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psnet.ahrq.gov/issue/psychological-impact-and-coping-strategies-frontline-medical-staff-hunan-between-january-and
May 31, 2023 - February 18, 2009
Nurses relate the contributing factors involved in medication errors
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psnet.ahrq.gov/node/44516/psn-pdf
June 10, 2018 - Managing hospitalized patients with ambulatory pumps:
findings from an ISMP survey—Part 1.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition. November 19, 2015;20(23):1-5.
https://psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1
Infusion therapies are in…
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psnet.ahrq.gov/node/44291/psn-pdf
September 13, 2016 - A piece of my mind. I'm sorry.
September 13, 2016
Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507.
https://psnet.ahrq.gov/issue/piece-my-mind-im-sorry
Being accountable for errors and working to learn from them is key to improving patient safety. This
commentary descri…
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psnet.ahrq.gov/node/836969/psn-pdf
April 20, 2022 - Criminalization of human error and a guilty verdict: a
travesty of justice that threatens patient safety.
April 20, 2022
ISMP Medication Safety Alert! Acute care edition. April 7, 2022; 27(2):1-6.
https://psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-
patient-safety…
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psnet.ahrq.gov/node/842919/psn-pdf
February 01, 2023 - pharmacy technicians focus on performing medication reconciliation on patients
with the highest risk of medication … errors. … medication reconciliation in the ED for high-risk patients on insulin to improve
communication, avoid medication … errors, and increase provider awareness.
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psnet.ahrq.gov/issue/sedation-and-patient-safety
August 28, 2024 - April 6, 2011
Medication errors in anaesthesia and critical care.
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psnet.ahrq.gov/issue/ways-avert-potential-patient-care-disasters
March 01, 2007 - Manic for medication safety: bar codes and drug information databases are helping to reduce medication … errors.
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psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
September 21, 2009 - Using a spare medication vial to store multiple medications: a potentially fatal in-home medication … error.
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psnet.ahrq.gov/issue/infant-deaths-associated-cough-and-cold-medications-two-states-2005
February 27, 2019 - March 6, 2019
View More
Related Resources
ISMP medication error
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psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
June 07, 2023 - Analysis of an academic medical center’s corrective action plan in response to fatal medication … error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. … WebM&M Cases
Syringe Swap During Regional Block: A Case of Medication … Error and Recovery
January 31, 2024
Facilitators and barriers to the implementation
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psnet.ahrq.gov/node/49518/psn-pdf
August 01, 2006 - It's All in the Syringe
August 1, 2006
Weingart SN. It's All in the Syringe. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/its-all-syringe
The Case
A 33-year-old man with type 2 diabetes presented to his physician's office to discuss his diabetes
management. The patient admitted not taking his medications…
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psnet.ahrq.gov/issue/patient-outcomes-dose-reduction-or-discontinuation-long-term-opioid-therapy-systematic-review
April 08, 2019 - December 14, 2016
Quantifying the burden of opioid medication errors in adult oncology
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psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction-program
July 11, 2018 - November 4, 2020
Prevalence, contributory factors and severity of medication errors associated
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psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
March 28, 2011 - April 24, 2018
Computerised physician order entry-related medication errors: analysis
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psnet.ahrq.gov/issue/quality-hospital-work-environments-and-missed-nursing-care-linked-heart-failure-readmissions
September 09, 2020 - August 20, 2018
Medication errors in anesthesiology: is it time to train by example?
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psnet.ahrq.gov/issue/emotionally-evocative-patients-emergency-department-mixed-methods-investigation-providers
December 20, 2023 - February 19, 2020
A "back to basics" approach to reduce ED medication errors.
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psnet.ahrq.gov/issue/effects-introduction-who-surgical-safety-checklist-hospital-mortality-cohort-study
April 24, 2018 - November 16, 2022
Medication errors: the impact of prescribing and transcribing errors
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psnet.ahrq.gov/issue/problem-list-completeness-electronic-health-records-multi-site-study-and-assessment-success
April 29, 2018 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … errors.
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psnet.ahrq.gov/node/843325/psn-pdf
February 01, 2023 - Untenable expectations: nurses' work in the context of
medication administration, error, and the organization.
February 1, 2023
Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration,
error, and the organization. Glob Qual Nurs Res. 2022;9:233339362211317.
doi:10.117…
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psnet.ahrq.gov/node/73987/psn-pdf
October 20, 2021 - Impact of clinical decision support therapeutic
interchanges on hospital discharge medication omissions
and duplications.
October 20, 2021
Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on
hospital discharge medication omissions and duplications. Am J Health Sy…