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  1. psnet.ahrq.gov/issue/relationship-organizational-culture-stress-satisfaction-and-burnout-physician-reported-error
    October 12, 2011 - January 12, 2022 The effect of the fit between organizational culture and structure on medicationerrors in medical group practices.
  2. digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014965-schmidt-final-report-2007.pdf
    January 01, 2007 - safe use of medications.3 IOM estimates that a patient in the hospital is subject to at least one medicationerror per day; fully one-quarter of all of these medication errors are preventable. 4 The National … Preventing Medication Errors.
  3. psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
    December 15, 2024 - Deprescribing is one intervention that can be applied to reduce the risk for ADEs or medication errors … Medication Reconciliation December 15, 2024 Pharmacist's Role in Medication Safety December 15, 2024 MedicationErrors and Adverse Drug Events December 15, 2024 Editor's Picks Deprescribing … 5, 2021 WebM&M Cases The Impact of Communication on MedicationErrors March 15, 2021 Impact of a pharmacist-administered deprescribing intervention
  4. psnet.ahrq.gov/issue/staffing-teamwork-and-scope-practice-analysis-association-patient-safety-context
    September 20, 2017 - the key role of appropriate nurse staffing in reducing the incidence of events such as falls and medicationerrors PubMed citation Free full text Save Save to your library Print … June 5, 2019 Influence of unit-level staffing on medication errors and falls in military
  5. psnet.ahrq.gov/primer/systems-approach
    June 15, 2024 - July 22, 2020 Systemic causes of in-hospital intravenous medication errors: a systematic
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50376/psn-pdf
    September 25, 2019 - Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study. September 25, 2019 DeLaurentis P, Walroth TA, Fritschle AC, et al. Stakeholder perceptions of smart infusion pumps and drug library updates: A multisite, interdisciplinary study. Am J Health Syst Pharm. 2…
  7. psnet.ahrq.gov/issue/health-care-professionals-tools
    January 30, 2003 - Multi-use Website Health Care Professionals Tools. Citation Text: Health Care Professionals Tools. Little Rock, AR: National Transitions of Care Coalition; April 2008. Copy Citation Save Save to your library Print Download PDF Share Face…
  8. psnet.ahrq.gov/issue/patient-participation-current-knowledge-and-applicability-patient-safety
    February 01, 2011 - been integrated into clinical decision-making, discusses examples of patient involvement in reducing medicationerrors and encouraging hand hygiene, and proposes a framework for including patients in safety efforts … September 25, 2019 ISMP medication error report analysis.
  9. psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
    April 19, 2011 - Study An observational study of laterality errors in a sample of clinical records. Citation Text: Elghrably I, Fraser SG. An observational study of laterality errors in a sample of clinical records. Eye (Lond). 2008;22(3):340-3. Copy Citation Format: Google Scholar PubMed…
  10. psnet.ahrq.gov/issue/clinical-reasoning-generative-artificial-intelligence-model-compared-physicians
    November 13, 2024 - Study Clinical reasoning of a generative artificial intelligence model compared with physicians. Citation Text: Cabral S, Restrepo D, Kanjee Z, et al. Clinical reasoning of a generative artificial intelligence model compared with physicians. JAMA Intern Med. 2024;184(5):581-583. doi:10.1…
  11. psnet.ahrq.gov/issue/impact-fatigue-anaesthesia-providers-scoping-review
    November 21, 2021 - with fatigue in anesthesia providers, including deterioration in non-technical skills, increased medicationerrors, poor attention and psychomotor decline. … Related Resources WebM&M Cases Sleep Deprivation Leads to MedicationError During Spinal Epidural Anesthesia August 30, 2023 Fatigue amongst anaesthesiology
  12. psnet.ahrq.gov/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
    September 11, 2013 - Commentary Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. Citation Text: Boehm-Davis DA, Remington R. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs an…
  13. psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based-diabetes-care
    September 28, 2010 - Study Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care. Citation Text: Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care. Odegard S; Andersson DK. J Nurs Manag. 2006;14(2):116-127…
  14. psnet.ahrq.gov/issue/tech-check-tech-review-evidence-its-safety-and-benefits
    September 23, 2020 - Review "Tech-check-tech": a review of the evidence on its safety and benefits. Citation Text: Adams AJ, Martin SJ, Stolpe SF. "Tech-check-tech": a review of the evidence on its safety and benefits. Am J Health Syst Pharm. 2011;68(19):1824-33. doi:10.2146/ajhp110022. Copy Citation …
  15. psnet.ahrq.gov/issue/contextual-errors-medical-decision-making-overlooked-and-understudied
    May 01, 2020 - Commentary Contextual errors in medical decision making: overlooked and understudied. Citation Text: Weiner SJ, Schwartz A. Contextual Errors in Medical Decision Making: Overlooked and Understudied. Acad Med. 2016;91(5):657-62. doi:10.1097/ACM.0000000000001017. Copy Citation Format…
  16. psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
    February 24, 2011 - Study Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. Citation Text: Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…
  17. psnet.ahrq.gov/issue/reduce-likelihood-patient-harm-associated-use-anticoagulant-therapy-commentary
    November 07, 2018 - The Joint Commission previously issued a sentinel event alert   for medication errors relating to anticoagulant
  18. psnet.ahrq.gov/issue/polypharmacy-0
    October 09, 2013 - September 28, 2022 Medication errors and processes to reduce them in care homes in the
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47646/psn-pdf
    February 06, 2019 - This systematic review found that while CPOE with clinical decision support reduced certain medicationerrors associated with prescribing, CPOE led to the introduction of new errors.
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46144/psn-pdf
    June 28, 2017 - //psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events