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9141. AHRQ Health Information Technology Division's 2017 Annual Report. | PSNet
      psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
      May 02, 2018 - Book/Report AHRQ Health Information Technology Division's 2017 Annual Report. Citation Text: AHRQ Health Information Technology Division's 2017 Annual Report. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-EF. Copy Citation …

9142. Using simulation to prepare nursing staff for the move to a new building. | PSNet
      psnet.ahrq.gov/issue/using-simulation-prepare-nursing-staff-move-new-building
      January 15, 2014 - June 22, 2011 Why nurses make medication errors: a simulation study.

9143. Ethical and legal issues in the use of health information technology to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/ethical-and-legal-issues-use-health-information-technology-improve-patient-safety
      July 30, 2014 - May 27, 2011 Preventing medication errors in hospitals through a systems approach and

9144. Lack of awareness of community-acquired adverse drug reactions upon hospital admission: dimensions and consequences of a dilemma. | PSNet
      psnet.ahrq.gov/issue/lack-awareness-community-acquired-adverse-drug-reactions-upon-hospital-admission-dimensions
      October 16, 2013 - June 7, 2023 Interventions for reducing medication errors in children in hospital.

9145. Understanding and confronting our mistakes: the epidemiology of error in radiology and strategies for error reduction. | PSNet
      psnet.ahrq.gov/issue/understanding-and-confronting-our-mistakes-epidemiology-error-radiology-and-strategies-error
      February 02, 2022 - February 2, 2022 Medication error in the care of HIV/AIDS patients: electronic surveillance

9146. We need to talk: primary care provider communication at discharge in the era of a shared electronic medical record. | PSNet
      psnet.ahrq.gov/issue/we-need-talk-primary-care-provider-communication-discharge-era-shared-electronic-medical
      October 13, 2018 - March 25, 2017 WebM&M Cases Refused Medication Error

9147. Psn-Pdf (pdf file)
      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.

9148. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854818/psn-pdf
      October 25, 2023 - The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. October 25, 2023 van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical laboratory testing process lea…

9149. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43697/psn-pdf
      March 26, 2015 - Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology. March 26, 2015 Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in oncology: Findings from the 201…

9150. A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. | PSNet
      psnet.ahrq.gov/issue/systematic-review-performance-characteristics-clinical-event-monitor-signals-used-detect
      March 28, 2012 - Related Resources From the Same Author(s) Identifying modifiable barriers to medication … error reporting in the nursing home setting.

9151. Safety culture includes "good catches." | PSNet
      psnet.ahrq.gov/issue/safety-culture-includes-good-catches
      August 21, 2024 - Improving Diagnostic Safety and Quality April 26, 2023 ISMP medication … error report analysis.

9152. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. | PSNet
      psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
      March 14, 2022 - WebM&M Cases Syringe Swap During Regional Block: A Case of Medication … Error and Recovery January 31, 2024 Anesthesia workspaces for safe medication

9153. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36606/psn-pdf
      January 31, 2007 - issue/cause-death-sloppy-doctors This article reports on an industry-supported initiative to reduce medication … errors by encouraging physicians to use electronic prescribing through a free Web-based tool.

9154. Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients. | PSNet
      psnet.ahrq.gov/issue/primary-care-physicians-willingness-disclose-oncology-errors-involving-multiple-providers
      July 28, 2014 - December 22, 2018 Medication errors in the home: a multisite study of children with cancer

9155. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. | PSNet
      psnet.ahrq.gov/issue/patient-record-review-incidence-consequences-and-causes-diagnostic-adverse-events
      July 02, 2014 - May 25, 2010 Characteristics of medication errors and adverse drug events in hospitals

9156. Misleading one detail: a preventable mode of diagnostic error? | PSNet
      psnet.ahrq.gov/issue/misleading-one-detail-preventable-mode-diagnostic-error
      February 10, 2016 - Pharmacist-led educational interventions provided to healthcare providers to reduce medication … errors: a systematic review and meta-analysis.

9157. Data quality associated with handwritten laboratory test requests: classification and frequency of data-entry errors for outpatient serology tests. | PSNet
      psnet.ahrq.gov/issue/data-quality-associated-handwritten-laboratory-test-requests-classification-and-frequency
      September 27, 2023 - commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication … errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis

9158. Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/nurses-perspectives-regarding-disclosure-errors-patients-qualitative-study
      January 28, 2015 - September 21, 2011 An investigation of the relationship between safety climate and medication … errors as well as other nurse and patient outcomes.

9159. Patients' perception of types of errors in palliative care—results from a qualitative interview study. | PSNet
      psnet.ahrq.gov/issue/patients-perception-types-errors-palliative-care-results-qualitative-interview-study
      December 04, 2016 - August 3, 2017 Medication errors recovered by emergency department pharmacists.

9160. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43292/psn-pdf
      January 07, 2015 - Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. January 7, 2015 Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and warning of atypical medication orders subm…