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psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
July 28, 2013 - July 28, 2013
Preventing Medication Errors: Quality Chasm Series.
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psnet.ahrq.gov/issue/electronic-medical-record-based-interventions-encourage-opioid-prescribing-best-practices
September 01, 2021 - May 25, 2010
Medication errors associated with documented allergies.
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psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
November 15, 2023 - 2021
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Related Resources
Guardians of grafts: reducing medication … errors in transplant recipients.
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psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care
setting.
January 2, 2017
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/43265/psn-pdf
February 15, 2024 - Five Medication Safety Tips for Older Adults.
February 15, 2024
FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 15,
2024.
https://psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults
Highlighting how aging affects medication absorption that may lead to complic…
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psnet.ahrq.gov/node/39804/psn-pdf
October 13, 2010 - Patient misidentifications caused by errors in standard
barcode technology.
October 13, 2010
Snyder ML, Carter A, Jenkins K, et al. Patient misidentifications caused by errors in standard bar code
technology. Clin Chem. 2010;56(10):1554-60. doi:10.1373/clinchem.2010.150094.
https://psnet.ahrq.gov/issue/patient-mis…
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psnet.ahrq.gov/node/44622/psn-pdf
November 04, 2015 - Medical errors in dentistry.
November 4, 2015
Nagelberg R. RDH. September 2015;35:79-85.
https://psnet.ahrq.gov/issue/medical-errors-dentistry
Little is currently known about the types of safety issues in dentistry. This magazine article discusses
common adverse events in dental care and recommends strategies to i…
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psnet.ahrq.gov/node/867047/psn-pdf
October 30, 2024 - Therapeutic errors involving diabetes medications
reported to United States poison centers.
October 30, 2024
Thurgood Giarman A, Hays HL, Badeti J, et al. Therapeutic errors involving diabetes medications reported
to United States poison centers. Inj Epidemiol. 2024;11(1):51. doi:10.1186/s40621-024-00536-y.
https:…
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psnet.ahrq.gov/node/37454/psn-pdf
January 09, 2008 - Quantifying nursing workflow in medication
administration.
January 9, 2008
Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J
Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc.
https://psnet.ahrq.gov/issue/quantifying-nursing-workflow-medicatio…
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psnet.ahrq.gov/issue/arrival-ambulance-explains-variation-mortality-time-admission-retrospective-study-admissions
January 29, 2018 - May 11, 2022
Methodological approaches for analyzing medication error reports in patient
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psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
June 19, 2013 - Perioperative nurses identified wrong-site surgery and medication errors as the most pressing patient
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psnet.ahrq.gov/issue/managing-care-patients-discharged-home-health-quiet-threat-patient-safety
October 16, 2012 - 24, 2008
Nurses' practice environments, error interception practices, and inpatient medication … errors.
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psnet.ahrq.gov/issue/wristband-color-standardization
October 25, 2013 - January 17, 2012
Ambulatory surgery facilities: a comprehensive review of medication … error reports in Pennsylvania.
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psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
February 28, 2018 - Press Release/Announcement
2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.
Citation Text:
2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Joint Commission.
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psnet.ahrq.gov/issue/sterile-compounding-tragedy-symptom-broken-system-many-levels
February 13, 2019 - Newspaper/Magazine Article
Sterile compounding tragedy is a symptom of a broken system on many levels.
Citation Text:
Sterile compounding tragedy is a symptom of a broken system on many levels. ISMP Medication Safety Alert! Acute Care Edition. October 18, 2012;17:1-4.
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psnet.ahrq.gov/issue/disease-management-mid-decade-evolution-toward-patient-safety
January 28, 2010 - Commentary
Disease management: a mid-decade evolution toward patient safety.
Citation Text:
Disease management: a mid-decade evolution toward patient safety. Heckinger E; Chappell H; Downes D; Fitzner K.
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psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein
January 22, 2020 - Book/Report
Inadvertent Administration of an Oral Liquid Medicine into a Vein.
Citation Text:
Inadvertent Administration of an Oral Liquid Medicine into a Vein. Farnborough, UK; Healthcare Safety Investigation Branch: April 2019.
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psnet.ahrq.gov/node/73595/psn-pdf
August 11, 2021 - Safety committees need to proactively address the risk of
accidental cerebral injection of intravenous (IV) drugs.
August 11, 2021
ISMP Medication Safety Alert! Acute care edition. July 29, 2021;26(15);1-5.
https://psnet.ahrq.gov/issue/safety-committees-need-proactively-address-risk-accidental-cerebral-injection-
…
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psnet.ahrq.gov/issue/check-your-medicines-tips-taking-medicines-safely
September 04, 2018 - Government Resource
Check Your Medicines: Tips for Taking Medicines Safely.
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April 23, 2012
This 5-point checklist provides consu…
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psnet.ahrq.gov/node/852275/psn-pdf
January 01, 2024 - Improving emergency medicine clinician awareness of
prehospital-administered medications.
August 9, 2023
Kamta J, Fregoso B, Lee A, et al. Improving emergency medicine clinician awareness of prehospital-
administered medications. Prehosp Emerg Care. 2024;28(3):506-512.
doi:10.1080/10903127.2023.2238815.
https://p…