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psnet.ahrq.gov/issue/making-infusion-error-second-victims-infusion-therapy-related-medication-errors
June 27, 2018 - Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors. … Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors. … June 27, 2018
Medication errors, routines, and differences between perioperative and … error accounts. … July 19, 2023
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Medication errors: the
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psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-errors
June 16, 2019 - errors. … Citation Text:
Proceedings of a summit on preventing patient harm and death from i.v. medication errors … errors. doi:10.2146/ajhp080406. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis
March 16, 2022 - November 2, 2018
Evaluating the potential severity of look-alike, sound-alike drug substitution … errors in children.
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psnet.ahrq.gov/issue/effect-clinical-pharmacist-led-training-programme-intravenous-medication-errors-controlled
March 04, 2011 - The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled … The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled … December 29, 2014
Medication errors: the impact of prescribing and transcribing errors … June 13, 2011
Implementation of medication error reporting through Med Safe Tool: the … April 8, 2009
Unit-based clinical pharmacists' prevention of serious medication errors
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psnet.ahrq.gov/issue/medication-safety-education-program-reduce-risk-harm-caused-medication-errors
June 27, 2018 - Commentary
A medication safety education program to reduce the risk of harm caused by medication … errors. … A medication safety education program to reduce the risk of harm caused by medication errors. … A medication safety education program to reduce the risk of harm caused by medication errors. … May 11, 2011
Detection and prevention of medication errors using real-time bedside nurse
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psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
July 13, 2009 - of voluntarily reported medication errors. … error-reporting database. … error-reporting program. … July 12, 2010
Antiretroviral medication errors in a national medication error database … July 1, 2016
Medication error reduction and the use of PDA technology.
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit-influence-observation-error-rate
May 13, 2009 - Study
Medication errors in a neonatal intensive care unit. … Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. … Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. … September 30, 2020
ISMP medication error report analysis. … March 28, 2012
Medication-error reporting and pharmacy resident experience during implementation
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psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system
January 12, 2022 - errors in "high-risk" patients. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … May 7, 2018
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness
May 26, 2021 - Study
Medication errors in anesthesiology: is it time to train by example? … Medication errors in anesthesiology: is it time to train by example? … This study used clinical vignettes describing a medication error or near miss to explore error awareness … Perioperative medication error awareness and assessment of potential harm were variable, and the likelihood … Medication errors in anesthesiology: is it time to train by example?
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psnet.ahrq.gov/issue/nursing-student-medication-errors-snapshot-view-school-nursings-quality-and-safety-officer
October 19, 2022 - Commentary
Nursing student medication errors: a snapshot view from a school of nursing's … Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer … This commentary illustrates how a medication error reporting project in nursing school improved student … Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer
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psnet.ahrq.gov/issue/identifying-high-alert-medications-university-hospital-applying-data-medication-error
August 03, 2017 - May 8, 2024
Systemic defenses to prevent intravenous medication errors in hospitals: … July 1, 2020
Systemic causes of in-hospital intravenous medication errors: a systematic … June 16, 2019
ISMP medication error report analysis. … errors. … September 14, 2011
A comparison of voluntarily reported medication errors in intensive
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psnet.ahrq.gov/issue/preventing-medication-errors-long-term-care-results-and-evaluation-large-scale-web-based
June 15, 2011 - Study
Preventing medication errors in long-term care: results and evaluation of a … Preventing medication errors in long-term care: results and evaluation of a large scale web-based error … This study reports the initial results of an Internet-based medication error reporting system for nursing … June 15, 2011
Patterns in nursing home medication errors: disproportionality analysis … December 15, 2011
Medication error reporting in nursing homes: identifying targets for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
July 17, 2008 - Introduction
The Risk from Medication Errors
Medication errors are the most common source of risk … Medication Error Severity
The severity of medication errors varied by the availability of pharmacist … to participate in a national medication
error-reporting program. … Index for categorizing medication errors. … Error Report Data
Statistical Analyses
Results
Sample Characteristics
Medication Error Severity
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psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing
July 23, 2008 - Systematic Review of the Prevalence of Medication Errors Resulting in Hospitalization and Death of Nursing … This systematic review examined medication errors in nursing homes and found a high prevalence of errors … Systematic Review of the Prevalence of Medication Errors Resulting in Hospitalization and Death of Nursing … December 13, 2017
Economic impact of medication error: a systematic review. … May 17, 2017
Interventions to reduce medication errors in adult intensive care: a systematic
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psnet.ahrq.gov/issue/frequency-and-severity-harm-medication-errors-related-parenteral-nutrition-process-large
January 16, 2019 - Study
Frequency and severity of harm of medication errors related to the parenteral … Frequency and severity of harm of medication errors related to the parenteral nutrition process in a … Approximately 1 in 60 prescriptions for parenteral nutrition resulted in a medication error, most of … Frequency and severity of harm of medication errors related to the parenteral nutrition process in a … January 16, 2019
Medication errors recovered by emergency department pharmacists.
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psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
June 28, 2017 - Commentary
The alarming reality of medication error: a patient case and review of … The alarming reality of medication error: a patient case and review of Pennsylvania and National data … This commentary describes an incident involving a medication error to illustrate how the Swiss cheese … The authors review estimated incidence of medication errors at both local and national levels. … May 13, 2015
Determining medication errors in an adult intensive care unit.
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psnet.ahrq.gov/issue/medication-errors-resulting-computer-entry-nonprescribers
January 02, 2017 - Study
Medication errors resulting from computer entry by nonprescribers. … Medication errors resulting from computer entry by nonprescribers. … Medication errors resulting from computer entry by nonprescribers. … January 2, 2017
Medication errors involving pediatric patients. … September 16, 2009
A comparison of voluntarily reported medication errors in intensive
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psnet.ahrq.gov/issue/medication-errors-associated-code-situations-us-hospitals-direct-and-collateral-damage
June 29, 2011 - Study
Medication errors associated with code situations in U.S. hospitals: direct … Medication Errors Associated with Code Situations in U.S. Hospitals: Direct and Collateral Damage. … This study describes medication error types that occur in “code” situations and also highlights their … Medication Errors Associated with Code Situations in U.S. Hospitals: Direct and Collateral Damage. … February 14, 2017
Cardiovascular medication errors in children.
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psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
July 02, 2019 - When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication
Citation … When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . … When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . … Take Home Points
Medication errors are among the most common medical errors
Medication errors … Medication Errors Associated with Look-alike/Sound-alike Drugs: A Brief Review.
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psnet.ahrq.gov/issue/reconcilable-differences-correcting-medication-errors-hospital-admission-and-discharge
February 13, 2019 - Study
Reconcilable differences: correcting medication errors at hospital admission … Reconcilable differences: correcting medication errors at hospital admission and discharge. … Reconcilable differences: correcting medication errors at hospital admission and discharge. … April 22, 2011
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ISMP medication error