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  1. Medication Management | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage-slides.html
    May 01, 2017 - Medication Management Patient and Family Engagement in Primary Care Slide 1: Medication Management AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Slide 2: Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36939/psn-pdf
    September 09, 2011 - Internal reporting system to improve a pharmacy's medication distribution process. September 9, 2011 Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. https://psnet.ahrq.gov/issue/internal…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37466/psn-pdf
    May 27, 2011 - Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. May 27, 2011 Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation of computerized physician order entry in a neonatal inte…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74106/psn-pdf
    November 24, 2021 - Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views. November 24, 2021 Härkänen M, Haatainen K, Vehviläinen-Julkunen K, et al. Artificial intelligence for identifying the prevention of medication incidents caus…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46669/psn-pdf
    January 17, 2018 - Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. January 17, 2018 Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. P…

  6. Classification and detection of errors in minimally invasive surgery. | PSNet

    psnet.ahrq.gov/issue/classification-and-detection-errors-minimally-invasive-surgery
    June 17, 2014 - April 24, 2018 Determining medication errors in an adult intensive care unit.

  7. Unscheduled returns to the emergency department: an outcome of medical errors? | PSNet

    psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors
    November 12, 2014 - December 1, 2021 Interventions to reduce pediatric medication errors: a systematic review

  8. When it's surgery, don't get it wrong. | PSNet

    psnet.ahrq.gov/issue/when-its-surgery-dont-get-it-wrong
    August 18, 2010 - December 18, 2013 Scanning out medication errors: Ohio Valley Hospital's automated IV

  9. First, Do No Harm. | PSNet

    psnet.ahrq.gov/issue/first-do-no-harm-0
    September 05, 2007 - Author(s) Make no mistake about it: chain pharmacies are finding innovative ways to combat medication … errors.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47024/psn-pdf
    November 28, 2018 - FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. November 28, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 14, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pum…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47439/psn-pdf
    January 17, 2019 - Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. January 17, 2019 Levy AG, Scherer AM, Zikmund-Fisher BJ, et al. Prevalence of and Factors Associated With Patient Nondisclosure of Medically Relevant Information to Clinicians. JAMA Netw Open. 2018;1(7)…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45286/psn-pdf
    May 07, 2018 - Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. June 16, 2016;21:1-6. https://psnet.ahrq.gov/issue/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility Neuromuscular blockers can result in seriou…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33779/psn-pdf
    March 01, 2015 - Handoffs and Transitions January 22, 2014 Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/handoffs-and-transitions Annual Perspective 2014 Despite recent efforts to promote clinical integration, the United States health care system remains highly fragmented. From it…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37875/psn-pdf
    July 08, 2008 - ICU) patients are vulnerable from a patient safety standpoint, with hospital-acquired infections and medication … errors being particularly common examples of adverse events (AEs). 

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47702/psn-pdf
    February 22, 2019 - patients-perception-types-errors-palliative-care-results-qualitative-interview-study https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47445/psn-pdf
    October 24, 2018 - https://psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49435/psn-pdf
    February 01, 2004 - implementation of bar code medication administration at Veterans hospitals was designed to reduce medication … errors.

  18. The role of apology laws in medical malpractice. | PSNet

    psnet.ahrq.gov/issue/role-apology-laws-medical-malpractice
    July 29, 2020 - September 11, 2019 The pharmacist-physician relationship in the detection of ambulatory medication … errors.

  19. Safety climate and medical errors in 62 US emergency departments. | PSNet

    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 medication … errors provide a wake-up call.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40051/psn-pdf
    December 01, 2010 - Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. December 1, 2010 De Winter S, Spriet I, Indevuyst C, et al. Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Qual Saf Health Care. 2010;19(5):371-5. …
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