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psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-department
October 19, 2022 - Commentary
Pediatric medication safety in the emergency department.
Citation Text:
Cadwell SM. Pediatric medication safety in the emergency department. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2008;34(4):375-7. doi:10.1016…
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psnet.ahrq.gov/issue/medication-reconciliation-developing-and-implementing-program
August 21, 2024 - Study
Medication reconciliation: developing and implementing a program.
Citation Text:
Schwarz M, Wyskiel R. Medication Reconciliation: Developing and Implementing a Program. Crit Care Nurs Clin North Am. 2007;18(4). doi:10.1016/j.ccell.2006.09.003.
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psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive
November 29, 2023 - November 29, 2023
Effect of a mobile app on prehospital medication errors during simulated … December 1, 2011
Moral distress, compassion fatigue, and perceptions about medication … errors in certified critical care nurses.
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psnet.ahrq.gov/node/35679/psn-pdf
June 28, 2010 - Evaluation of a Web-based education program on
reducing medication dosing error: a multicenter,
randomized controlled trial.
June 28, 2010
Frush K, Hohenhaus S, Luo X, et al. Evaluation of a Web-based education program on reducing
medication dosing error: a multicenter, randomized controlled trial. Pediatr Emerg C…
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psnet.ahrq.gov/node/38356/psn-pdf
January 21, 2009 - Oxytocin as a high-alert medication: implications for
perinatal patient safety.
January 21, 2009
Simpson KR, Knox E. Oxytocin as a high-alert medication: implications for perinatal patient safety. MCN
Am J Matern Child Nurs. 2009;34(1):8-15; quiz 16-7. doi:10.1097/01.NMC.0000343859.62828.ee.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/866436/psn-pdf
August 07, 2024 - Using name overlap analysis to understand medication
name search safety.
August 7, 2024
Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search
safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048.
https://psnet.ahrq.gov/issue/using-name-overlap-analy…
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psnet.ahrq.gov/issue/abbott-diabetes-care-blood-glucose-meters
May 04, 2022 - March 28, 2012
Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication … errors.
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psnet.ahrq.gov/node/47330/psn-pdf
September 19, 2018 - crowdsourcing-diagnosis-patients-undiagnosed-illnesses-evaluation-crowdmed
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/45435/psn-pdf
August 24, 2016 - pharmacist-physician-communications-highly-computerised-hospital-sign-and-action-electronic
https://psnet.ahrq.gov/primer/computerized-provider-order-entry
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/33738/psn-pdf
December 01, 2012 - For example, design around medication errors. … Then we made a chart of ideas around all latent conditions and adverse events: medication errors, noise … For
example, we thought putting medications at the bedside would lower medication errors, and it would … errors. … For
example, data for medication errors has shown that reducing interruptions and having a quiet "pharmacy
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psnet.ahrq.gov/node/41691/psn-pdf
September 19, 2012 - Events associated with the prescribing, dispensing, and
administering of medication loading doses.
September 19, 2012
Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.
https://psnet.ahrq.gov/issue/events-associated-prescribing-dispensing-and-administering-medication-
loading-doses
This article discuss…
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psnet.ahrq.gov/node/39070/psn-pdf
November 27, 2009 - Litigation related to drug errors in anaesthesia: an
analysis of claims against the NHS in England 1995-2007.
November 27, 2009
Cranshaw J, Gupta KJ, Cook TM. Litigation related to drug errors in anaesthesia: an analysis of claims
against the NHS in England 1995-2007. Anaesthesia. 2009;64(12):1317-23. doi:10.1111/j…
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psnet.ahrq.gov/issue/emergency-physicians-views-direct-notification-laboratory-and-radiology-results-patients
March 23, 2012 - commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication … errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis
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psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - Human Factors Engineering
Citation Text:
Human Factors Engineering. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-clinical-decision-support-adverse-drug-events-long
February 26, 2009 - An AHRQ WebM&M commentary discusses a case of a medication error associated with warfarin use at a
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psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
July 30, 2014 - March 24, 2016
Report faults Children's Hospital for medication errors.
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psnet.ahrq.gov/issue/selling-soap
March 06, 2005 - July 28, 2013
Rx for medication errors.
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psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety-reporting-systems
December 29, 2014 - May 25, 2011
Comparison of intensive care unit medication errors reported to the United
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psnet.ahrq.gov/issue/investigation-diagnostic-accuracy-and-confidence-associated-diagnostic-checklists-well-gender
February 21, 2024 - Related Resources From the Same Author(s)
Descriptive analysis on disproportionate medication … errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting
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psnet.ahrq.gov/node/45554/psn-pdf
October 19, 2016 - why-there-another-persons-name-my-infusion-bag-patient-safety-chemotherapy-care-review
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy