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psnet.ahrq.gov/issue/important-information-safe-use-tussionex-pennkinetic-extended-release-suspension
February 15, 2024 - December 16, 2020
Medication errors resulting from confusion between risperidone (Risperdal
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psnet.ahrq.gov/issue/detecting-adverse-events-dermatologic-surgery
June 10, 2013 - July 20, 2009
Monitoring for medication errors in outpatient settings.
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psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
June 08, 2022 - June 24, 2020
Differences between methods of detecting medication errors: a secondary
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psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
September 13, 2016 - and Autopopulated Text in the Electronic Health Records
October 31, 2023
Medication … errors at hospital admission and discharge: risk factors and impact of medication reconciliation process
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psnet.ahrq.gov/issue/human-reliability-analysis-critique-and-review-managers
November 21, 2021 - November 11, 2015
Educational targets to reduce medication errors by general surgery
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psnet.ahrq.gov/issue/preventing-surgical-site-infections-implementing-strategies-throughout-perioperative
January 15, 2025 - December 21, 2017
Mandatory pharmacy residencies: one way to reduce medication errors
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psnet.ahrq.gov/issue/technologists-role-patient-safety-and-quality-medical-imaging
May 15, 2024 - 2016
A randomized controlled trial on the effect of a double check on the detection of medication … errors.
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psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care
January 04, 2009 - January 4, 2009
Preventing Medication Errors: Quality Chasm Series.
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psnet.ahrq.gov/issue/right-medication-right-dose-right-patient-right-time-and-right-route-how-do-we-select-right
March 02, 2016 - Commentary
Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device?
Citation Text:
Ladak SSJ, Chan VWS, Easty T, et al. Right medication, right dose, right patient, right time, and right route: how d…
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psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department
March 13, 2015 - Study
Use of an electronic information system to identify adverse events resulting in an emergency department visit.
Citation Text:
Ackroyd-Stolarz S, MacKinnon NJ, Zed PJ, et al. Use of an electronic information system to identify adverse events resulting in an emergency department vi…
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psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists
November 16, 2022 - Review
Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists.
Citation Text:
Kripalani S, Jackson AT, Schnipper JL, et al. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. J Hosp Med. …
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psnet.ahrq.gov/node/42883/psn-pdf
September 01, 2016 - Are we heeding the warning signs? Examining providers'
overrides of computerized drug–drug interaction alerts in
primary care.
September 1, 2016
Slight SP, Seger DL, Nanji KC, et al. Are we heeding the warning signs? Examining providers' overrides of
computerized drug-drug interaction alerts in primary care. PLoS …
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psnet.ahrq.gov/issue/new-analysis-shows-hospitals-improving-performance-key-patient-safety-measures-surpassing-pre
October 23, 2024 - September 21, 2022
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/safer-prescribing-and-care-elderly-space-cluster-randomised-controlled-trial-general-practice
November 18, 2020 - July 1, 2020
Economic analysis of the prevalence and clinical and economic burden of medication … error in England.
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psnet.ahrq.gov/node/73374/psn-pdf
June 09, 2021 - Effects of pharmacist-conducted medication
reconciliation at discharge on 30-day readmission rates of
patients with chronic obstructive pulmonary disease.
June 9, 2021
Singh D, Fahim G, Ghin HL, et al. Effects of pharmacist-conducted medication reconciliation at discharge
on 30-day readmission rates of patients wi…
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psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1
November 18, 2015 - Newspaper/Magazine Article
Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1.
Citation Text:
Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. ISMP Medication Safety Alert! Acute care edition. November 19, 2…
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psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-arrest
August 01, 2018 - They identified a safety issue in 87% of cases and, similar to prior research , they found that medication … errors were common.
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psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
December 30, 2014 - Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors.
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psnet.ahrq.gov/issue/association-between-physician-depressive-symptoms-and-medical-errors-systematic-review-and
January 12, 2022 - May 20, 2019
Direct oral anticoagulants: a review of common medication errors.
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psnet.ahrq.gov/issue/effect-staff-nurses-shift-length-and-fatigue-patient-safety-and-nurses-health-national
July 06, 2011 - Nurses' work-related fatigue has the potential to contribute to medication errors and missed nursing