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psnet.ahrq.gov/issue/lifetime-prevalence-and-correlates-patient-perceived-medical-errors-experienced-us-ambulatory
June 09, 2021 - Study
Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study.
Citation Text:
Sundwall DN, Munger MA, Tak CR, et al. Lifetime prevalence and correlates of patient-perceived medical errors experienced in t…
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psnet.ahrq.gov/issue/do-telephone-call-interruptions-have-impact-radiology-resident-diagnostic-accuracy
July 19, 2023 - Study
Do telephone call interruptions have an impact on radiology resident diagnostic accuracy?
Citation Text:
Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.a…
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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - Comparing near miss and harmful medication errors. BMJ. In press.
6.
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psnet.ahrq.gov/issue/aware-care
April 15, 2020 - This Web site seeks to help hospitals and patients prevent medication errors in hospitalized patients
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psnet.ahrq.gov/issue/patient-safety-remote-primary-care-encounters-multimethod-qualitative-study-combining-safety
March 23, 2022 - Study
Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis.
Citation Text:
Payne R, Clarke A, Swann N, et al. Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety…
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psnet.ahrq.gov/issue/implementing-computerized-provider-order-entry-existing-clinical-information-system
October 19, 2022 - Study
Implementing computerized provider order entry with an existing clinical information system.
Citation Text:
Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-…
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psnet.ahrq.gov/node/46771/psn-pdf
January 30, 2018 - electronic-medical-record-alert-associated-reduced-opioid-and-benzodiazepine-coprescribing
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/50535/psn-pdf
October 16, 2019 - psnet.ahrq.gov/issue/improving-quality-insulin-prescribing-people-diabetes-being-discharged-
hospital
Medication … errors involving insulin are common, particularly in hospitals and at point-of-care transfers.
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psnet.ahrq.gov/node/46290/psn-pdf
January 01, 2021 - risk-models-improve-safety-dispensing-high-alert-medications-community-pharmacies
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
February 08, 2008 - • Reduced potential for medication errors through integrated safety alerts and reminders. … Medication
errors. Available at:
www.fda.gov/cder/drug/MedErrors/default.htm. … Medication errors name
differentiation project.
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psnet.ahrq.gov/node/37777/psn-pdf
May 04, 2014 - psnet.ahrq.gov/issue/iatrogenic-delirium-and-coma-near-miss
This case report describes how diagnostic and medication … errors led to a temporary coma.
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psnet.ahrq.gov/node/48150/psn-pdf
August 21, 2019 - closing-loop-guide-safer-ambulatory-referrals-ehr-era
https://psnet.ahrq.gov/issue/incidence-clinically-relevant-medication-errors-era-electronically-prepopulated-medication
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-electronic-medical-record-and-shared-access
January 01, 2023 - Hospice Care
Primary Care
Specialty Care
Health Care Theme
Interoperability
Medication … Errors
Patient Safety
This project aimed to implement an ambulatory electronic medical … Use computerized provider order entry and clinical decision support systems to reduce medication errors … a method to utilize the EMR for data collection, analysis, and reporting of the number and types of medication … errors and adverse events that occur.
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psnet.ahrq.gov/issue/limited-health-literacy-barrier-medication-reconciliation-ambulatory-care
March 24, 2010 - Study
Limited health literacy is a barrier to medication reconciliation in ambulatory care.
Citation Text:
Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6.
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digital.ahrq.gov/principal-investigator/schiff-gordon-david
January 01, 2023 - Schiff, Gordon David
How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions.
Citation
Salazar A, Karmiy SJ, Forsythe KJ, Amato MG, Wright A, Lai KH, Lambert BL, Liebovitz DM, Eguale T, Volk LA, Schiff GD. How often do prescr…
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psnet.ahrq.gov/issue/ismp-cheers-awards
January 26, 2023 - Award Recipient
ISMP Cheers Awards.
Citation Text:
ISMP Cheers Awards. Institute for Safe Medication Practices.
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…
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psnet.ahrq.gov/issue/us-has-drug-shortage-and-people-are-dying
March 06, 2005 - October 24, 2012
ISMP medication error report analysis.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/innovative-use-pcr-091423.pdf
September 14, 2023 - errors reported to US
poison control centers occur at home
► Every 8 minutes, a child experiences a medication … error
during routine care at home
Shaikh et al. 2023.
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psnet.ahrq.gov/issue/standardize-4-safety
June 17, 2014 - Multi-use Website
Standardize 4 Safety.
Citation Text:
Standardize 4 Safety. American Society of Health-System Pharmacists.
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psnet.ahrq.gov/node/43323/psn-pdf
January 07, 2015 - psnet.ahrq.gov/issue/errors-associated-outpatient-computerized-prescribing-systems
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events