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  1. 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 medicationerrors. … A report on the relationship of drug names and medication errors in response to the Institute of Medicine
  2. 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 medicationerrors. … A report on the relationship of drug names and medication errors in response to the Institute of Medicine
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45537/psn-pdf
    July 27, 2018 - ambulatory-care-safety https://psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73095/psn-pdf
    March 31, 2021 - prescriptions often require double-checking and transcription by pharmacist staff to avoid potential medicationerrors.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61093/psn-pdf
    November 04, 2020 - impact-nationwide-prospective-drug-utilization-review-program-improve-prescribing-safety https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847046/psn-pdf
    April 05, 2023 - indication-specific-opioid-prescribing-us-patients-medicaid-or-private-insurance-2017 https://psnet.ahrq.gov/issue/indication-based-prescribing-prevents-wrong-patient-medication-errors-computerized-provider
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45428/psn-pdf
    January 25, 2017 - medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47105/psn-pdf
    August 10, 2018 - prevalence-potentially-inappropriate-medication-use-older-adults-living-nursing-homes https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50775/psn-pdf
    January 01, 2021 - A prior WebM&M describes a medication error occurring during an intrahospital transfer between the ICU
  10. psnet.ahrq.gov/issue/awareness-patient-safety-grows-increased-outpatient-surgeries
    June 17, 2014 - June 17, 2014 Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance
  11. psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1
    November 18, 2015 - Newspaper/Magazine Article Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. Citation Text: Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. ISMP Medication Safety Alert! Acute care edition. November 19, 2…
  12. psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department
    March 13, 2015 - Study Use of an electronic information system to identify adverse events resulting in an emergency department visit. Citation Text: Ackroyd-Stolarz S, MacKinnon NJ, Zed PJ, et al. Use of an electronic information system to identify adverse events resulting in an emergency department vi…
  13. psnet.ahrq.gov/issue/right-medication-right-dose-right-patient-right-time-and-right-route-how-do-we-select-right
    March 02, 2016 - Commentary Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? Citation Text: Ladak SSJ, Chan VWS, Easty T, et al. Right medication, right dose, right patient, right time, and right route: how d…
  14. psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists
    November 16, 2022 - Review Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. Citation Text: Kripalani S, Jackson AT, Schnipper JL, et al. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. J Hosp Med. …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73987/psn-pdf
    October 20, 2021 - Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. October 20, 2021 Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. Am J Health Sy…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843325/psn-pdf
    February 01, 2023 - Untenable expectations: nurses' work in the context of medication administration, error, and the organization. February 1, 2023 Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Glob Qual Nurs Res. 2022;9:233339362211317. doi:10.117…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43412/psn-pdf
    May 28, 2015 - An observational study of how patients are identified before medication administrations in medical and surgical wards. May 28, 2015 Härkänen M, Kervinen M, Ahonen J, et al. An observational study of how patients are identified before medication administrations in medical and surgical wards. Nurs Health Sci. 2015;1…
  18. psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
    October 01, 2013 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medicationerrors.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33575/psn-pdf
    March 15, 2025 - Patient Engagement and Safety March 15, 2025 Patient Engagement and Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/patient-engagement-and-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the pati…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
    January 01, 2004 - Inadequate planning when introducing new technology designed to decrease medication errors in health