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psnet.ahrq.gov/issue/why-there-another-persons-name-my-infusion-bag-patient-safety-chemotherapy-care-review
May 01, 2024 - for chemotherapy patients and found evidence that computerized provider order entry could reduce medication … errors.
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psnet.ahrq.gov/issue/deprescribing-medicines-older-people-living-multimorbidity-and-polypharmacy-tailor-evidence
April 03, 2005 - Review
Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis.
Citation Text:
Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. H…
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psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm
March 28, 2011 - Study
Medication discrepancies in resident sign-outs and their potential to harm.
Citation Text:
Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5.
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/learning-errors-analysis
January 01, 2023 - Learning from errors: analysis of medication order voiding in CPOE systems.
Citation
Kannampallil TG, Abraham J, Solotskaya A, et al. Learning from errors: analysis of medication order voiding in CPOE systems. J Am Med Inform Assoc 2017 Feb 19. doi: 10.1093/jamia/ocw187. PMID: 28339698.
Link
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
July 28, 2014 - Commentary
Classic
Reducing diagnostic errors—why now?
Citation Text:
Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044.
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psnet.ahrq.gov/issue/learning-errors-and-resilience
December 18, 2019 - Review
Learning from errors and resilience.
Citation Text:
Arnal-Velasco D, Heras-Hernando V. Learning from errors and resilience. Curr Opin Anaesthesiol. 2023;36(3):376-381. doi:10.1097/aco.0000000000001257.
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psnet.ahrq.gov/issue/pharmacist-led-video-stimulated-feedback-reduce-prescribing-errors-doctors-training-mixed
August 10, 2022 - Journal Article
Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation
Citation Text:
Parker H, Farrell O, Bethune R, et al. Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A…
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psnet.ahrq.gov/node/43337/psn-pdf
July 09, 2014 - https://psnet.ahrq.gov/issue/my-medicines
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/issue/safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative
October 07, 2020 - challenges included issues with monitoring, treatment, evaluation, and/or documentation, patient falls, medication … errors , and problems with transfers.
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psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
March 01, 2005 - 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/39312/psn-pdf
February 17, 2010 - This review examines numerous safety issues relevant to outpatient dermatology practice, including
medication … errors, diagnostic errors, office-based surgery, wrong-site procedures, and laser safety.
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digital.ahrq.gov/ahrq-funded-projects/medication-safety-primary-care-practice-translating-research-practice/annual-summary/2010
January 01, 2010 - Medication Safety in Primary Care Practice - Translating Research Into Practice - 2010
Project Name
Medication Safety in Primary Care Practice - Translating Research into Practice
Principal Investigator
Ornstein, Steven
Organization
Medical University of South Carolina
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psnet.ahrq.gov/node/49757/psn-pdf
April 01, 2016 - This case scenario exemplifies how a common safety
issue—medication error—could be thwarted by proactive … safety of hospitalized patients, including catheter–associated urinary tract infections, hand
hygiene, medication … errors, and inappropriate restraints, are visible, observable, tangible errors. … of hospitalized patients, including catheter–associated urinary tract
infections, hand hygiene, and medication … errors, are often visible and tangible errors, which are ideal
for situational assessment.
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psnet.ahrq.gov/node/39510/psn-pdf
September 24, 2016 - Interruptions and distractions in healthcare: review and
reappraisal.
September 24, 2016
Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual
Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2009.033282.
https://psnet.ahrq.gov/issue/interruptions-and-distr…
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psnet.ahrq.gov/issue/testing-alertness-emergency-physicians-novel-quantitative-measure-alertness-and
September 01, 2016 - Study
Testing alertness of emergency physicians: a novel quantitative measure of alertness and implications for worker and patient care.
Citation Text:
Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel Quantitative Measure of Alertness and Imp…
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psnet.ahrq.gov/issue/frequency-and-nature-prescribing-problems-general-practitioners-training-revisit
December 16, 2020 - Study
The frequency and nature of prescribing problems by general practitioners in training (REVISiT).
Citation Text:
Salema N-E, Bell BG, Marsden K, et al. The frequency and nature of prescribing problems by general practitioners in training (REVISiT). BJGP Open. 2022;6(3):BJGPO.2021.02…
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psnet.ahrq.gov/issue/multidisciplinary-multifaceted-improvement-initiative-eliminate-mislabelled-laboratory
December 24, 2008 - Study
A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large tertiary care hospital.
Citation Text:
Seferian EG, Jamal S, Clark K, et al. A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laborator…
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psnet.ahrq.gov/issue/systematic-review-literature-evaluation-handoff-tools-implications-research-and-practice
May 23, 2012 - Review
A systematic review of the literature on the evaluation of handoff tools: implications for research and practice.
Citation Text:
Abraham J, Kannampallil TG, Patel VL. A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. …
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psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures
July 07, 2010 - Study
Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling.
Citation Text:
Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of info…
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psnet.ahrq.gov/issue/improving-infusion-pump-safety-through-usability-testing
July 15, 2020 - Commentary
Improving infusion pump safety through usability testing.
Citation Text:
Miller K, Arnold R, Capan M, et al. Improving infusion pump safety through usability testing. J Nurs Care Qual. 2017;32(2):141-149. doi:10.1097/NCQ.0000000000000208.
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