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  1. psnet.ahrq.gov/issue/characteristics-and-trends-medical-diagnostic-errors-united-states
    December 14, 2022 - Study Characteristics and trends of medical diagnostic errors in the United States. Citation Text: Ao HS, Matthews T. Characteristics and trends of medical diagnostic errors in the United States. Patient Safety. 2024;6(1):123603. doi:10.33940/001c.123603. Copy Citation Format: …
  2. psnet.ahrq.gov/issue/effect-communication-errors-during-calls-antimicrobial-stewardship-program
    June 22, 2022 - Study Effect of communication errors during calls to an antimicrobial stewardship program. Citation Text: Linkin DR, Fishman NO, Landis R, et al. Effect of communication errors during calls to an antimicrobial stewardship program. Infect Control Hosp Epidemiol. 2007;28(12):1374-1381. …
  3. psnet.ahrq.gov/issue/medication-communication-concept-analysis
    June 16, 2021 - Review Medication communication: a concept analysis. Citation Text: Manias E. Medication communication: a concept analysis. J Adv Nurs. 2010;66(4):933-43. doi:10.1111/j.1365-2648.2009.05225.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
  4. digital.ahrq.gov/2018-year-review/research-spotlights/leveraging-health-it-test-solutions-are-replicable-scalable-and
    January 01, 2018 - Leveraging Health IT to Test Solutions That Are Replicable, Scalable, and Improve Patient Safety Impact “Studies like that by Adelman and colleagues point the way to the creation of a digital learning health care system, in which the results of the interactions between clinicians (and, increasingly, patients …
  5. psnet.ahrq.gov/issue/oversedation-patient-obstructive-sleep-apnea-prior-imaging
    September 02, 2020 - January 17, 2018 View More Related Resources ISMP medication error … 17, 2017 Shaping systems for better behavioral choices: lessons learned from a fatal medicationerror. … See More About The Topic Hospitals Health Care Providers Anesthesiology MedicationErrors/Preventable Adverse Drug Events MRI safety View More
  6. 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…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49584/psn-pdf
    April 01, 2009 - Ross Koppel, PhD Principal Investigator Study of Hospital Workplace Culture and Medication Errors Center … Role of computerized physician order entry systems in facilitating medication errors.
  8. psnet.ahrq.gov/issue/parents-partners-obtaining-medication-history
    March 19, 2019 - Study Parents as partners in obtaining the medication history. Citation Text: Porter SC, Kohane IS, Goldmann DA. Parents as partners in obtaining the medication history. J Am Med Inform Assoc. 2005;12(3):299-305. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851349/psn-pdf
    July 12, 2023 - contributory-factors-and-patient-harm-including-deaths-associated-direct- acting-oral Direct oral anticoagulant (DOAC) dosing is complex and can lead to medicationerrors.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848314/psn-pdf
    May 03, 2023 - polypharmacy-and-potentially-inappropriate-medication-people-dementia-nationwide-study https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
  11. psnet.ahrq.gov/issue/translating-electronic-health-record-based-patient-safety-algorithms-research-clinical
    October 27, 2021 - Study Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. Citation Text: Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. Zimolzak AJ, Singh H,…
  12. psnet.ahrq.gov/issue/patient-safety-crossroads
    March 18, 2019 - Commentary Patient safety at the crossroads. Citation Text: Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30. doi:10.1001/jama.2016.1759. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…
  13. psnet.ahrq.gov/issue/impact-medical-errors-and-malpractice-health-economics-quality-and-patient-safety
    November 28, 2018 - Book/Report Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety. Citation Text: Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety. Riga M, ed. Hershey, PA: IGI Global; 2017. ISBN: 9781522523376. Copy Citation…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43311/psn-pdf
    July 02, 2014 - Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. July 2, 2014 ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19:1-5. https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating- undue-risk This newsletter article …
  15. digital.ahrq.gov/ahrq-funded-projects/etiology-medication-ordering-errors-computerized-provider-order-entry-systems/final-report
    January 01, 2023 - An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems - Final Report Citation Abraham J. An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems - Final Report. (Prepared by the University of Illinois at Chicago under Grant No. R21 HS02…
  16. 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. Copy Citation Forma…
  17. psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-adverse-events-after-outpatient-orthopaedic
    December 19, 2017 - Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type of medicationerrors and risk factors.
  18. psnet.ahrq.gov/issue/aspen-survey-parenteral-nutrition-access-issues-how-system-fails-patients
    October 02, 2013 - Author(s) Effect of barcode-assisted medication administration on emergency department medicationerrors.
  19. psnet.ahrq.gov/issue/preventable-or-potentially-inappropriate-psychotropics-and-adverse-health-outcomes-older
    November 20, 2013 - 27, 2011 View More See More About The Topic Geriatrics Pharmacy MedicationErrors/Preventable Adverse Drug Events Ordering/Prescribing Errors Specific to High-Risk Drugs
  20. psnet.ahrq.gov/issue/opioid-guidelines-common-dental-surgical-procedures-multidisciplinary-panel-consensus
    April 28, 2021 - July 29, 2020 Medication safety: reducing anesthesia medication errors and adverse drug