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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72475/psn-pdf
    November 18, 2020 - errors-omission-missed-nursing-care https://psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866351/psn-pdf
    July 24, 2024 - This study used incident reports involving anticoagulant medication errors to demonstrate the effectiveness
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47382/psn-pdf
    August 29, 2018 - systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes https://psnet.ahrq.gov/issue/impact-drug-shortage-medication-errors-and-clinical-outcomes-pediatric-intensive-care-unit
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867134/psn-pdf
    November 13, 2024 - issue/improving-adverse-drug-event-reporting-healthcare-professionals https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60280/psn-pdf
    April 29, 2020 - The review concludes that medication errors as the biggest threat to patient safety resulting from missed
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866959/psn-pdf
    October 16, 2024 - defining-health-information-technology-related-errors-new-developments-err-human https://psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35762/psn-pdf
    January 02, 2017 - failure mode and effects analysis (FMEA) to develop strategies for reducing the risk of chemotherapeutic medicationerrors.
  8. psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study
    April 13, 2022 - Study Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. Citation Text: Shafer GJ, Singh H, Thomas EJ, et al. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. J Perinatol. 2022;42(10):1312-131…
  9. psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
    April 04, 2011 - Study Classic Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? Citation Text: Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical record: do any safet…
  10. psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
    October 31, 2014 - March 27, 2013 National and local medication error reporting systems—a survey of practices
  11. psnet.ahrq.gov/issue/closing-safety-loop-evaluation-national-patient-safety-agencys-guidance-regarding-wristband
    April 14, 2011 - June 23, 2021 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … December 30, 2014 ISMP medication error report analysis.
  12. psnet.ahrq.gov/issue/non-luer-connectors-are-we-nearly-there-yet
    March 01, 2023 - October 20, 2010 View More Related Resources ISMP medication error
  13. 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
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44298/psn-pdf
    July 08, 2015 - Preparing challenging medications for barcode scanning. July 8, 2015 Waxlax TJ. Preparing challenging medications for barcode scanning. Am J Health Syst Pharm. 2015;72(13):1089-90. doi:10.2146/ajhp140454. https://psnet.ahrq.gov/issue/preparing-challenging-medications-barcode-scanning Barcode scanning can reduce me…
  15. psnet.ahrq.gov/issue/case-investing-patient-safety-canada
    October 05, 2021 - Book/Report The Case for Investing in Patient Safety in Canada. Citation Text: The Case for Investing in Patient Safety in Canada. RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017. Copy Citation Save Save to your library Print Download …
  16. psnet.ahrq.gov/issue/handoff-communication-tools
    May 25, 2022 - Government Resource Handoff Communication Tools. Citation Text: Handoff Communication Tools. Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8. Copy Citation Save Save to your library Print Download PDF Share Fa…
  17. psnet.ahrq.gov/issue/culture-civility-positively-impacting-practice-and-patient-safety
    July 13, 2022 - Commentary A culture of civility: positively impacting practice and patient safety. Citation Text: Makic MBF. A Culture of Civility: Positively Impacting Practice and Patient Safety. J Perianesth Nurs. 2018;33(2):220-222. doi:10.1016/j.jopan.2017.12.006. Copy Citation Format: …
  18. psnet.ahrq.gov/issue/safety-climate-and-medical-errors-62-us-emergency-departments
    June 16, 2009 - The Evolution of Root Cause Analysis February 26, 2025 Near-miss medicationerrors provide a wake-up call.
  19. psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
    July 29, 2020 - September 11, 2019 The pharmacist-physician relationship in the detection of ambulatory medicationerrors.
  20. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
    May 01, 2013 - extent or nature of errors in chemotherapy care Such errors likely comprise only 1.4% to 4% of all medicationerrors Error rates generally lower than non-chemotherapy medications Errors with chemotherapy most … Medication errors among adults and children with cancer in the outpatient setting.