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psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training
January 07, 2011 - September 20, 2011
Paramedic self-reported medication errors. … January 14, 2011
Paramedic self-reported medication errors.
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psnet.ahrq.gov/issue/beyond-our-walls-impact-patient-and-provider-coordination-across-continuum-outcomes-surgical
March 24, 2021 - August 26, 2020
Medication errors from over-the-counter cough and cold medications in … Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … errors.
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psnet.ahrq.gov/issue/advanced-auditory-displays-and-head-mounted-displays-advantages-and-disadvantages-monitoring
September 26, 2016 - Anterior Cervical Spine Surgery
February 28, 2024
Evaluation of detected medication … errors within the operating room at an academic medical center. … July 31, 2019
Facilitated self-reported anaesthetic medication errors before and after
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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/patients-willingness-and-ability-participate-actively-reduction-clinical-errors-systematic
February 24, 2021 - November 11, 2020
Economic impact of medication error: a systematic review.
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psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event-reports
July 22, 2020 - January 19, 2022
Enhancing Your Medication Error Reporting Program to Improve Global
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psnet.ahrq.gov/issue/clinical-decision-support-improves-appropriateness-laboratory-test-ordering-primary-care
April 13, 2022 - machine learning-based clinical decision support system to identify prescriptions with a high risk of medication … error.
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psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
October 11, 2016 - Commentary
Understanding models of error and how they apply in clinical practice.
Citation Text:
Understanding models of error and how they apply in clinical practice. Garfield S, Franklin BD. Pharm J. June 14, 2016.
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digital.ahrq.gov/ahrq-funded-projects/e-prescribing-impact-patient-safety-use-and-cost/annual-summary/2009
January 01, 2009 - Business Goal: Synthesis and Dissemination
Summary: Medication errors can occur at every step in … Medication errors that occur in the earlier stages of the process are more likely than others to be intercepted
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure4.html
June 01, 2018 - between providers and patients, within and across care settings, has been identified as a source of medication … error. … Improving communication is a key aspect of decreasing medication errors and improving patient safety
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psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library-update-delays
September 25, 2019 - Analysis of an academic medical center’s corrective action plan in response to fatal medication … error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. … August 24, 2022
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … January 23, 2017
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/implementing-situation-background-assessment-recommendation-anaesthetic-clinic-and-subsequent
December 30, 2014 - Study
Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers.
Citation Text:
Randmaa M, Swenne CL, Mårtensson G, et al. Implementing situation…
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psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician
February 23, 2022 - Commentary
A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders.
Citation Text:
Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm …
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psnet.ahrq.gov/issue/evaluation-laboratory-monitoring-alerts-within-computerized-physician-order-entry-system
October 06, 2011 - Study
Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders.
Citation Text:
Palen TE, Raebel MA, Lyons E, et al. Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication o…
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digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - errors. … Medication/E-Prescribing Issues
E-prescribing has been offered as one means to reduce medication errors … Measurement Factors
Three articles address a classification of medication errors, a quantification … Impact
of a patient-centered technology on medication
errors during pediatric emergency care. … Medication errors in the outpatient setting;
Classification and root cause analysis.
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psnet.ahrq.gov/issue/surgical-count-process-prevention-retained-surgical-items-integrative-review
March 09, 2022 - March 9, 2022
Determining medication errors in an adult intensive care unit. … October 13, 2018
Medication errors in a neonatal intensive care unit.
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psnet.ahrq.gov/issue/implementation-resident-work-hour-restrictions-associated-reduction-mortality-and-provider
December 21, 2014 - July 13, 2010
Medication errors related to computerized order entry for children. … May 27, 2011
Effect of computer order entry on prevention of serious medication errors
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psnet.ahrq.gov/issue/medical-students-benefit-learning-about-patient-safety-interprofessional-team
November 03, 2015 - July 6, 2011
Can teaching medical students to investigate medication errors change their … January 18, 2011
Why nurses make medication errors: a simulation study.
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psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data
July 19, 2023 - October 3, 2017
Implementing a systematic response to medication errors. … The impact of safety organizing, trusted leadership, and care pathways on reported medication … errors in hospital nursing units.
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psnet.ahrq.gov/issue/patient-safety-and-dentistry-what-do-we-need-know-fundamentals-patient-safety-safety-culture
April 01, 2020 - cross-sectional survey
October 16, 2019
Usability testing of a mobile app to report medication … errors anonymously: mixed-methods approach. … December 9, 2015
Medication errors and response bias: the tip of the iceberg.