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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851355/psn-pdf
    July 12, 2023 - Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach. July 12, 2023 Godin MR, Nasr AS. Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach. J Nurs Adm. 2023;53(6):331-336. doi:10.1097/nna.0…

  2. Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. | PSNet

    psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults
    July 06, 2022 - Leading to More Appropriate Medication Use March 31, 2021 Medicines management, medication … errors and adverse medication events in older people referred to a community nursing service: a retrospective

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37305/psn-pdf
    January 02, 2011 - Medication administration in anesthesia: time for a paradigm shift. January 2, 2011 Stabile M; Webster CS; Merry AF. https://psnet.ahrq.gov/issue/medication-administration-anesthesia-time-paradigm-shift To reduce anesthesia administration errors, the authors propose changing the organizational culture to foster a…

  4. 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

  5. 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

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39106/psn-pdf
    June 30, 2011 - Uncomfortable prescribing decisions in hospitals: the impact of teamwork. June 30, 2011 Lewis PJ, Tully MP. Uncomfortable prescribing decisions in hospitals: the impact of teamwork. J R Soc Med. 2009;102(11):481-8. doi:10.1258/jrsm.2009.090150. https://psnet.ahrq.gov/issue/uncomfortable-prescribing-decisions-hospi…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39232/psn-pdf
    February 14, 2011 - Improving prescription drug warnings to promote patient comprehension. February 14, 2011 Wolf MS, Davis TC, Bass PF, et al. Improving prescription drug warnings to promote patient comprehension. Arch Intern Med. 2010;170(1):50-6. doi:10.1001/archinternmed.2009.454. https://psnet.ahrq.gov/issue/improving-prescripti…

  8. 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

  9. 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.

  10. 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.

  11. Health Information Exchange | Digital Healthcare Research

    digital.ahrq.gov/health-information-exchange-1
    January 01, 2023 - Medication errors pose a significant threat to patients undergoing transitions (Forster, Murff, Peterson

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34669/psn-pdf
    June 26, 2015 - coaching, perceived unit performance, and quality of unit relationship had significantly higher rates of medication … errors.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45554/psn-pdf
    October 19, 2016 - why-there-another-persons-name-my-infusion-bag-patient-safety-chemotherapy-care-review https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46396/psn-pdf
    August 15, 2018 - guide-reducing-unintended-consequences-electronic-health-records https://psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and

  15. One doctor. 25 deaths. How could it have happened? | PSNet

    psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
    November 06, 2019 - 2013 View More See More About The Topic Risk Managers Medicine Medication … Errors/Preventable Adverse Drug Events Latent Errors Role of the Media

  16. Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. | PSNet

    psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
    January 30, 2003 - April 7, 2010 USP drug safety review: medication errors involving NMBAs.   

  17. Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-considerations
    November 20, 2019 - September 7, 2022 Preventing Medication Errors: A $21 Billion Opportunity.

  18. Internally-developed online adverse drug reaction and medication error reporting systems. | PSNet

    psnet.ahrq.gov/issue/internally-developed-online-adverse-drug-reaction-and-medication-error-reporting-systems
    July 12, 2010 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849124/psn-pdf
    May 17, 2023 - Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systematic review. May 17, 2023 Awad S, Amon K, Baillie A, et al. Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systema…

  20. CMPA Good Practices Guide. | PSNet

    psnet.ahrq.gov/issue/cmpa-good-practices-guide
    November 21, 2018 - Multi-use Website CMPA Good Practices Guide. Citation Text: CMPA Good Practices Guide. Ottawa, Ontario: Canadian Medical Protective Association; 2016. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
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