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8601. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35683/psn-pdf
      April 25, 2018 - Double key bounce and double keying errors. April 25, 2018 ISMP Medication Safety Alert! Acute care edition. January 12, 2006. https://psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors This article describes problems involving the keys on infusion pumps and includes recommendations to help prevent er…

8602. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73995/psn-pdf
      October 20, 2021 - Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. October 20, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 12, 2021. https://psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety- communication …

8603. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46751/psn-pdf
      July 23, 2018 - A call for a systems-thinking approach to medication adherence: stop blaming the patient. July 23, 2018 Lauffenburger JC, Choudhry NK. A Call for a Systems-Thinking Approach to Medication Adherence: Stop Blaming the Patient. JAMA Intern Med. 2018;178(7):950-951. doi:10.1001/jamainternmed.2018.0790. https://psnet.a…

8604. Emergency physicians and disclosure of medical errors. | PSNet
      psnet.ahrq.gov/issue/emergency-physicians-and-disclosure-medical-errors
      October 19, 2022 - Study Emergency physicians and disclosure of medical errors. Citation Text: Moskop JC, Geiderman JM, Hobgood CD, et al. Emergency physicians and disclosure of medical errors. Ann Emerg Med. 2006;48(5):523-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

8605. Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. | PSNet
      psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-medications-chronic
      November 06, 2015 - June 13, 2011 Medication errors in critical care: risk factors, prevention and disclosure

8606. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. | PSNet
      psnet.ahrq.gov/issue/front-line-staff-perspectives-opportunities-improving-safety-and-efficiency-hospital-work
      February 04, 2009 - Study Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. Citation Text: Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. H…

8607. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. | PSNet
      psnet.ahrq.gov/issue/frequency-and-characteristics-errors-artificial-intelligence-ai-reading-screening-mammography
      February 03, 2016 - Review Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. Citation Text: Zeng A, Houssami N, Noguchi N, et al. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammogra…

8608. How to reduce stigma and bias in clinical communication: a narrative review. | PSNet
      psnet.ahrq.gov/issue/how-reduce-stigma-and-bias-clinical-communication-narrative-review
      July 27, 2022 - Review How to reduce stigma and bias in clinical communication: a narrative review. Citation Text: Healy M, Richard A, Kidia K. How to reduce stigma and bias in clinical communication: a narrative review. J Gen Intern Med. 2022;37(10):2533-2540. doi:10.1007/s11606-022-07609-y. Copy Cit…

8609. Morbidity and mortality conference in emergency medicine residencies and the culture of safety. | PSNet
      psnet.ahrq.gov/issue/morbidity-and-mortality-conference-emergency-medicine-residencies-and-culture-safety
      November 16, 2022 - Study Morbidity and mortality conference in emergency medicine residencies and the culture of safety. Citation Text: Aaronson E, Wittels KA, Nadel ES, et al. Morbidity and Mortality Conference in Emergency Medicine Residencies and the Culture of Safety. West J Emerg Med. 2015;16(6):810-7…

8610. Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder. | PSNet
      psnet.ahrq.gov/issue/timing-diagnosis-attention-deficithyperactivity-disorder-and-autism-spectrum-disorder
      February 03, 2016 - Study Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder. Citation Text: Miodovnik A, Harstad E, Sideridis G, et al. Timing of the Diagnosis of Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder. Pediatrics. 2015;136(4):e83…

8611. Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. | PSNet
      psnet.ahrq.gov/issue/engineering-care-transitions-clinician-perceptions-barriers-safe-medication-management-during
      July 20, 2022 - More About The Topic Hospitals Quality and Safety Professionals Patients Medicine Medication … Errors/Preventable Adverse Drug Events View More

8612. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37868/psn-pdf
      June 25, 2008 - Complexity of medication-related verbal orders. June 25, 2008 Wakefield DS, Ward MM, Groath D, et al. Complexity of medication-related verbal orders. Am J Med Qual. 2008;23(1):7-17. doi:10.1177/1062860607310922. https://psnet.ahrq.gov/issue/complexity-medication-related-verbal-orders This descriptive analysis of v…

8613. Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients. | PSNet
      psnet.ahrq.gov/issue/primary-care-physicians-willingness-disclose-oncology-errors-involving-multiple-providers
      July 28, 2014 - December 22, 2018 Medication errors in the home: a multisite study of children with cancer

8614. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. | PSNet
      psnet.ahrq.gov/issue/patient-record-review-incidence-consequences-and-causes-diagnostic-adverse-events
      July 02, 2014 - May 25, 2010 Characteristics of medication errors and adverse drug events in hospitals

8615. Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure training. | PSNet
      psnet.ahrq.gov/issue/practice-rehearsal-and-performance-approach-simulation-based-surgical-and-procedure-training
      October 15, 2014 - September 21, 2005 Medication error prevention by clinical pharmacists in two children's

8616. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72774/psn-pdf
      February 24, 2021 - preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

8617. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40548/psn-pdf
      March 23, 2012 - increased odds of an adverse drug event during hospitalization, while the Beers criteria failed to predict medication … errors.

8618. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34689/psn-pdf
      February 10, 2011 - CPOE), barcoded medication administration systems, and other systems designed to reduce preventable medication … errors at each stage.

8619. Use of temporary names for newborns and associated risks. | PSNet
      psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-risks
      December 21, 2017 - 16, 2019 Shaping systems for better behavioral choices: lessons learned from a fatal medication … error.

8620. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72687/psn-pdf
      January 27, 2021 - Learning from errors with the new COVID-19 vaccines. January 27, 2021 ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.   https://psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines Learning from error rests on transparency efforts buttressed by frontline reports. This a…