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www.ahrq.gov/patient-safety/reports/hotline/refs.html
May 01, 2016 - Consumers can prevent medication errors (Web site).
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psnet.ahrq.gov/issue/icn-position-statement-patient-safety
March 09, 2022 - Organizational Policy/Guidelines
ICN Position Statement: Patient Safety.
Citation Text:
ICN Position Statement: Patient Safety. Geneva, Switzerland; International Council of Nurses: 2023.
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psnet.ahrq.gov/web-mm/mistaken-identity
December 18, 2014 - Medication errors in the neonatal intensive care unit: special patients, unique issues.
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psnet.ahrq.gov/issue/alert-burden-pediatric-hospitals-cross-sectional-analysis-six-academic-pediatric-health
September 29, 2021 - Study
Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics.
Citation Text:
Orenstein EW, Kandaswamy S, Muthu N, et al. Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health …
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psnet.ahrq.gov/issue/examining-variations-prescribing-safety-uk-general-practice-cross-sectional-study-using
July 22, 2015 - Study
Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical Practice Research Datalink.
Citation Text:
Stocks J, Kontopantelis E, Akbarov A, et al. Examining variations in prescribing safety in UK general practice: cross sectional stu…
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psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events
September 27, 2017 - The study demonstrated that patients who reported pressure ulcers , medication errors , hospital-acquired
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psnet.ahrq.gov/issue/sedation-and-patient-safety
August 28, 2024 - April 6, 2011
Medication errors in anaesthesia and critical care.
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psnet.ahrq.gov/issue/ways-avert-potential-patient-care-disasters
March 01, 2007 - Manic for medication safety: bar codes and drug information databases are helping to reduce medication … errors.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_quickstartfull.pdf
December 15, 2016 - Implementation Quick Start Guide: Medication Mangement
Implementation
Quick Start Guide
Medication
Management
The Guide to Improving Patient Safety in Primary Care
Settings by Engaging Patients and Families
Implementation Quick Start Guide: Medication Management
Table of Contents
What Is the Medication Man…
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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…
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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…
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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…
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psnet.ahrq.gov/issue/psychological-impact-and-coping-strategies-frontline-medical-staff-hunan-between-january-and
May 31, 2023 - February 18, 2009
Nurses relate the contributing factors involved in medication errors
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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…
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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…
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psnet.ahrq.gov/node/37819/psn-pdf
April 14, 2010 - Standardizing Medication Labels: Confusing Patients
Less, Workshop Summary.
April 14, 2010
Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice,
Institute of Medicine. Washington, DC: National Academies Press; 2008.
https://psnet.ahrq.gov/issue/standardizing-medica…
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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.
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psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
April 29, 2018 - Commentary
Unintended errors with EHR-based result management: a case series.
Citation Text:
Yackel TR, Embi P. Unintended errors with EHR-based result management: a case series. J Am Med Inform Assoc. 2010;17(1):104-7. doi:10.1197/jamia.M3294.
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psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
September 21, 2009 - Using a spare medication vial to store multiple medications: a potentially fatal in-home medication … error.
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psnet.ahrq.gov/issue/infant-deaths-associated-cough-and-cold-medications-two-states-2005
February 27, 2019 - March 6, 2019
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