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psnet.ahrq.gov/issue/medication-reconciliation-developing-and-implementing-program
August 21, 2024 - Study
Medication reconciliation: developing and implementing a program.
Citation Text:
Schwarz M, Wyskiel R. Medication Reconciliation: Developing and Implementing a Program. Crit Care Nurs Clin North Am. 2007;18(4). doi:10.1016/j.ccell.2006.09.003.
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psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice
April 06, 2011 - Commentary
Classic
Errors, incidents and accidents in anaesthetic practice.
Citation Text:
Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5…
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psnet.ahrq.gov/issue/strategies-reduce-diagnostic-errors-systematic-review
February 02, 2022 - Review
Strategies to reduce diagnostic errors: a systematic review
Citation Text:
Abimanyi-Ochom J, Mudiyanselage SB, Catchpool M, et al. Strategies to reduce diagnostic errors: a systematic review. BMC Med Inform Decis Mak. 2019;19(1):174. doi:10.1186/s12911-019-0901-1.
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psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors
September 02, 2020 - Study
Surgical skill is predicted by the ability to detect errors.
Citation Text:
Bann S, Khan M, Datta V, et al. Surgical skill is predicted by the ability to detect errors. Am J Surg. 2005;189(4):412-5.
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psnet.ahrq.gov/node/49779/psn-pdf
January 01, 2017 - DERS:
(Dose Error Reduction Software/System): Technology designed to reduce the incidence of IV medication … error.
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psnet.ahrq.gov/issue/drug-drug-interactions-should-be-non-interruptive-order-reduce-alert-fatigue-electronic
December 31, 2014 - Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication … error reductions.
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psnet.ahrq.gov/issue/right-dose-technology-helps-medicine-go-down
May 31, 2006 - Newspaper/Magazine Article
The right dose of technology helps the medicine go down.
Citation Text:
Patton S.
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November 16, 200…
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psnet.ahrq.gov/node/50630/psn-pdf
November 06, 2019 - Non-dispensing pharmacists' actions and solutions of
drug therapy problems among elderly polypharmacy
patients in primary care.
November 6, 2019
Hazen ACM, Zwart DLM, Poldervaart JM, et al. Non-dispensing pharmacists' actions and solutions of drug
therapy problems among elderly polypharmacy patients in primary car…
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psnet.ahrq.gov/node/35928/psn-pdf
June 09, 2011 - Clinical pharmacists and inpatient medical care: a
systematic review.
June 9, 2011
Kaboli PJ, Hoth AB, McClimon BJ, et al. Clinical pharmacists and inpatient medical care: a systematic
review. Arch Intern Med. 2006;166(9):955-64.
https://psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systemat…
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psnet.ahrq.gov/issue/learn-not-blame
November 14, 2011 - Multi-use Website
Learn Not Blame.
Citation Text:
Learn Not Blame. Doctors' Association UK.
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July 31, 2019
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psnet.ahrq.gov/issue/data-docs
March 02, 2016 - Newspaper/Magazine Article
Data docs.
Citation Text:
Data docs. Wherry R.
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November 4, 2015
Wherry R.
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psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-clinical-decision-support-adverse-drug-events-long
February 26, 2009 - An AHRQ WebM&M commentary discusses a case of a medication error associated with warfarin use at a
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psnet.ahrq.gov/issue/design-and-implementation-automated-email-notification-system-results-tests-pending-discharge
March 04, 2015 - Study
Design and implementation of an automated email notification system for results of tests pending at discharge.
Citation Text:
Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am M…
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psnet.ahrq.gov/node/44672/psn-pdf
October 11, 2017 - Identifying patient safety problems associated with
information technology in general practice: an analysis of
incident reports.
October 11, 2017
Magrabi F, Liaw ST, Arachi D, et al. Identifying patient safety problems associated with information
technology in general practice: an analysis of incident reports. BMJ…
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psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
March 28, 2012 - July 6, 2012
Medication-error reporting and pharmacy resident experience during implementation
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psnet.ahrq.gov/issue/health-literacy-quality-and-patient-safety-imperative
October 18, 2006 - July 5, 2006
Preventing Medication Errors: Quality Chasm Series.
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psnet.ahrq.gov/node/43825/psn-pdf
January 28, 2015 - issue/systematic-review-adult-admissions-icus-related-adverse-drug-events
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/862151/psn-pdf
February 07, 2024 - issue/quality-and-patient-safety-teams-perioperative-setting
https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes
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psnet.ahrq.gov/node/850341/psn-pdf
June 14, 2023 - associated with fatigue in anesthesia providers,
including deterioration in non-technical skills, increased medication … errors, poor attention and psychomotor
decline.
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psnet.ahrq.gov/node/43220/psn-pdf
April 03, 2017 - The program introduced a daily
questionnaire for parents and patients about problems related to medication … errors, equipment,
communication, or organization of care, which was then reviewed with a nurse to