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psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
August 28, 2024 - Related Resources From the Same Author(s)
Developing a process to measure actual harm from medication … errors in paediatric inpatients: from design to implementation.
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psnet.ahrq.gov/issue/improving-care-safety-characterizing-task-interruptions-during-interactions-between
March 05, 2025 - November 29, 2023
Improving cancer patient care with combined medication error reviews
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psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
March 02, 2011 - Study
Communication factors in the follow-up of abnormal mammograms.
Citation Text:
Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x.
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Forma…
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psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
August 03, 2017 - Study
Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system.
Citation Text:
Schulz CM, Krautheim V, Hackemann A, et al. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting syste…
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psnet.ahrq.gov/issue/investigating-impact-pharmacist-intervention-inappropriate-prescribing-practices-hospital
November 30, 2022 - August 2, 2023
Detectability of medication errors with a STOPP/START-based medication
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2007
January 01, 2007 - medications can improve patients' health, the process of prescribing them is complex and error prone, and medication … errors cause many preventable injuries.
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psnet.ahrq.gov/issue/twelve-tips-teaching-avoidance-diagnostic-errors
August 20, 2018 - September 21, 2005
Medication error prevention by clinical pharmacists in two children's
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psnet.ahrq.gov/issue/data-consistency-voluntary-medical-incident-reporting-system
August 21, 2024 - June 23, 2010
Utility of an online medication-error-reporting system.
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psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
August 01, 2018 - 2018
An internal quality improvement collaborative significantly reduces hospital-wide medication … error related adverse drug events.
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psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff-education
February 17, 2011 - June 22, 2011
Improving medication error reporting in hospice care.
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psnet.ahrq.gov/issue/implementation-computerized-physician-order-entry-seven-countries
April 05, 2017 - 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/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic
August 04, 2021 - November 16, 2022
ISMP medication error report analysis.
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psnet.ahrq.gov/node/45125/psn-pdf
January 26, 2023 - FDA and ISMP Lists of Look-Alike Drug Names With
Recommended Tall Man Letters.
January 26, 2023
Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Institute
for Safe Medication Practices; January 2023.
https://psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-name…
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psnet.ahrq.gov/issue/medical-errors-arising-outsourcing-laboratory-and-radiology-services
October 19, 2022 - Study
Medical errors arising from outsourcing laboratory and radiology services.
Citation Text:
Chasin BS, Elliott SP, Klotz SA. Medical errors arising from outsourcing laboratory and radiology services. Am J Med. 2007;120(9):819.e9-11.
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psnet.ahrq.gov/issue/analyzing-communication-errors-air-medical-transport-service
August 04, 2021 - Study
Analyzing communication errors in an air medical transport service.
Citation Text:
Dalto JD, Weir C, Thomas F. Analyzing communication errors in an air medical transport service. Air Med J. 2013;32(3):129-37. doi:10.1016/j.amj.2012.10.019.
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DOI G…
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psnet.ahrq.gov/issue/safety-leadership-managing-paradox
November 02, 2011 - October 2, 2013
Prevalence and Economic Burden of Medication Errors in the NHS England
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psnet.ahrq.gov/issue/malpractice-makes-perfect
April 04, 2018 - December 3, 2007
Prevalence and Economic Burden of Medication Errors in the NHS England
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psnet.ahrq.gov/issue/21st-century-health-information-act-2005
March 27, 2005 - August 5, 2008
Preventing high-alert medication errors in hospital patients.
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psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version-03-beta
September 06, 2011 - April 15, 2005
Preventing Medication Errors: A $21 Billion Opportunity.
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psnet.ahrq.gov/issue/smart-healthcare-safety
November 13, 2019 - July 17, 2024
Guardians of grafts: reducing medication errors in transplant recipients