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psnet.ahrq.gov/node/45545/psn-pdf
October 05, 2016 - adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
https://psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and
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psnet.ahrq.gov/issue/decision-making-emergency-medicine-biases-errors-and-solutions
January 20, 2021 - February 6, 2013
A "back to basics" approach to reduce ED medication errors.
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psnet.ahrq.gov/web-mm/urine-tough-position
January 01, 2009 - February 15, 2011
Effect of a pharmacist intervention on clinically important medication … errors after hospital discharge: a randomized trial.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
June 02, 2025 - in the U.S. health care system are illustrated on this slide:
· 7 percent of patients suffer from a medication … error.
· On average, every patient admitted to an intensive care unit suffers an adverse event.
· 44,000 … These independent checks can prevent unnecessary procedures and medication errors that result in patient
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psnet.ahrq.gov/issue/primary-care-teams-reported-actions-improve-medication-safety-qualitative-study-insights-high
July 06, 2022 - Ambulatory Clinic or Office
Primary Care
Geriatrics
Side Effects/Adverse Drug Reactions
Medication … Errors/Preventable Adverse Drug Events
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psnet.ahrq.gov/issue/impact-incorporating-pharmacy-claims-data-electronic-medication-reconciliation
September 01, 2016 - 2016
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Related Resources
Guardians of grafts: reducing medication … errors in transplant recipients.
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psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
February 01, 2013 - National study on the distribution, causes, and consequences of voluntarily reported medication … errors between the ICU and non-ICU settings. … August 17, 2017
Preventing medication errors in neonatology: is it a dream?
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psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance
September 04, 2013 - November 9, 2011
Paramedic self-reported medication errors. … January 14, 2011
Paramedic self-reported medication errors.
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psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
October 21, 2016 - 2022
Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication … Errors: Guidance for Industry. … Care Providers
Health Care Executives and Administrators
Safety Scientists
Policy Makers
Medication … Errors/Preventable Adverse Drug Events
View More
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psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report
January 11, 2013 - process that, interestingly, found that measures of other well-documented safety problems (such as medication … errors) were not reliable enough to be used for comparison across institutions. … September 7, 2022
Preventing Medication Errors: A $21 Billion Opportunity.
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psnet.ahrq.gov/issue/day-joy-died
August 20, 2018 - August 12, 2015
Paramedic self-reported medication errors. … January 14, 2011
Paramedic self-reported medication errors.
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psnet.ahrq.gov/issue/assessing-value-electronic-prescribing-ambulatory-care-focus-group-study
September 01, 2016 - Study
Assessing the value of electronic prescribing in ambulatory care: A focus group study.
Citation Text:
Weingart SN, Massagli M, Cyrulik A, et al. Assessing the value of electronic prescribing in ambulatory care: a focus group study. Int J Med Inform. 2009;78(9):571-8. doi:10.1016/j…
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psnet.ahrq.gov/issue/special-issue-prescription-drug-misuse
November 25, 2020 - Special or Theme Issue
Special Issue on Prescription Drug Misuse.
Citation Text:
Special Issue on Prescription Drug Misuse. Rickles NM, Fleming ML, Björnsdottir I, eds. Res Social Adm Pharm. 2019;15:907-1056.
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psnet.ahrq.gov/node/41812/psn-pdf
November 07, 2012 - medication-reconciliation
https://psnet.ahrq.gov/issue/effect-pharmacist-intervention-clinically-important-medication-errors-after-hospital
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digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/annual-summary/2012
January 01, 2012 - Tools for Optimizing Medication Safety (TOP-MEDS) - 2012
Project Name
Tools for Optimizing Medication Safety (TOP-MEDS)
Principal Investigator
Lambert, Bruce
Organization
University of Illinois at Chicago
Funding Mechanism
RFA: HS11-004: Centers for Education and Re…
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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…
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digital.ahrq.gov/ahrq-funded-projects/cancelrx-health-it-tool-decrease-medication-discrepancies-outpatient-setting
January 01, 2023 - Physician
Type of Care
Ambulatory Care
Health Care Theme
Adverse Events
Medication … Errors
Medication Safety
While the implementation and enhancement of digital healthcare
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psnet.ahrq.gov/issue/your-medicine-be-smart-be-safe
March 22, 2017 - Fact Sheet/FAQs
Your Medicine, Be Smart, Be Safe.
Citation Text:
Your Medicine, Be Smart, Be Safe. Rockville, MD: Agency for Healthcare Research and Quality: 2011. AHRQ publication no. 11-0049-A.
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psnet.ahrq.gov/issue/patient-safety-canada-update
December 04, 2019 - Book/Report
Patient Safety in Canada: An Update.
Citation Text:
Patient Safety in Canada: An Update. Ottawa, ON: Canadian Institute for Health Information; August 14, 2007.
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psnet.ahrq.gov/node/44894/psn-pdf
March 16, 2016 - observational-study-adult-admissions-medical-icu-due-adverse-drug-events
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events