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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…
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digital.ahrq.gov/ahrq-funded-projects/care-transitions-app-patients-multiple-chronic-conditions
January 01, 2023 - transitions are a vulnerable period for patients, leading to post-discharge adverse events, falls, medication … errors, and readmissions. … Complications, such as falls or medication errors, could lead to readmissions.
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psnet.ahrq.gov/node/40941/psn-pdf
April 13, 2016 - Medication administration quality and health information
technology: a national study of US hospitals.
April 13, 2016
Appari A, Carian EK, Johnson E, et al. Medication administration quality and health information technology:
a national study of US hospitals. J Am Med Inform Assoc. 2012;19(3):360-7. doi:10.1136/ami…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
May 01, 2024 - The care transition intervention will have the potential to prevent DOAC-related medication errors, improve
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psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
July 30, 2014 - March 24, 2016
Report faults Children's Hospital for medication errors.
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psnet.ahrq.gov/issue/selling-soap
March 06, 2005 - July 28, 2013
Rx for medication errors.
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psnet.ahrq.gov/issue/what-do-medical-records-tell-us-about-potentially-harmful-co-prescribing
December 19, 2011 - March 16, 2022
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/measuring-patient-safety-emergency-department
June 29, 2011 - study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication … errors.
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psnet.ahrq.gov/issue/clinical-review-checklists-translating-evidence-practice
April 08, 2009 - December 29, 2014
Medication errors associated with code situations in U.S. hospitals
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psnet.ahrq.gov/issue/implementing-handoff-communication
August 25, 2010 - April 10, 2024
Measurement of ambulatory medication errors in children: a scoping review
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psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
March 23, 2012 - Copy Citation
Related Resources From the Same Author(s)
Preventing Medication … Errors: A $21 Billion Opportunity.
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psnet.ahrq.gov/node/35289/psn-pdf
August 31, 2005 - Generic drug names: fertile ground for errors?
August 31, 2005
Wynn P. Drug Topics. August 8, 2005.
https://psnet.ahrq.gov/issue/generic-drug-names-fertile-ground-errors
This article reports on problems with look-alike and sound-alike names for generic medications and
describes how they contribute to medication mi…
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psnet.ahrq.gov/node/36350/psn-pdf
April 29, 2018 - Harmful errors: how will your facility respond?
April 29, 2018
ISMP Medication Safety Alert! Acute care edition. October 5, 2006.
https://psnet.ahrq.gov/issue/harmful-errors-how-will-your-facility-respond
This article outlines an organizational plan to prepare an effective and just response to medical error.
https…
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psnet.ahrq.gov/issue/patient-safety-papers-6
November 10, 2010 - Special or Theme Issue
Patient Safety Papers 6.
Citation Text:
Patient Safety Papers 6. Baker GR, ed. Healthc Q. 2012;15:1-72.
Copy Citation
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - psnet.ahrq.gov//#9
https://psnet.ahrq.gov//#10
https://psnet.ahrq.gov//#11
https://psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three
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psnet.ahrq.gov/node/40224/psn-pdf
February 23, 2011 - the risks of polypharmacy in veterans and discusses the need to improve
monitoring to prevent fatal medication … errors.
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psnet.ahrq.gov/node/39871/psn-pdf
September 22, 2010 - /issue/kaiser-permanentes-innovation-front-lines
This article describes how innovation has reduced medication … errors and enhanced quality improvement
work in one large health system.
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psnet.ahrq.gov/node/38749/psn-pdf
April 08, 2011 - Parental misinterpretations of over-the-counter pediatric
cough and cold medication labels.
April 8, 2011
Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough
and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10.1542/peds.2008-0854.
https://psnet.…
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psnet.ahrq.gov/issue/development-proactive-process-harmonize-policy-infusion-pump-library-and-electronic-health
October 19, 2022 - Study
Development of a proactive process to harmonize policy, infusion pump library, and electronic health record entries for continuous infusions at an academic medical center.
Citation Text:
Christensen SM, Andrews SR, Fox ER. Development of a proactive process to harmonize policy, inf…
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psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective
November 21, 2021 - Study
Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study.
Citation Text:
Jarrett P, Keogh S, Roberts JA, et al. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Inte…