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psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
December 30, 2014 - Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors.
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psnet.ahrq.gov/node/46128/psn-pdf
June 14, 2017 - Does a checklist reduce the number of errors made in
nurse-assembled discharge prescriptions?
June 14, 2017
Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled
discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon.2017.26.8.464.
https://psnet.ahrq…
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psnet.ahrq.gov/issue/project-jessica
September 16, 2020 - January 6, 2016
Preventing high-alert medication errors in hospital patients.
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psnet.ahrq.gov/issue/sunday-story-when-hospitals-dont-say-sorry
June 21, 2023 - May 30, 2012
Hospital Medication Errors Commonplace.
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psnet.ahrq.gov/issue/human-contribution-unsafe-acts-accidents-and-heroic-recoveries
August 06, 2016 - August 6, 2016
Safety Considerations for Product Design to Minimize Medication Errors
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psnet.ahrq.gov/issue/patient-safety-features-clinical-computer-systems-questionnaire-survey-gp-views
May 31, 2011 - May 31, 2011
A pharmacist-led information technology intervention for medication errors
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psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-work-progress
March 04, 2011 - January 2, 2017
Using Six Sigma to reduce medication errors in a home-delivery pharmacy
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psnet.ahrq.gov/node/38608/psn-pdf
January 02, 2017 - Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care
setting.
January 2, 2017
Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and
standardize medication reconciliation in a specialty care setting. Jt Comm J Qual Pati…
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psnet.ahrq.gov/node/37454/psn-pdf
January 09, 2008 - Quantifying nursing workflow in medication
administration.
January 9, 2008
Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J
Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc.
https://psnet.ahrq.gov/issue/quantifying-nursing-workflow-medicatio…
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psnet.ahrq.gov/node/50799/psn-pdf
January 15, 2020 - The role of organizational and professional cultures in
medication safety: a scoping review of the literature.
January 15, 2020
Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety:
a scoping review of the literature. Int J Health Care Qual. 2019;31(10):g146-g…
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psnet.ahrq.gov/node/44619/psn-pdf
November 04, 2015 - Seeing through Google Glass: using an innovative
technology to improve medication safety behaviors in
undergraduate nursing students.
November 4, 2015
Schneidereith T. Seeing Through Google Glass: Using an Innovative Technology to Improve Medication
Safety Behaviors in Undergraduate Nursing Students. Nurs Educ Per…
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psnet.ahrq.gov/node/837432/psn-pdf
June 15, 2022 - Adopt strategies to manage look-alike and/or sound-alike
medication name mix-ups.
June 15, 2022
ISMP Medication Safety Alert! Acute care edition. June 2, 2022;27(11):1-4.
https://psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-
ups
Minimizing look-alike/sound-alike me…
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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
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psnet.ahrq.gov/node/865518/psn-pdf
April 10, 2024 - Decreasing prescribing errors in antimicrobial
stewardship program-restricted medications.
April 10, 2024
Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-
restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hpeds.2023-007548.
https://psnet.ahr…
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psnet.ahrq.gov/issue/stard-2015-guidelines-reporting-diagnostic-accuracy-studies-explanation-and-elaboration
February 14, 2006 - Commentary
STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration.
Citation Text:
Cohen JF, Korevaar DA, Altman DG, et al. STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. BMJ Open. 2016;6(11):e012799. doi…
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-opportunities-enhancing-patient-safety
March 17, 2021 - Commentary
The morbidity and mortality conference: opportunities for enhancing patient safety.
Citation Text:
Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pt…
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psnet.ahrq.gov/issue/results-survey-among-gp-practices-how-they-manage-patient-safety-aspects-related-point-care
November 21, 2018 - Study
Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice.
Citation Text:
de Vries C, Doggen C, Hilbers E, et al. Results of a survey among GP practices on how they manage patient safety aspects related t…
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psnet.ahrq.gov/issue/association-display-patient-photographs-electronic-health-record-wrong-patient-order-entry
May 29, 2019 - Study
Association of display of patient photographs in the electronic health record with wrong-patient order entry errors.
Citation Text:
Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order e…
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psnet.ahrq.gov/issue/association-between-language-use-and-icu-transfer-and-serious-adverse-events-hospitalized
May 18, 2022 - Study
Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation.
Citation Text:
McDade JE, Olszewski AE, Qu P, et al. Association between language use and ICU transfer and serious adverse event…
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psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants
May 02, 2018 - Newspaper/Magazine Article
ALERT: reports of severe harm after intravenous administration of breast milk to infants.
Citation Text:
ALERT: reports of severe harm after intravenous administration of breast milk to infants. ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.
…