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psnet.ahrq.gov/issue/evaluation-patient-safety-culture-community-pharmacies
May 11, 2016 - Study
Evaluation of patient safety culture in community pharmacies.
Citation Text:
Aboneh EA, Stone JA, Lester CA, et al. Evaluation of Patient Safety Culture in Community Pharmacies. J Patient Saf. 2020;16(1):e18-e24. doi:10.1097/pts.0000000000000245.
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psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and
October 21, 2015 - Study
Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital.
Citation Text:
Mitchell RJ, Williamson A, Molesworth B. Application of a human factors classification framework for p…
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psnet.ahrq.gov/issue/doctors-charged-manslaughter-course-medical-practice-1795-2005-literature-review
June 22, 2009 - Review
Doctors charged with manslaughter in the course of medical practice, 1795-2005: a literature review.
Citation Text:
Ferner RE, McDowell SE. Doctors charged with manslaughter in the course of medical practice, 1795-2005: a literature review. J R Soc Med. 2006;99(6):309-314.
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psnet.ahrq.gov/issue/obstacles-research-effects-interruptions-healthcare
April 19, 2017 - Commentary
Obstacles to research on the effects of interruptions in healthcare.
Citation Text:
Grundgeiger T, Dekker SWA, Sanderson P, et al. Obstacles to research on the effects of interruptions in healthcare. BMJ Qual Saf. 2016;25(6):392-5. doi:10.1136/bmjqs-2015-004083.
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psnet.ahrq.gov/issue/understanding-national-coverage-policies-navigating-maze-hacs-serious-reportable-events-and
June 28, 2017 - Commentary
Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites.
Citation Text:
Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, a…
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psnet.ahrq.gov/issue/rise-medical-scribe-industry-implications-advancement-electronic-health-records
January 12, 2022 - Commentary
The rise of the medical scribe industry: implications for the advancement of electronic health records.
Citation Text:
Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA. 2015;313(13):1…
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psnet.ahrq.gov/issue/retained-surgical-sponge-gossypiboma-and-other-retained-surgical-items-prevention-and
March 17, 2023 - Citation
Related Resources From the Same Author(s)
Prevention of perioperative medication … errors.
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psnet.ahrq.gov/issue/ounce-prevention-reduce-errors-hospitals-prescribe-innovative-designs
December 13, 2006 - October 4, 2023
Sick children face potentially deadly danger: medication errors.
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psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits
March 28, 2011 - September 27, 2010
Field test results of a new ambulatory care Medication Error and Adverse … Improving Diagnostic Safety and Quality
April 26, 2023
ISMP medication … error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/node/42208/psn-pdf
April 17, 2013 - A high-profile fatal medication error that occurred while a nurse
was working a double shift previously … hour-shifts
https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
April 02, 2008 - e.g.,
Setting of Care > Hospitals) to the very specific (e.g., Safety Target > Medication Safety >
Medication … Errors > Transcription Errors). … The diversity of topics, ranging from specific errors and
interventions (e.g., “medication errors” and … errors/preventable
adverse drug events
“Medication reconciliation” Culture of safety
“Communication … ” Look-alike, sound-alike drugs
“Medication errors” Human factors engineering
“Patient falls” Patient
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psnet.ahrq.gov/issue/partially-structured-postoperative-handoff-protocol-improves-communication-2-mixed-surgical
November 19, 2018 - April 28, 2021
Medication errors in intensive care units: an umbrella review of control … August 17, 2022
Risk of medication errors and nurses' quality of sleep: a national cross-sectional
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psnet.ahrq.gov/issue/inside-canadas-secret-world-medical-error-there-lot-lying-theres-lot-cover
September 23, 2009 - December 18, 2013
Scanning out medication errors: Ohio Valley Hospital's automated IV
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www.ahrq.gov/hai/pfp/interimhac2013-ref.html
December 01, 2014 - Preventing medication errors. Washington, DC: National Academies Press; 2006. … http://www.iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm-Series.aspx
Bates DW, Cullen … Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors. … A report on the relationship of drug names and medication errors in response to the Institute of Medicine
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www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - Preventing medication errors. Washington, DC: National Academies Press; 2006. … http://www.iom.edu/Reports/2006/Preventing-Medication-Errors-Quality-Chasm-Series.aspx . … Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors. … A report on the relationship of drug names and medication errors in response to the Institute of Medicine
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psnet.ahrq.gov/node/49635/psn-pdf
September 01, 2011 - overview of intravenous-related medication administration errors as reported to
MEDMARX, a national medication … error-reporting program.
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psnet.ahrq.gov/issue/follow-tips-safe-efficient-practice
July 23, 2010 - Newspaper/Magazine Article
Follow-up tips for a safe, efficient practice.
Citation Text:
Weiss GG. Follow-up tips for a safe, efficient practice. Medical economics. 2006;83(10):47-9.
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psnet.ahrq.gov/node/865340/psn-pdf
March 27, 2024 - This review summarizes
how AI can be used to prevent adverse events (e.g., medication errors) and improve
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psnet.ahrq.gov/node/72854/psn-pdf
March 17, 2021 - issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
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psnet.ahrq.gov/node/50823/psn-pdf
January 22, 2020 - reducing-inappropriate-polypharmacy-primary-care-through-pharmacy-led-interventions
https://psnet.ahrq.gov/issue/polypharmacy
https://psnet.ahrq.gov/issue/predictors-medication-errors-among-elderly-hospital-patients