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psnet.ahrq.gov/node/43062/psn-pdf
September 04, 2016 - evidence linking safety culture and patient outcomes, including
satisfaction, falls, readmission rates, medication … errors, and mortality.
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - in healthcare are consistently reported as leading causes of preventable adverse events, including medication … errors and misdiagnosis. 1 It is widely recognized that communication , which can be defined as “the … errors, and misdiagnosis or delays in treatment. … study published in 2023 identified ineffective communication as a key contributor to high rates of medication … errors when transitioning patients from the ICU to the general medical ward.
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psnet.ahrq.gov/node/37578/psn-pdf
May 02, 2018 - Keeping patients safe from iatrogenic methadone
overdoses.
May 2, 2018
ISMP Medication Safety Alert! Acute care edition. February 14, 2008.
https://psnet.ahrq.gov/issue/keeping-patients-safe-iatrogenic-methadone-overdoses
This article describes errors that can occur when methadone is prescribed for pain and offers…
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psnet.ahrq.gov/node/39593/psn-pdf
June 09, 2010 - Look-alike, sound-alike drugs trigger dangers.
June 9, 2010
Aleccia J.
https://psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-trigger-dangers
This news piece details errors involving medication name confusion and presents tips for consumers to
avoid such mistakes.
https://psnet.ahrq.gov/issue/look-alike-sound-…
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psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine
December 21, 2016 - Commentary
System-related and cognitive errors in laboratory medicine.
Citation Text:
Plebani M. System-related and cognitive errors in laboratory medicine. Diagnosis (Berl). 2018;5(4):191-196. doi:10.1515/dx-2018-0085.
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Format:
DOI Google Scholar PubMed BibTeX…
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psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies
August 25, 2021 - Commentary
Errors in clinical reasoning: causes and remedial strategies.
Citation Text:
Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;338:b1860. doi:10.1136/bmj.b1860.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XM…
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psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
July 17, 2024 - Common incidents included pressure injuries, medication errors , and premature discharge.
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psnet.ahrq.gov/issue/duke-center-healthcare-safety-and-quality
June 01, 2016 - July 10, 2019
Prevalence and Economic Burden of Medication Errors in the NHS England.
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psnet.ahrq.gov/issue/patient-safety-measures-complications
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/patient-safety-papers-5
July 03, 2013 - February 10, 2010
Medication Errors.
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psnet.ahrq.gov/issue/patient-safety-old-and-new-issue
June 01, 2011 - About The Topic
Discontinuities, Gaps, and Hand-Off Problems
Fatigue and Sleep Deprivation
Medication … Errors/Preventable Adverse Drug Events
Nosocomial Infections
Venous Thrombosis and Thromboembolism
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psnet.ahrq.gov/issue/do-no-harm
June 27, 2018 - March 27, 2018
Medication errors in older people with mental health problems: a review
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psnet.ahrq.gov/issue/canadian-patient-safety-week
August 24, 2022 - September 30, 2020
Do No Harm: Are We Preventing Medication Errors in Children with Medical
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psnet.ahrq.gov/issue/safety-numbers-try-connectivity
October 07, 2008 - May 1, 2015
Hospital Medication Errors Commonplace.
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psnet.ahrq.gov/issue/adverse-events
October 28, 2020 - View More
See More About The Topic
Quality and Safety Professionals
Patients
Medication … Errors/Preventable Adverse Drug Events
Pressure Ulcers
Surgical Complications
View More
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psnet.ahrq.gov/node/46965/psn-pdf
March 28, 2018 - The other opioid crisis: hospital shortages lead to patient
pain, medical errors.
March 28, 2018
Bartolone P. Kaiser Health News. March 16, 2018.
https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
Drug shortages may require clinicians, pharmacists, and hospitals to…
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psnet.ahrq.gov/node/44883/psn-pdf
February 17, 2016 - Comparison of barcode scanning by pharmacy
technicians and pharmacists' visual checks for final
product verification.
February 17, 2016
Wang BN-T, Brummond P, Stevenson JG. Comparison of barcode scanning by pharmacy technicians and
pharmacists' visual checks for final product verification. Am J Health Syst Pharm. …
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psnet.ahrq.gov/node/38163/psn-pdf
April 11, 2011 - Retrospective evaluation of a computerized physician
order entry adaptation to prevent prescribing errors in a
pediatric emergency department.
April 11, 2011
Sard BE, Walsh KE, Doros G, et al. Retrospective evaluation of a computerized physician order entry
adaptation to prevent prescribing errors in a pediatric e…
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psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - WebM&M Cases
Syringe Swap During Regional Block: A Case of Medication … Error and Recovery
January 31, 2024
Intervention study for the reduction of … medication errors in elderly trauma patients. … August 23, 2017
Medication errors in the care transition of trauma patients
December … 18, 2019
Using Healthcare Failure Mode and Effect Analysis to reduce medication errors
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psnet.ahrq.gov/issue/organisational-conditions-safety-management-practice-homecare-and-nursing-homes-pre-pandemic
August 03, 2022 - Identifying high-alert medications in a university hospital by applying data from the medication … error reporting system.