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psnet.ahrq.gov/node/842919/psn-pdf
February 01, 2023 - pharmacy technicians focus on performing medication reconciliation on patients
with the highest risk of medication … errors. … medication reconciliation in the ED for high-risk patients on insulin to improve
communication, avoid medication … errors, and increase provider awareness.
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psnet.ahrq.gov/node/49633/psn-pdf
September 01, 2011 - For example, in the Institute of Medicine
report on Preventing Medication Errors, approximately 800,000 … errors, adverse drug events). … Aspden P, Wolcott J, Bootman JL, et al., eds for the Committee on Identifying and Preventing Medication … Errors, Institute of Medicine. … Preventing Medication Errors: Quality Chasm Series.
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psnet.ahrq.gov/issue/nurse-led-approach-developing-and-implementing-collaborative-count-policy
January 18, 2012 - December 19, 2018
The impact of computerized provider order entry on medication errors
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psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
July 28, 2013 - July 28, 2013
Preventing Medication Errors: Quality Chasm Series.
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psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
April 03, 2019 - March 25, 2015
Perioperative medication errors: uncovering risk from behind the drapes
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psnet.ahrq.gov/issue/walgreens-will-stop-judging-its-pharmacy-staffers-how-fast-they-work
May 05, 2021 - June 17, 2020
At Walgreens, complaints of medication errors go missing.
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psnet.ahrq.gov/node/73180/psn-pdf
April 28, 2021 - Accuracy and safety of medication histories obtained at
the time of intensive care unit admission of delirious or
mechanically ventilated patients.
April 28, 2021
Cicci CD, Fudzie SS, Campbell-Bright S, et al. Accuracy and safety of medication histories obtained at the
time of intensive care unit admission of deli…
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psnet.ahrq.gov/node/866584/psn-pdf
August 28, 2024 - Raising the barcode: improving medication safety
behaviours through a behavioural science-informed
feedback intervention. A quality improvement project and
difference-in-difference analysis.
August 28, 2024
Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving medication safety behaviours
throu…
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psnet.ahrq.gov/issue/managing-care-patients-discharged-home-health-quiet-threat-patient-safety
October 16, 2012 - 24, 2008
Nurses' practice environments, error interception practices, and inpatient medication … errors.
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psnet.ahrq.gov/node/866592/psn-pdf
August 28, 2024 - Use barcode scanning to prevent errors with enteral
nutrition feedings.
August 28, 2024
Use barcode scanning to prevent errors with enteral nutrition feedings. ISMP Medication Safety Alert!
Acute Care. August 08, 2024;29(16).
https://psnet.ahrq.gov/issue/use-barcode-scanning-prevent-errors-enteral-nutrition-feedin…
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psnet.ahrq.gov/node/39376/psn-pdf
March 17, 2010 - Evaluation of inpatient admissions and potential
antimicrobial and analgesic dosing errors in overweight
children.
March 17, 2010
Miller JL, Johnson PN, Harrison DL, et al. Evaluation of inpatient admissions and potential antimicrobial
and analgesic dosing errors in overweight children. Ann Pharmacother. 2010;44(1…
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psnet.ahrq.gov/node/42518/psn-pdf
January 07, 2015 - Role of computerized physician order entry usability in
the reduction of prescribing errors.
January 7, 2015
Peikari HR, Zakaria MS, Yasin NM, et al. Role of computerized physician order entry usability in the
reduction of prescribing errors. Healthc Inform Res. 2013;19(2):93-101. doi:10.4258/hir.2013.19.2.93.
htt…
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psnet.ahrq.gov/node/41528/psn-pdf
May 07, 2018 - Mismatched prescribing and pharmacy templates for
parenteral nutrition (PN) lead to data entry errors.
May 7, 2018
ISMP Medication Safety Alert! Acute care edition! June 28, 2012;17:1-3.
https://psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-
data-entry-errors
This…
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psnet.ahrq.gov/issue/mrsa-infections
September 26, 2018 - Commentary
MRSA Infections.
Citation Text:
Zeller JL, Burke AE, Glass RM. JAMA patient page. MRSA infections. JAMA. 2007;298(15):1826.
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…
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psnet.ahrq.gov/issue/wristband-color-standardization
October 25, 2013 - January 17, 2012
Ambulatory surgery facilities: a comprehensive review of medication … error reports in Pennsylvania.
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psnet.ahrq.gov/node/37291/psn-pdf
May 02, 2018 - Error-prone conditions that lead to student nurse-related
errors.
May 2, 2018
ISMP Medication Safety Alert! Acute care edition. October 18, 2007.
https://psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
Reporting on survey results that identified common errors that student nurses make,…
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psnet.ahrq.gov/issue/unintended-adverse-consequences-introducing-electronic-health-records-residential-aged-care
March 24, 2019 - Study
Unintended adverse consequences of introducing electronic health records in residential aged care homes.
Citation Text:
Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records in residential aged care homes. Int J Med Inform. 2013;82…
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psnet.ahrq.gov/issue/evaluation-nationally-mandated-drug-use-reviews-improve-patient-safety-nursing-homes-natural
July 20, 2011 - Study
Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment.
Citation Text:
Briesacher B, Limcangco R, Simoni-Wastila L, et al. Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a…
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psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons
April 24, 2018 - Study
Rural hospital information technology implementation for safety and quality improvement: lessons learned.
Citation Text:
Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and quality improvement: lessons learned. Comput Inform N…
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psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative-analysis-team-member-perceptions
December 31, 2014 - Study
FMEA team performance in health care: a qualitative analysis of team member perceptions.
Citation Text:
Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be.
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