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  1. digital.ahrq.gov/principal-investigator/ornstein-steven
    January 01, 2023 - Ornstein, Steven Learning From Primary Care EHR Exemplars About Health IT Safety - Final Report Citation Ornstein S. Learning From Primary Care EHR Exemplars About Health IT Safety - Final Report. (Prepared by Medical University of South Carolina under Grant No. R21 HS024327).…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44533/psn-pdf
    April 25, 2016 - A medical resident–pharmacist collaboration improves the rate of medication reconciliation verification at discharge. April 25, 2016 Caroff DA, Bittermann T, Leonard CE, et al. A Medical Resident-Pharmacist Collaboration Improves the Rate of Medication Reconciliation Verification at Discharge. Jt Comm J Qual Patie…
  3. psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
    November 10, 2011 - WebM&M Cases Syringe Swap During Regional Block: A Case of MedicationError and Recovery January 31, 2024 Patient Safety Primers
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60611/psn-pdf
    June 24, 2020 - periods represent critical points at which patients are placed at higher risk of adverse events due to medicationerrors, with over half of all hospital medication errors occurring at discharge or transfer to the
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50927/psn-pdf
    February 21, 2020 - Patient Safety in Primary Care February 21, 2020 Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/patient-safety-primary-care Introduction A strong primary care system is foundational to achieving high-quality, accessible, efficient healthcare …
  6. 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. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60848/psn-pdf
    January 01, 2022 - adverse-events-related-accidental-unintentional-ingestions-cough-and-cold-medications https://psnet.ahrq.gov/issue/medication-errors-over-counter-cough-and-cold-medications-children
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45500/psn-pdf
    September 28, 2016 - use-beers-criteria-predict-adverse-drug-reactions-among-first-visit-elderly-outpatients https://psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838633/psn-pdf
    October 19, 2022 - perspective/role-community-pharmacists-patient-safety https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45290/psn-pdf
    July 27, 2016 - interventions-address-potentially-inappropriate-prescribing-community-dwelling-older-adults https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46690/psn-pdf
    December 20, 2017 - psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors https://psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47844/psn-pdf
    March 06, 2019 - pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72656/psn-pdf
    January 20, 2021 - indications that are not approved by the Food and Drug Administration (FDA) is common but poses a risk for medicationerrors
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60637/psn-pdf
    July 01, 2020 - impact-pharmacist-administered-deprescribing-intervention-nursing-home- residents-randomized Polypharmacy is one risk factor for medicationerrors in older adults.
  15. www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
    December 29, 2022 - associated Received September 8, 2022 Accepted December 29, 2022 with a significant increase in medicationerrors.2 Prior re- search has found individuals fail to return to the original task 13–18% of the time
  16. www.ahrq.gov/sites/default/files/2024-01/grahamlear-report.pdf
    January 01, 2024 - administration practices of school nurses and found that 314 (48.5%) of the respondents “report that a medicationerror occurred in the past year in their school(s),” with the most frequent error being missed doses … For example, although medical errors, particularly medication errors, have been recognized as a potential
  17. psnet.ahrq.gov/issue/performance-evaluation-chatgpt-detecting-diagnostic-errors-and-their-contributing-factors
    September 13, 2023 - February 3, 2021 Reduction of medication errors related to sliding scale insulin by the
  18. 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 MedicationErrors Medication Safety While the implementation and enhancement of digital healthcare
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837506/psn-pdf
    June 22, 2022 - Reducing pediatric emergency department prescription errors. June 22, 2022 Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors. Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696. https://psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-…
  20. 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.