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psnet.ahrq.gov/node/74022/psn-pdf
March 01, 2021 - The Role of Community Pharmacists in Patient Safety
October 25, 2021
Luchen GG, Hall KK, Hough KR. The Role of Community Pharmacists in Patient Safety . PSNet [internet].
2021.
https://psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
What is a community pharmacy?
Community pharmacies are somet…
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psnet.ahrq.gov/issue/human-factor
July 23, 2014 - October 18, 2017
Sick children face potentially deadly danger: medication errors.
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psnet.ahrq.gov/issue/make-safety-priority-create-and-maintain-culture-safety
February 25, 2013 - February 12, 2020
Analysis of iatrogenic and in-hospital medication errors reported to
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psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety
September 13, 2023 - August 13, 2023
Prevention of perioperative medication errors.
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psnet.ahrq.gov/issue/patient-safety-supplement
November 01, 2012 - October 19, 2010
Medication Errors.
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psnet.ahrq.gov/issue/press-play-safety-conversations
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/maternal-deaths-metrowest-hospital-prompt-state-probes
August 24, 2016 - August 24, 2016
Report faults Children's Hospital for medication errors.
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psnet.ahrq.gov/issue/beth-israel-cited-residents-long-hours-facing-review-accreditation
August 24, 2016 - August 24, 2016
Report faults Children's Hospital for medication errors.
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psnet.ahrq.gov/issue/hospitals-try-break-deadly-code
August 24, 2016 - August 24, 2016
Report faults Children's Hospital for medication errors.
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psnet.ahrq.gov/issue/hospitals-try-calm-doctors-outbursts-medical-road-rage-affecting-patient-safety-group-says
August 24, 2016 - August 24, 2016
Report faults Children's Hospital for medication errors.
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psnet.ahrq.gov/node/42593/psn-pdf
June 10, 2018 - Death and neurological devastation from intrathecal vinca
alkaloids: prepared in syringes = 120; prepared in
minibags = 0.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition. September 5, 2013;18:1-4.
https://psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-
…
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psnet.ahrq.gov/node/46408/psn-pdf
November 29, 2017 - Eliminating vincristine administration events.
November 29, 2017
Quick Safety. October 16, 2017;(37):1-3.
https://psnet.ahrq.gov/issue/eliminating-vincristine-administration-events
Vincristine administration errors can have serious consequences. This newsletter article outlines steps to
reduce risks associated wit…
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psnet.ahrq.gov/node/50842/psn-pdf
January 29, 2020 - Patient Identification Errors: A Systems Challenge
January 29, 2020
Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
The Cases
The following four events involving five patients all involved…
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - Project BOOST Increases Patient Understanding of
Treatment and Follow-up Care
May 26, 2021
https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
Summary
The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge
needs,…
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psnet.ahrq.gov/issue/association-between-patient-outcomes-and-accreditation-us-hospitals-observational-study
May 19, 2021 - Study
Emerging Classic
Association between patient outcomes and accreditation in US hospitals: observational study.
Citation Text:
Lam MB, Figueroa JF, Feyman Y, et al. Association between patient outcomes and accreditation in US hospitals: observational study. …
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psnet.ahrq.gov/continuing-education
February 26, 2025 - Venous Thrombosis and Thromboembolism
(3)
Medication Safety
(57)
Medication … Errors/Preventable Adverse Drug Events
(37)
Administration Errors
(14)
Dispensing
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psnet.ahrq.gov/web-mm/too-much-too-fast
June 14, 2019 - including but not limited to potassium, have been implicated in up to 3.5% of preventable adverse events or medication … errors in hospitalized patients.( 6 ) Injectable potassium products are considered among the top five
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psnet.ahrq.gov/issue/computerised-clinical-decision-support-systems-improve-medication-safety-long-term-care-homes
May 17, 2023 - Review
Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review.
Citation Text:
Marasinghe KM. Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. BMJ Ope…
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psnet.ahrq.gov/node/43540/psn-pdf
July 18, 2016 - Physicians' practice of dispensing medicines: a
qualitative study.
July 18, 2016
Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study.
J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122.
https://psnet.ahrq.gov/issue/physicians-practice-dispensing-m…
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psnet.ahrq.gov/web-mm/one-dose-fifty-pills
January 13, 2021 - his senior resident or attending when a pharmacist, whose primary role in the hospital is to reduce medication … errors, questions the medication order? … WebM&M Cases
When Looks Aren’t All They Appear to Be: A Medication … Error in an Uncommon Indication
October 28, 2020
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