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  1. Psn-Pdf (pdf file)

    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…
  2. psnet.ahrq.gov/issue/human-factor
    July 23, 2014 - October 18, 2017 Sick children face potentially deadly danger: medication errors.
  3. 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
  4. psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety
    September 13, 2023 - August 13, 2023 Prevention of perioperative medication errors.
  5. psnet.ahrq.gov/issue/patient-safety-supplement
    November 01, 2012 - October 19, 2010 Medication Errors.
  6. 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
  7. 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.
  8. 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.
  9. psnet.ahrq.gov/issue/hospitals-try-break-deadly-code
    August 24, 2016 - August 24, 2016 Report faults Children's Hospital for medication errors.
  10. 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.
  11. Psn-Pdf (pdf file)

    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- …
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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,…
  15. 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. …
  16. psnet.ahrq.gov/continuing-education
    February 26, 2025 - Venous Thrombosis and Thromboembolism (3) Medication Safety (57) MedicationErrors/Preventable Adverse Drug Events (37) Administration Errors (14) Dispensing
  17. 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 medicationerrors in hospitalized patients.( 6 ) Injectable potassium products are considered among the top five
  18. 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…
  19. Psn-Pdf (pdf file)

    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…
  20. 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 medicationerrors, questions the medication order? … WebM&M Cases When Looks Aren’t All They Appear to Be: A MedicationError in an Uncommon Indication October 28, 2020 View More

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