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psnet.ahrq.gov/node/39215/psn-pdf
January 03, 2017 - Medication
errors were associated with an increased length of stay, as demonstrated in prior research
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psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - the actions leading up to it (e.g., the nurse, pharmacist, or physician caring for a patient when a medication … error occurred), rather than management or patient safety professionals. … Reporting and Learning System , a nationwide voluntary event reporting system, and the MEDMARX voluntary medication … error reporting system in the U.S. has led to much valuable research. … Studies of electronic hospital event reporting systems generally show that medication errors and patient
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psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - For example, in the Institute of Medicine report on Preventing Medication Errors, approximately 800,000 … errors, adverse drug events). … Aspden P, Wolcott J, Bootman JL, et al., eds for the Committee on Identifying and Preventing Medication … Errors, Institute of Medicine. … Preventing Medication Errors: Quality Chasm Series.
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psnet.ahrq.gov/node/45370/psn-pdf
July 27, 2016 - Correct use of inhalers: help patients breathe easier.
July 27, 2016
ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6.
https://psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
Patients and clinicians can make medication administration mistakes when new drug delivery mecha…
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psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states
November 18, 2011 - Pharmacist Role in Patient Safety
February 21, 2020
ISMP medication … error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
May 16, 2022 - Patient Identification Errors: A Systems Challenge
January 29, 2020
ISMP medication … error report analysis.
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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
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psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
September 22, 2021 - Color coded medication safety system reduces community pediatric emergency nursing medication … errors.
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psnet.ahrq.gov/issue/national-survey-assessing-number-records-allowed-open-electronic-health-records-hospitals-and
May 29, 2019 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … errors.
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www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
January 01, 2024 - Key Words:
Medication errors/prevention & control
*Medication reconciliation
Organizational culture
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psnet.ahrq.gov/node/36431/psn-pdf
March 28, 2011 - among unit
nurses and found that, while it was well received and seemed to reduce non-intravenous (IV) medication … errors, it had no broad effect on overall error rates.
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psnet.ahrq.gov/node/42027/psn-pdf
September 24, 2016 - systematic-review-psychological-literature-interruption-and-its-patient-safety-implications
https://psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series
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psnet.ahrq.gov/node/38198/psn-pdf
May 05, 2018 - highlights learnings from ISMP's QuarterWatch report, a pilot program used to identify new
drug risks and medication … errors reported to the US Food and Drug Administration (FDA).
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psnet.ahrq.gov/node/38017/psn-pdf
May 02, 2018 - a patient controlled analgesia
(PCA) pump and provides recommendations for preventing pump-related medication … errors.
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digital.ahrq.gov/sites/default/files/docs/page/eRxReport.pdf
April 01, 2008 - In hospitals, the average
nt is subject to at least one medication error per day.4 This study also … • Assessed standards’ impact on medication errors.
1 5
C. … Preliminary data from this group have
demonstrated a potential decrease in medication errors that are … Medication Error: Any error occurring in the medication use process (Bates et al., 1995)11
Includes … Preventing Medication Errors: Quality Chasm Series.
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digital.ahrq.gov/sites/default/files/docs/page/eRxReport_041607_1.pdf
April 01, 2008 - In hospitals, the average
nt is subject to at least one medication error per day.4 This study also … • Assessed standards’ impact on medication errors.
1 5
C. … Preliminary data from this group have
demonstrated a potential decrease in medication errors that are … Medication Error: Any error occurring in the medication use process (Bates et al., 1995)11
Includes … Preventing Medication Errors: Quality Chasm Series.
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psnet.ahrq.gov/node/48090/psn-pdf
August 28, 2019 - Preventing errors with high-risk medications.
August 28, 2019
Wiley F. Drug Topics. August 2019;1633:16-18.
https://psnet.ahrq.gov/issue/preventing-errors-high-risk-medications
High-alert medications have the potential to cause serious patient harm if not administered correctly.
Reporting on challenges to medicati…
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digital.ahrq.gov/program-overview/research-stories/closing-communication-gap-between-prescribers-and-pharmacists
January 01, 2023 - expanding its functionality to include medications from outside the EHR could further reduce the risk of medication … errors.
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psnet.ahrq.gov/issue/measuring-nursing-error-psychometrics-misscare-and-practice-and-professional-issues-items
October 17, 2012 - Study
Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items.
Citation Text:
Castner J, Dean-Baar S. Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. J Nurs Manag. 2014;22(3):421-437.
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psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-i
July 27, 2022 - Newspaper/Magazine Article
High-reliability organizations (HROs): what they know that we don't (Part I).
Citation Text:
High-reliability organizations (HROs): what they know that we don't (Part I). ISMP Medication Safety Alert! Acute care edition. July 14, 2005.
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…