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9001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36934/psn-pdf
      September 01, 2011 - issue, the author discusses design changes and regulatory measures aimed at minimizing wrong-route medication … errors in the United Kingdom.

9002. Recurrent Hypoglycemia: A Care Transition Failure? | PSNet
      psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
      December 23, 2020 - May 27, 2011 Medication errors with the use of allopurinol and colchicine: a retrospective

9003. Fatigue in radiology: a fertile area for future research. | PSNet
      psnet.ahrq.gov/issue/fatigue-radiology-fertile-area-future-research
      August 29, 2018 - April 19, 2011 Spike in fatal medication errors at the beginning of each month.

9004. Diagnostic errors in hospitalized adults who died or were transferred to intensive care. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care
      October 13, 2021 - May 26, 2021 Medication errors in anesthesiology: is it time to train by example?

9005. Toward patient-centered cancer care: patient perceptions of problematic events, impact, and response. | PSNet
      psnet.ahrq.gov/issue/toward-patient-centered-cancer-care-patient-perceptions-problematic-events-impact-and
      March 11, 2013 - breast cancer care: providers' attitudes, experiences, and advice January 22, 2020 Medication … errors in the home: a multisite study of children with cancer.

9006. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. | PSNet
      psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission
      April 11, 2011 - Ambulatory Care Risk Managers Quality and Safety Professionals Diagnostic Errors Medication … Errors/Preventable Adverse Drug Events View More

9007. Not just "getting by": factors influencing providers' choice of interpreters. | PSNet
      psnet.ahrq.gov/issue/not-just-getting-factors-influencing-providers-choice-interpreters
      August 23, 2023 - The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medication … errors in pharmacists during the COVID-19 pandemic.

9008. Medical error disclosure training: evidence for values-based ethical environments. | PSNet
      psnet.ahrq.gov/issue/medical-error-disclosure-training-evidence-values-based-ethical-environments
      October 15, 2016 - January 26, 2022 Spike in fatal medication errors at the beginning of each month.

9009. The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. | PSNet
      psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and
      September 01, 2018 - September 20, 2011 Successful remediation of patient safety incidents: a tale of two medication … errors.

9010. Assessment of physician sleep and wellness, burnout, and clinically significant medical errors. | PSNet
      psnet.ahrq.gov/issue/assessment-physician-sleep-and-wellness-burnout-and-clinically-significant-medical-errors
      January 27, 2021 - December 13, 2013 Factors associated with medication errors in the pediatric emergency

9011. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. | PSNet
      psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic
      January 12, 2022 - 8, 2023 Multicomponent pharmacist intervention did not reduce clinically important medication … errors for ambulatory patients initiating direct oral anticoagulants.

9012. Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals. | PSNet
      psnet.ahrq.gov/issue/patient-involvement-evaluation-safety-oral-antineoplastic-treatment-failure-mode-and-effects
      June 18, 2013 - September 24, 2010 Medication errors in chemotherapy: incidence, types and involvement

9013. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837853/psn-pdf
      August 17, 2022 - RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. August 17, 2022 Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja…

9014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45524/psn-pdf
      January 03, 2017 - Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. January 3, 2017 Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial Engineering Methods to Improve Accuracy and Speed of Drug Sel…

9015. ISMP Medication Safety Alert!® Nurse-Advise ERR. | PSNet
      psnet.ahrq.gov/issue/ismp-medication-safety-alertr-nurse-advise-err
      January 26, 2023 - Newsletter/Journal ISMP Medication Safety Alert!® Nurse-Advise ERR. Citation Text: ISMP Medication Safety Alert!® Nurse-Advise ERR. Plymouth Meeting, PA: Institute for Safe Medication Practices. Copy Citation Save Save to your library Print Download PDF …

9016. Preventing adverse events caused by emergency electrical power system failures. | PSNet
      psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system-failures
      July 31, 2023 - December 23, 2016 Preventing pediatric medication errors.

9017. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34746/psn-pdf
      July 08, 2016 - Although the report has been criticized for its strong focus on medication errors and computerized order

9018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40647/psn-pdf
      February 20, 2019 - Too many abandon the "second victims" of medical errors. February 20, 2019 ISMP Medication Safety Alert! Acute care edition. July 14, 2011;16:1-3. https://psnet.ahrq.gov/issue/too-many-abandon-second-victims-medical-errors This piece discusses second victims and describes how five factors can help clinicians invol…

9019. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41345/psn-pdf
      September 08, 2016 - A shortage of everything except errors: harm associated with drug shortages. September 8, 2016 ISMP Medication Safety Alert! Acute Care Edition. April 19, 2012;17:1-3. https://psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages This article reports results from a survey of hospita…

9020. Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. | PSNet
      psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause
      June 22, 2022 - Hospital Readmissions and Improve Health Outcomes March 29, 2023 Detectability of medication … errors with a STOPP/START-based medication review in older people prior to a potentially preventable