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3581. Adelman, Jason Stuart | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/adelman-jason-stuart
      July 24, 2024 - Improve Patient Safety Event Date July 24, 2024 - 2:30pm - July 24, 2024 - 4:00pm Medication … errors are a leading cause of injury and avoidable harm in healthcare, with an estimated 1.3 million … Preventable medication errors cost the nation more than $21 billion annually across all care settings

3582. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33672/psn-pdf
      September 01, 2008 - Poon: Many patient safety technologies are available to prevent medication errors, and CPOE certainly … Research has shown that CPOE is capable of reducing the incidence of serious medication errors by about … Specifically, according to Leape's 1995 study, only about a third to a half of serious medication errors … We actually did a study that shows that we reduced the incidence of medication errors with the potential … While the pharmacy does not produce the lion's share of medication errors, the cost associated with

3583. Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports. | PSNet
      psnet.ahrq.gov/issue/identifying-safety-hazards-associated-intravenous-vancomycin-through-analysis-patient-safety
      January 25, 2023 - October 20, 2021 ISMP medication error report analysis.

3584. Transformational leadership in nursing and medication safety education: a discussion paper. | PSNet
      psnet.ahrq.gov/issue/transformational-leadership-nursing-and-medication-safety-education-discussion-paper
      September 08, 2021 - July 11, 2018 Differences between methods of detecting medication errors: a secondary … August 14, 2019 Medication errors involving nursing students: a systematic review. … December 19, 2012 Prospective pilot intervention study to prevent medication errors in

3585. Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. | PSNet
      psnet.ahrq.gov/issue/analysis-prescribers-notes-electronic-prescriptions-ambulatory-practice
      July 23, 2018 - administration instructions from the designated structured field, creating an important source of potential medication … errors . … December 5, 2012 A pharmacist-led information technology intervention for medication … errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.

3586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43799/psn-pdf
      January 07, 2015 - omission-high-alert-medications-hidden-danger Analyzing incidents reported over a 4-month period, this article reveals that 21% of 2700 medication … errors involved at least one high-alert medication. … omission-high-alert-medications-hidden-danger https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

3587. Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database. | PSNet
      psnet.ahrq.gov/issue/potential-benefits-and-problems-computerized-prescriber-order-entry-analysis-voluntary
      January 06, 2017 - error-reporting database. … error-reporting database. … error-reporting database. … error reports? … The case of warfarin-related medication errors.

3588. The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives. | PSNet
      psnet.ahrq.gov/issue/vha-new-england-medication-error-prevention-initiative-model-long-term-improvement
      January 04, 2017 - Commentary The VHA New England Medication Error Prevention Initiative as a model … The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives … May 1, 2013 View More Related Resources ISMP medication error report … June 16, 2019 ISMP medication error report analysis. … November 23, 2016 The sterile cockpit: an effective approach to reducing medication errors

3589. Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France. | PSNet
      psnet.ahrq.gov/issue/medication-errors-intravenous-drug-preparation-and-administration-multicentre-audit-uk
      December 04, 2015 - Study Medication errors in intravenous drug preparation and administration: a multicentre … Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, … Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

3590. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. | PSNet
      psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication
      December 04, 2013 - error interventions. … error interventions. … September 21, 2016 Interventions for reducing medication errors in children in hospital … February 1, 2012 Medication-error reporting and pharmacy resident experience during implementation … September 29, 2010 Minimising medication errors in children.

3591. Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. | PSNet
      psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order-verification-tertiary
      January 23, 2013 - Study Frequency of and risk factors for medication errors by pharmacists during order … Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary … December 19, 2017 Comparison of intensive care unit medication errors reported to the … error report analysis. … August 19, 2016 Out-of-hospital medication errors among young children in the United

3592. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. | PSNet
      psnet.ahrq.gov/issue/importance-establishing-regimen-concordance-preventing-medication-errors-anticoagulant-care
      January 02, 2017 - The importance of establishing regimen concordance in preventing medication errors in anticoagulant care … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … December 23, 2016 ISMP medication error report analysis.

3593. Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study. | PSNet
      psnet.ahrq.gov/issue/medicines-management-medication-errors-and-adverse-medication-events-older-people-referred
      January 06, 2016 - Study Medicines management, medication errors and adverse medication events in older … Medicines Management, Medication Errors and Adverse Medication Events in Older People Referred to a Community … Medicines Management, Medication Errors and Adverse Medication Events in Older People Referred to a Community … April 24, 2018 Liquid medication errors and dosing tools: a randomized controlled experiment … May 31, 2017 Pictograms, units and dosing tools, and parent medication errors: a randomized

3594. Medication administration errors in nursing homes using an automated medication dispensing system. | PSNet
      psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication-dispensing-system
      January 23, 2019 - error. … errors and risk factors. … December 29, 2014 The influence that electronic prescribing has on medication errors … July 31, 2008 Comparison of potential risk factors for medication errors with and without … errors in care homes for older people.

3595. Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature. | PSNet
      psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review
      March 26, 2014 - Commentary Safe labeling practices to minimize medication errors in anesthesia: 5 … Safe Labeling Practices to Minimize Medication Errors in Anesthesia. … Safe Labeling Practices to Minimize Medication Errors in Anesthesia. … June 12, 2012 View More Related Resources ISMP medication error … June 16, 2019 ISMP medication error report analysis.

3596. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. | PSNet
      psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
      November 18, 2016 - Study Ambulatory medication errors and adverse events involved in medicine-related … Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 … May 31, 2023 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

3597. Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. | PSNet
      psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through-simultaneous-cultural
      April 24, 2018 - Study Increasing medication error reporting rates while reducing harm through simultaneous … Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level … Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level … June 20, 2011 Computerized physician order entry, a factor in medication errors: descriptive … May 27, 2011 A comparison of voluntarily reported medication errors in intensive care

3598. Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system. | PSNet
      psnet.ahrq.gov/issue/computerized-physician-order-entry-factor-medication-errors-descriptive-analysis-events
      July 14, 2010 - Study Computerized physician order entry, a factor in medication errors: descriptive … Citation Text: Computerized physician order entry, a factor in medication errors: descriptive analysis … March 27, 2019 EHR-related medication errors in two ICUs. … February 11, 2015 Increasing medication error reporting rates while reducing harm through … November 1, 2011 A comparison of voluntarily reported medication errors in intensive

3599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49614/psn-pdf
      November 01, 2010 - The Commentary Both cases illustrate medication errors related to inaccurate patient medication information … Look-alike, sound-alike medication errors (1) might be prevented by effective medication reconciliation

3600. Reducing latent errors, drift errors, and stakeholder dissonance. | PSNet
      psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
      December 14, 2010 - July 21, 2021 Paramedic self-reported medication errors. … February 7, 2024 Medication errors in anesthesiology: is it time to train by example? … September 8, 2021 ISMP medication error report analysis.