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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.
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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.
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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.
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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 …
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psnet.ahrq.gov/issue/oversedation-patient-obstructive-sleep-apnea-prior-imaging
September 02, 2020 - January 17, 2018
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ISMP medication error … 17, 2017
Shaping systems for better behavioral choices: lessons learned from a fatal medication … error. … See More About The Topic
Hospitals
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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/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.
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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.
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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 medication … errors.
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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
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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,…
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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.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…
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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.
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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 …
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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…
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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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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 medication … errors and risk factors.
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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 medication … errors.
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psnet.ahrq.gov/issue/preventable-or-potentially-inappropriate-psychotropics-and-adverse-health-outcomes-older
November 20, 2013 - 27, 2011
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See More About The Topic
Geriatrics
Pharmacy
Medication … Errors/Preventable Adverse Drug Events
Ordering/Prescribing Errors
Specific to High-Risk Drugs
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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