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psnet.ahrq.gov/issue/integrating-patient-safety-education-early-medical-education-utilizing-cadaver-sponges-and
September 23, 2020 - February 15, 2023
Field test results of a new ambulatory care Medication Error and Adverse
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psnet.ahrq.gov/issue/wrong-patient
December 23, 2008 - : Evaluating a Near-Miss Wrong Transfusion Event
January 29, 2020
ISMP medication … error report analysis.
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psnet.ahrq.gov/issue/non-english-speakers-drug-label-instructions-can-be-lost-translation
September 12, 2016 - Newspaper/Magazine Article
For non-English speakers, drug label instructions can be lost in translation.
Citation Text:
Mitka M. For non-english speakers, drug label instructions can be lost in translation. JAMA. 2007;297(23):2575-7.
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psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
May 02, 2018 - Book/Report
AHRQ Health Information Technology Division's 2017 Annual Report.
Citation Text:
AHRQ Health Information Technology Division's 2017 Annual Report. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-EF.
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psnet.ahrq.gov/issue/what-do-medical-records-tell-us-about-potentially-harmful-co-prescribing
December 19, 2011 - March 16, 2022
ISMP medication error report analysis.
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psnet.ahrq.gov/node/74702/psn-pdf
January 26, 2022 - Association between physician burnout and self-reported
errors: meta-analysis.
January 26, 2022
Owoc J, Ma?czak M, Jab?o?ska M, et al. Association between physician burnout and self-reported errors:
meta-analysis. J Patient Saf. 2022;18(1):e180-e188. doi:10.1097/pts.0000000000000724.
https://psnet.ahrq.gov/issue/a…
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psnet.ahrq.gov/node/41903/psn-pdf
December 05, 2012 - https://psnet.ahrq.gov/issue/aware-care
This Web site seeks to help hospitals and patients prevent medication … errors in hospitalized patients with
Parkinson disease.
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psnet.ahrq.gov/node/37972/psn-pdf
May 02, 2018 - Heparin errors continue despite prior, high-profile, fatal
events.
May 2, 2018
ISMP Medication Safety Alert! Acute Care Edition. July 17, 2008;13:1-2.
https://psnet.ahrq.gov/issue/heparin-errors-continue-despite-prior-high-profile-fatal-events
Drawing on analysis from previously reported errors, this article descr…
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psnet.ahrq.gov/issue/measuring-patient-safety-emergency-department
June 29, 2011 - study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication … errors.
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psnet.ahrq.gov/issue/clinical-review-checklists-translating-evidence-practice
April 08, 2009 - December 29, 2014
Medication errors associated with code situations in U.S. hospitals
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psnet.ahrq.gov/issue/implementing-handoff-communication
August 25, 2010 - April 10, 2024
Measurement of ambulatory medication errors in children: a scoping review
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psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
March 23, 2012 - Copy Citation
Related Resources From the Same Author(s)
Preventing Medication … Errors: A $21 Billion Opportunity.
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psnet.ahrq.gov/issue/massachusetts-coalition-prevention-medical-errors
February 05, 2014 - Multi-use Website
Massachusetts Coalition for the Prevention of Medical Errors.
Citation Text:
Massachusetts Coalition for the Prevention of Medical Errors. Massachusetts Coalition for the Prevention of Medical Errors
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psnet.ahrq.gov/node/45954/psn-pdf
December 22, 2017 - Effectiveness of a 'Do not interrupt' bundled intervention
to reduce interruptions during medication administration:
a cluster randomised controlled feasibility study.
December 22, 2017
Westbrook JI, Li L, Hooper TD, et al. Effectiveness of a 'Do not interrupt' bundled intervention to reduce
interruptions during m…
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psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
October 19, 2022 - Commentary
Identification errors in pathology and laboratory medicine.
Citation Text:
Valenstein PN, Sirota RL. Identification errors in pathology and laboratory medicine. Clin Lab Med. 2004;24(4):979-96, vii.
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psnet.ahrq.gov/issue/enteral-feeding-misconnections-consortium-position-statement
June 17, 2009 - Organizational Policy/Guidelines
Enteral feeding misconnections: a consortium position statement.
Citation Text:
Guenter P, Hicks RW, Simmons D, et al. Enteral feeding misconnections: a consortium position statement. Jt Comm J Qual Patient Saf. 2008;34(5):285-92, 245.
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…
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psnet.ahrq.gov/issue/cognitive-informatics-reengineering-clinical-workflow-safer-and-more-efficient-care
July 13, 2011 - Book/Report
Cognitive Informatics: Reengineering Clinical Workflow for Safer and More Efficient Care.
Citation Text:
Cognitive Informatics: Reengineering Clinical Workflow for Safer and More Efficient Care. Zheng K, Westbrook J, Kannampallil TG, Patel VL, eds. Springer International Publ…
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psnet.ahrq.gov/issue/diagnostic-error-and-clinical-reasoning
February 06, 2013 - Review
Diagnostic error and clinical reasoning.
Citation Text:
Norman GR, Eva KW. Diagnostic error and clinical reasoning. Med Educ. 2010;44(1):94-100. doi:10.1111/j.1365-2923.2009.03507.x.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …
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psnet.ahrq.gov/issue/patient-safety-case-based-innovative-playbook-safer-care-second-edition
September 11, 2019 - Book/Report
Patient Safety: A Case-based Innovative Playbook for Safer Care. Second Edition.
Citation Text:
Patient Safety: A Case-based Innovative Playbook for Safer Care. Second Edition. Agrawal A, Bhatt J, eds. Cham, Switzerland, Springer Nature; 2023. ISBN: 9783031359330.
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psnet.ahrq.gov/node/39147/psn-pdf
January 13, 2010 - Following the patient journey to improve medicines
management and reduce errors.
January 13, 2010
Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing
times. 2009;105(46):12-5.
https://psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-red…