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6401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44654/psn-pdf
      November 11, 2015 - standardized chemotherapy orders within a computerized provider order entry system were associated with fewer medication … errors as well as improved dispensing efficiency compared with the older, paper-based order system.

6402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43584/psn-pdf
      October 22, 2014 - The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! October 22, 2014 ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5. https://psnet.ahrq.gov/issue/dirty-dozen-12-persistent-safety-gaffes-we-need-resolve Changes in practice require time and monitoring to achieve lasting …

6403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43190/psn-pdf
      September 04, 2015 - Elevated risks of medication errors, venous thromboembolism, surgical complications, and airway management … patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

6404. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44644/psn-pdf
      February 14, 2017 - well-intentioned, this population-based study demonstrates that off-label prescribing is a risk factor for medication … errors. … issue/association-label-drug-use-and-adverse-drug-events-adult-population https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

6405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44609/psn-pdf
      June 21, 2016 - Included studies demonstrate that the types of adverse events patients most often identify are medication … errors and suboptimal communication, and that patient demographic characteristics influence the likelihood … exploring-patient-engagement-reducing-health-care-related-safety-risks https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

6406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42169/psn-pdf
      September 07, 2016 - Use of less familiar alternatives also led to increased risk of medication errors and adverse outcomes … Near misses were reported by 16% of respondents, and 6% documented medication errors.

6407. On patient safety: when are we too old to operate? | PSNet
      psnet.ahrq.gov/issue/patient-safety-when-are-we-too-old-operate
      October 19, 2022 - September 2, 2015 Liquid medication errors and dosing tools: a randomized controlled … May 31, 2017 Pictograms, units and dosing tools, and parent medication errors: a randomized

6408. Integrating the intensive care unit safety reporting system with existing incident reporting systems. | PSNet
      psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems
      January 12, 2011 - June 16, 2011 Computerized physician order entry, a factor in medication errors: descriptive … The attitudes and beliefs of healthcare professionals on the causes and reporting of medication … errors in a UK intensive care unit.

6409. Provider interruptions and patient perceptions of care: an observational study in the emergency department. | PSNet
      psnet.ahrq.gov/issue/provider-interruptions-and-patient-perceptions-care-observational-study-emergency-department
      June 26, 2024 - 1, 2012 Are temporary staff associated with more severe emergency department medication … errors? … September 7, 2011 A "back to basics" approach to reduce ED medication errors.

6410. Second victim: a traumatic experience. | PSNet
      psnet.ahrq.gov/issue/second-victim-traumatic-experience
      October 06, 2016 - October 6, 2016 Pediatric medication errors and reduction strategies in the perioperative … March 14, 2016 Differences between methods of detecting medication errors: a secondary

6411. Opioid abuse in chronic pain—misconceptions and mitigation strategies. | PSNet
      psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconceptions-and-mitigation-strategies
      November 18, 2016 - January 11, 2017 Impact of a drug shortage on medication errors and clinical outcomes … September 6, 2016 Quantifying the burden of opioid medication errors in adult oncology

6412. Creating a fair and just culture: one institution's path toward organizational change. | PSNet
      psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational-change
      July 23, 2014 - RIS Download Citation Related Resources From the Same Author(s) Medication … errors involving oral chemotherapy. … May 4, 2022 Successful remediation of patient safety incidents: a tale of two medication … errors.

6413. Economic evaluation in patient safety: a literature review of methods. | PSNet
      psnet.ahrq.gov/issue/economic-evaluation-patient-safety-literature-review-methods
      March 05, 2025 - August 7, 2019 Effect of a mobile app on prehospital medication errors during simulated … October 13, 2018 Harm prevalence due to medication errors involving high-alert medications

6414. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. | PSNet
      psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
      August 28, 2019 - May 31, 2017 Liquid medication errors and dosing tools: a randomized controlled experiment … December 14, 2016 Pictograms, units and dosing tools, and parent medication errors: a

6415. ISMP Medication Safety Self Assessment for Hospitals. | PSNet
      psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals
      April 17, 2024 - August 12, 2016 Medication errors: when pharmacy is closed.

6416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43691/psn-pdf
      August 28, 2017 - Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. August 28, 2017 Balasuriya L, Vyles D, Bakerman P, et al. Computerized Dose Range Checking Using Hard and Soft Stop Alerts Reduces Prescribing Errors in a Pediatric Intensive Care Unit. J…

6417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73628/psn-pdf
      August 25, 2021 - Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in 142 simulated prehospital pediatric patient encounters. August 25, 2021 Hoyle JD, Ekblad G, Woodwyk A, et al. Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in 1…

6418. Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. | PSNet
      psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order
      December 21, 2022 - July 1, 2017 A pharmacist-led information technology intervention for medication errors

6419. El Camino Hospital: using health information technology to promote patient safety. | PSNet
      psnet.ahrq.gov/issue/el-camino-hospital-using-health-information-technology-promote-patient-safety
      March 06, 2013 - Award Recipient El Camino Hospital: using health information technology to promote patient safety. Citation Text: Bukunt S, Hunter C, Perkins S, et al. El Camino Hospital: Using Health Information Technology to Promote Patient Safety. Jt Comm J Qual Patient Saf. 2016;31(10):561-565. doi:…

6420. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. | PSNet
      psnet.ahrq.gov/issue/medication-prescribing-and-monitoring-errors-primary-care-report-practice-partner-research
      January 18, 2013 - Study Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. Citation Text: Wessell AM, Litvin C, Jenkins RG, et al. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Net…