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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-people-dementia-care-homes-retrospective-analysis
April 20, 2022 - Study
Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis.
Citation Text:
Parsons C, Johnston S, Mathie E, et al. Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. Drugs Ag…
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psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
December 31, 2018 - Study
Emerging Classic
The influence of organizational culture, climate and commitment on speaking up about medical errors.
Citation Text:
Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical…
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digital.ahrq.gov/ahrq-funded-projects/personal-health-records-and-elder-medication-use-quality/annual-summary/2010
January 01, 2010 - Medicare
Summary: Use of medications by older adults living in the community is far from optimal as medication … errors including overuse, underuse, and misuse, are common.
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psnet.ahrq.gov/node/40596/psn-pdf
December 31, 2014 - Errors associated with outpatient computerized
prescribing systems.
December 31, 2014
Nanji KC, Rothschild JM, Salzberg C, et al. Errors associated with outpatient computerized prescribing
systems. J Am Med Inform Assoc. 2011;18(6):767-73. doi:10.1136/amiajnl-2011-000205.
https://psnet.ahrq.gov/issue/errors-associ…
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psnet.ahrq.gov/issue/diagnostic-errors-and-diagnostic-calibration
April 04, 2018 - Commentary
Diagnostic errors and diagnostic calibration.
Citation Text:
Cifu AS. Diagnostic Errors and Diagnostic Calibration. JAMA. 2017;318(10):905-906. doi:10.1001/jama.2017.11030.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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psnet.ahrq.gov/issue/reducing-errors-emergency-surgery
January 31, 2018 - Review
Reducing errors in emergency surgery.
Citation Text:
Watters DAK, Truskett PG. Reducing errors in emergency surgery. ANZ J Surg. 2013;83(6):434-437. doi:10.1111/ans.12194.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/web-mm/resuscitate-or-not
November 01, 2011 - For example, if the patient desires, physicians may acutely treat an anaphylactic reaction from a medication … error.
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - Another estimate is 3 preventable adverse drug events per 100 outpatients per year.( 9 ) And that is just medication … errors. … This is not to mention the effects of time on non-diagnostic errors in medicine, including medication … errors.
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - Another estimate is 3 preventable adverse drug events per 100 outpatients per year.( 9 ) And that is just medication … errors. … This is not to mention the effects of time on non-diagnostic errors in medicine, including medication … errors.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
September 01, 2007 - Spotlight Case [MONTH] 2003
Spotlight Case September 2007
Medication Reconciliation: Whose Job Is It?
Source and Credits
This presentation is based on the September 2007
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Eric G. Poon, MD, MPH, Ha…
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psnet.ahrq.gov/issue/safemedicationuseca
October 10, 2012 - April 23, 2012
View More
See More About The Topic
Patients
Medication … Errors/Preventable Adverse Drug Events
Governmental Reporting
Patient Complaints
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psnet.ahrq.gov/issue/error-rate-greatest-hospital-radiology
December 24, 2008 - analysis of data collected by United States Pharmacopeia's voluntary reporting program that found medication … errors are seven times more likely to occur during radiological procedures.
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psnet.ahrq.gov/node/44914/psn-pdf
February 15, 2017 - safer-prescribing-trial-education-informatics-and-financial-incentives
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/39521/psn-pdf
May 12, 2010 - A prior study found that unclear drug labels
contributed to medication errors with epinephrine.
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psnet.ahrq.gov/node/38782/psn-pdf
August 01, 2009 - prescribing-errors-pediatric-emergency-department
https://psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors-children
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/pfeprimarycare-infographic.pdf
April 01, 2018 - visits
1 in 9
ED admissions
are related to an
adverse drug event
An estimated
160
million
medication … errors
occur each
year in
primary care
80%
of information shared
in a primary care visit is
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psnet.ahrq.gov/issue/challenges-posthospital-care-nurses-coaches-medication-management
August 22, 2012 - March 17, 2021
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/node/45944/psn-pdf
August 15, 2018 - Orders on file but no labs drawn: investigation of machine
and human errors caused by an interface idiosyncrasy.
August 15, 2018
Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human
errors caused by an interface idiosyncrasy. J Am Med Inform Assoc. 2017;24(5):9…
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psnet.ahrq.gov/issue/applying-lean-sigma-solutions-mistake-proof-chemotherapy-preparation-process
September 02, 2015 - June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/node/47199/psn-pdf
October 03, 2018 - They found that
pressure ulcers, medication errors, and falls were the most frequently reported types