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  1. psnet.ahrq.gov/issue/core-competencies-patient-safety-research-cornerstone-global-capacity-strengthening
    September 15, 2021 - May 4, 2022 Do No Harm: Are We Preventing Medication Errors in Children with Medical
  2. psnet.ahrq.gov/issue/obstetric-medical-emergency-teams-are-step-forward-maternal-safety
    November 04, 2020 - November 4, 2020 Prevalence, contributory factors and severity of medication errors associated
  3. psnet.ahrq.gov/issue/effect-opioid-prescribing-guidelines-prescriptions-emergency-physicians-ohio
    April 24, 2018 - Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medicationerrors.
  4. psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
    August 23, 2017 - August 23, 2017 Intervention study for the reduction of medication errors in elderly
  5. psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
    July 11, 2018 - November 4, 2020 Prevalence, contributory factors and severity of medication errors associated
  6. psnet.ahrq.gov/issue/why-do-gdps-fail-recognise-oral-cancer-argument-oral-cancer-checklist
    March 13, 2024 - August 7, 2024 Detecting clinical medication errors with AI enabled wearable cameras.
  7. psnet.ahrq.gov/issue/disrespectful-behavior-healthcare-has-it-improved-please-take-our-survey
    May 19, 2021 - Newspaper/Magazine Article Disrespectful behavior in healthcare: has it improved? Please take our survey! Citation Text: Disrespectful behavior in healthcare: has it improved? Please take our survey! ISMP Medication Safety Alert! Acute care edition. September 9, 2021;26(18);1-5. Copy C…
  8. psnet.ahrq.gov/issue/prevention-fatal-opioid-overdose
    October 03, 2018 - September 23, 2020 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.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33633/psn-pdf
    May 01, 2006 - actually taking and the drugs practices have documented that they are taking.(8) In addition, many medicationerrors occur between hospitalization and the return to the ambulatory setting, with as many as 42%
  10. psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-programs-handle-errors
    December 18, 2008 - Study Teaching but not learning: how medical residency programs handle errors. Citation Text: Hoff T, Pohl H, Bartfield J. Teaching but not learning: how medical residency programs handle errors. J Organ Behav. 2006;27(7). doi:10.1002/job.395. Copy Citation Format: DOI Go…
  11. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
    December 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case December 2004 Discharge Fumbles Source and Credits This presentation is based on the Dec. 2004 AHRQ WebM&M Spotlight Case in Hospital Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Alan Forster, M…
  12. psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
    October 28, 2020 - pharmacy technicians focus on performing medication reconciliation on patients with the highest risk of medicationerrors. … medication reconciliation in the ED for high-risk patients on insulin to improve communication, avoid medicationerrors, and increase provider awareness.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49439/psn-pdf
    March 01, 2004 - Limited health literacy is likely linked to medication errors.
  14. psnet.ahrq.gov/issue/economic-evaluation-pharmacist-led-medication-reviews-residential-aged-care-facilities
    September 21, 2022 - Review Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Citation Text: Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38657/psn-pdf
    September 27, 2016 - Medication Administration Time Study (MATS): nursing staff performance of medication administration. September 27, 2016 Elganzouri ES, Standish CA, Androwich I. Medication Administration Time Study (MATS): nursing staff performance of medication administration. J Nurs Admin. 2009;39(5):204-210. doi:10.1097/NNA.0b0…
  16. psnet.ahrq.gov/issue/dirty-dozen-12-persistent-safety-gaffes-we-need-resolve
    November 05, 2014 - Newspaper/Magazine Article The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! Citation Text: The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5. Copy Citation …
  17. psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-intensive-care-unit
    December 31, 2014 - January 8, 2020 View More Related Resources ISMP medication error … September 1, 2016 ISMP medication error report analysis.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41370/psn-pdf
    September 01, 2016 - are being applied widely in patient safety, most frequently to provide alerts intended to prevent medicationerrors.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44648/psn-pdf
    February 14, 2017 - rising-drug-allergy-alert-overrides-electronic-health-records-observational-retrospective https://psnet.ahrq.gov/primer/alert-fatigue https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44476/psn-pdf
    September 26, 2016 - The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department. September 26, 2016 Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency de…