 2020 ISMP medicationerror report analysis. … June 16, 2019 ISMP medication error report analysis.
  16. psnet.ahrq.gov/issue/opioid-safety-initiative-toolkit
    January 01, 2023 - Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression May 27, 2020 ISMP medicationerror report analysis. … June 16, 2019 ISMP medication error report analysis.
  17. psnet.ahrq.gov/issue/medication-management-covid-19-patients-during-transition-virtual-models-care-qualitative
    October 30, 2024 - Associations of person-related, environment-related and communication-related factors on medicationerrors in public and private hospitals: a retrospective clinical audit.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39161/psn-pdf
    December 09, 2009 - Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge. December 9, 2009 Murphy EM, Oxencis CJ, Klauck JA, et al. Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge. A…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37393/psn-pdf
    June 13, 2011 - Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. June 13, 2011 Grant MJC, Larsen GY. Clinical Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric Intensive Care Unit. J Patient Saf. 2008;3(4). doi:1…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42218/psn-pdf
    June 10, 2018 - Your high-alert medication list—relatively useless without associated risk-reduction strategies. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 4, 2013;18:1-5. https://psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk- reduction This newsletter …

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