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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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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/web-mm/new-oral-anticoagulants
July 01, 2011 - SPOTLIGHT CASE
New Oral Anticoagulants
Citation Text:
Fang MC. New Oral Anticoagulants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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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
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psnet.ahrq.gov/node/41414/psn-pdf
June 06, 2012 - factors-associated-reported-preventable-adverse-drug-events-retrospective-
case-control-study
This study analyzed more than 4300 medication … errors and noted that 4% were preventable adverse drug
events.
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psnet.ahrq.gov/node/46554/psn-pdf
October 25, 2017 - severe-hyperglycemia-patients-incorrectly-using-insulin-pens-home
https://psnet.ahrq.gov/issue/pictograms-units-and-dosing-tools-and-parent-medication-errors-randomized-study
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psnet.ahrq.gov/node/60615/psn-pdf
June 24, 2020 - key-potentially-inappropriate-drugs-pediatrics-kids-list
https://psnet.ahrq.gov/issue/interventions-reduce-pediatric-medication-errors-systematic-review
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psnet.ahrq.gov/node/43816/psn-pdf
November 21, 2016 - family-centered-rounds-pediatric-wards-pris-network-survey-us-and-canadian-hospitalists
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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psnet.ahrq.gov/node/44817/psn-pdf
September 07, 2016 - longitudinal-trends-us-drug-shortages-medications-used-emergency-departments-2001-2014
https://psnet.ahrq.gov/issue/profiles-patient-safety-medication-errors-emergency-department
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psnet.ahrq.gov/node/45790/psn-pdf
January 11, 2017 - psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
Drawing from reports of medication … errors submitted over a 7-year period to the Pennsylvania Patient
Safety Authority, this analysis found
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psnet.ahrq.gov/node/843092/psn-pdf
January 25, 2023 - comfort-uncertainty-reframing-our-conceptions-how-clinicians-navigate-complex-clinical
https://psnet.ahrq.gov/issue/do-no-harm-are-we-preventing-medication-errors-children-medical-complexity
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psnet.ahrq.gov/issue/improving-medication-reconciliation-comprehensive-evaluation-veterans-affairs-skilled-nursing
May 19, 2021 - June 30, 2021
Advanced medication reconciliation: a systematic review of the impact on medication … errors and adverse drug events associated with transitions of care.
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psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication
September 23, 2020 - June 13, 2011
Medication report reduces number of medication errors when elderly patients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
April 14, 2008 - error might be a component), direct contact reports (MedWatch),12 reports from the
U.S. … Pharmacopeia (USP) and the Institute for Safe
Medication Practices (ISMP) USP-ISMP Medication
Errors … Preventing medication errors: Quality chasm series. … Committee on Identifying and Preventing Medication
Errors. … Medication error reporting
systems. In: Medication errors. 2nd ed.
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psnet.ahrq.gov/issue/impact-clinical-decision-support-system-high-alert-medications-prevention-prescription-errors
May 10, 2017 - This before-and-after study found that clinical decision support reduced medication errors (greater
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digital.ahrq.gov/ahrq-funded-projects/demonstration-project-assessing-significance-and-impact-utilizing-novel
January 01, 2023 - Type of Care
Hospice Care
Health Care Theme
Medication Management
Medication … Errors
Telehealth
The rising prevalence of serious illness has increased the need for
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psnet.ahrq.gov/issue/cdc-grand-rounds-preventing-unsafe-injection-practices-us-health-care-system
February 27, 2019 - June 27, 2022
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … January 21, 2015
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/electronic-health-record-based-surveillance-diagnostic-errors-primary-care
April 09, 2013 - Study
Electronic health record-based surveillance of diagnostic errors in primary care.
Citation Text:
Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93-100. doi:10.1136/bmjqs-2011-0003…
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psnet.ahrq.gov/issue/medication-safety-incidents-associated-remote-delivery-primary-care-rapid-review
June 29, 2022 - Review
Medication safety incidents associated with the remote delivery of primary care: a rapid review.
Citation Text:
Gleeson LL, Clyne B, Barlow JW, et al. Medication safety incidents associated with the remote delivery of primary care: a rapid review. Int J Pharm Pract. 2023;30(6):495…