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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39428/psn-pdf
    April 07, 2010 - failure, resuscitation equipment not available, physical environment, insufficient monitoring, and medicationerror
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
    June 16, 2008 - error reporting,10 primary care error taxonomy8), such application-specific and oft organization-specific … Errors has a very detaile classification of product labeling issues as a cause of error that is not … errors • Lack of intervention on the patient’s behalf • Lack of prevention • Missed or mistaken … National Coordinating Council on Medication Error Reporting and Prevention. … Taxonomy of medication errors. Available at: www.nccmerp.org/pdf/taxo2001- 07-31.pdf.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43662/psn-pdf
    November 05, 2014 - A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. November 5, 2014 ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5. https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly- fr…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Karsh.pdf
    April 22, 2004 - Medication errors observed in 36 health care facilities. … Medication errors and pediatric inpatients. JAMA 2001 Apr;285(16):2114–20. 27.
  5. psnet.ahrq.gov/issue/actively-caring-safety-overcoming-bystander-apathy
    December 03, 2014 - Newspaper/Magazine Article Actively caring for safety: overcoming bystander apathy. Citation Text: Actively caring for safety: overcoming bystander apathy. ISMP Medication Safety Alert! Acute Care Edition. November 20, 2008:13:1-3. Copy Citation Save Save to your …
  6. psnet.ahrq.gov/issue/fatal-outcome-after-inadvertent-injection-topical-epinephrine
    May 07, 2018 - Newspaper/Magazine Article Fatal outcome after inadvertent injection of topical epinephrine. Citation Text: Fatal outcome after inadvertent injection of topical epinephrine. ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2. Copy Citation Save …
  7. digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
    June 16, 2021 - DATAFORM 3 Medication Error and Near Miss Classification Form WBD DATAFORM 3 Medication Error … 2 Center of Excellence for Patient Safety Research and Practice 5/27/05 Dataform 3: MedicationError and Near Miss Classification Form Version 0.3 Codes for … Error and Near Miss Classification Form Version 0.3 WBD DATAFORM … 3 Medication Error and Near Miss Classification Form
  8. psnet.ahrq.gov/issue/opioid-crisis-origins-trends-policies-and-roles-pharmacists
    December 14, 2022 - March 17, 2021 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.
  9. digital.ahrq.gov/ahrq-funded-projects/using-social-knowledge-networking-skn-technology-enable-meaningful-use-ehr
    January 01, 2023 - Medication Reconciliation Medication Safety Sociotechnical Aspects Transitions in Care Medicationerrors are a major contributor to adverse patient outcomes and increased healthcare costs. … This process significantly reduces the risk of medication errors during care transitions, improves patient
  10. digital.ahrq.gov/track-8-patient-and-family-centered-health-it-and-safety
    January 01, 2023 - Participants will learn how to recognize some of the causal factors linked to medication errors and develop
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842415/psn-pdf
    January 11, 2023 - Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. January 11, 2023 Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097/pts.0000000000001061. https://…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60600/psn-pdf
    June 17, 2020 - Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study. June 17, 2020 Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qu…
  13. psnet.ahrq.gov/issue/patient-safety-dialysis-facility
    May 27, 2015 - Commentary Patient safety in the dialysis facility. Citation Text: Kliger AS. Patient safety in the dialysis facility. Blood Purif. 2006;24(1):19-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…
  14. psnet.ahrq.gov/web-mm/x-ray-flip
    August 10, 2019 - recent implementation of bar code medication administration at Veterans hospitals was designed to reduce medicationerrors. … July 13, 2016 Profiles in patient safety: medication errors in the emergency department
  15. psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication-adherence-chronic
    January 20, 2016 - November 2, 2011 Out-of-hospital medication errors: a 6-year analysis of the national
  16. psnet.ahrq.gov/issue/quality-related-event-learning-community-pharmacies-manual-versus-computerized-reporting
    November 09, 2016 - December 18, 2024 Identifying, understanding and overcoming barriers to medication error … September 4, 2019 ISMP medication error report analysis.
  17. psnet.ahrq.gov/issue/back-basics-checklists-aviation-and-healthcare
    May 15, 2024 - Commentary Back to basics: checklists in aviation and healthcare. Citation Text: Clay-Williams R, Colligan L. Back to basics: checklists in aviation and healthcare. BMJ Qual Saf. 2015;24(7):428-31. doi:10.1136/bmjqs-2015-003957. Copy Citation Format: DOI Google Scholar PubM…
  18. psnet.ahrq.gov/issue/randomized-trial-improve-prescribing-safety-during-pregnancy
    October 06, 2011 - Study Randomized trial to improve prescribing safety during pregnancy. Citation Text: Raebel MA, Carroll NM, Kelleher JA, et al. Randomized trial to improve prescribing safety during pregnancy. J Am Med Inform Assoc. 2007;14(4):440-450. Copy Citation Format: Google Schola…
  19. psnet.ahrq.gov/issue/hospitalist-handoffs-systematic-review-and-task-force-recommendations
    September 09, 2013 - Review Hospitalist handoffs: a systematic review and task force recommendations. Citation Text: Arora VM, Manjarrez E, Dressler DD, et al. Hospitalist handoffs: A systematic review and task force recommendations. J Hosp Med. 2009;4(7). doi:10.1002/jhm.573. Copy Citation Format: …
  20. psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric
    September 28, 2010 - Study Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. Citation Text: Grant MJC, Larsen GY. Clinical Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric Intensive Care U…