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9701. Hospitals collaborate to prevent wrong-site surgery. | PSNet
      psnet.ahrq.gov/issue/hospitals-collaborate-prevent-wrong-site-surgery
      November 28, 2018 - April 16, 2018 Medication errors with the dosing of insulin: problems across the continuum

9702. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38550/psn-pdf
      May 08, 2018 - Fatal outcome after inadvertent injection of topical epinephrine. May 8, 2018 ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2. https://psnet.ahrq.gov/issue/fatal-outcome-after-inadvertent-injection-topical-epinephrine This article reports on the mistaken administration of a high-alert medic…

9703. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45165/psn-pdf
      July 19, 2016 - Standardize 4 Safety. July 19, 2016 American Society of Health-System Pharmacists. https://psnet.ahrq.gov/issue/standardize-4-safety Standardization has been highlighted as a way to improve safety in surgery, care transitions, and medication administration. This initiative seeks to develop consensus guidelines and…

9704. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37265/psn-pdf
      May 02, 2018 - Potassium may no longer be stocked on patient care units, but serious threats still exist! May 2, 2018 ISMP Medication Safety Alert! Acute care edition. October 4, 2007. https://psnet.ahrq.gov/issue/potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still- exist This article describes how error…

9705. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49467/psn-pdf
      December 01, 2004 - A "Weak" Response December 1, 2004 Reisman AB. A "Weak" Response. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/weak-response The Case A primary care physician on call for his group received a call at 9:00PM from a 68-year-old man. He said, "They started me on a new pill for my blood pressure and now I fe…

9706. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37478/psn-pdf
      February 22, 2011 - Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. February 22, 2011 Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.1007/s11606-007- 0414-y. https://p…

9707. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865922/psn-pdf
      May 22, 2024 - Pharmacy-driven performance improvement initiative to increase compliance with intravenous smart pump drug error reduction systems at a large urban academic medical center. May 22, 2024 Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to increase compliance with intraveno…

9708. Innovations | PSNet
      psnet.ahrq.gov/innovations
      February 26, 2025 - Venous Thrombosis and Thromboembolism (1) Medication Safety (12) Medication … Errors/Preventable Adverse Drug Events (7) Administration Errors (1) Dispensing

9709. Never events: Utah hospitals saw nearly 60 serious errors in 2007. | PSNet
      psnet.ahrq.gov/issue/never-events-utah-hospitals-saw-nearly-60-serious-errors-2007
      July 08, 2009 - Newspaper/Magazine Article Never events: Utah hospitals saw nearly 60 serious errors in 2007. Citation Text: Never events: Utah hospitals saw nearly 60 serious errors in 2007. May H. Salt Lake Tribune. August 18, 2008. Copy Citation Save Save to your library…

9710. Guidelines for Adult IV Push Medications. | PSNet
      psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications
      April 01, 2015 - Book/Report Guidelines for Adult IV Push Medications. Citation Text: Guidelines for Adult IV Push Medications. Horsham, PA: The Institute for Safe Medication Practices; July 2015. Copy Citation Save Save to your library Print Download PDF Share …

9711. Effect of different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute noncancer pain: a cluster randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/effect-different-interventions-help-primary-care-clinicians-avoid-unsafe-opioid-prescribing
      October 26, 2022 - June 22, 2022 ISMP medication error report analysis.

9712. Four states with robust prescription drug monitoring programs reduced opioid dosages. | PSNet
      psnet.ahrq.gov/issue/four-states-robust-prescription-drug-monitoring-programs-reduced-opioid-dosages
      June 21, 2016 - June 23, 2021 ISMP medication error report analysis.

9713. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74186/psn-pdf
      January 01, 2022 - highlight the key role of appropriate nurse staffing in reducing the incidence of events such as falls and medication … errors https://psnet.ahrq.gov/issue/staffing-teamwork-and-scope-practice-analysis-association-patient-safety-context

9714. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45288/psn-pdf
      September 04, 2016 - nonrandomized-intervention-study-naloxone-coprescription-primary-care-patients-receiving-long https://psnet.ahrq.gov/issue/addressing-opioid-misuse https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

9715. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48122/psn-pdf
      August 21, 2019 - ashp-national-survey-pharmacy-practice-hospital-settings-monitoring-and-patient-education-1 https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals

9716. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45050/psn-pdf
      May 03, 2016 - using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio https://psnet.ahrq.gov/issue/telemedicine-consultations-and-medication-errors-rural-emergency-departments

9717. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44455/psn-pdf
      September 02, 2015 - https://psnet.ahrq.gov/issue/impact-safety-organizing-trusted-leadership-and-care-pathways-reported-medication-errors

9718. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43153/psn-pdf
      May 07, 2014 - issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey https://psnet.ahrq.gov/issue/medication-errors-home-multisite-study-children-cancer

9719. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46548/psn-pdf
      April 16, 2018 - nurses-communication-safety-events-nursing-home-residents-and-families https://psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing

9720. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43524/psn-pdf
      October 29, 2014 - psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events