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psnet.ahrq.gov/node/34983/psn-pdf
July 14, 2010 - They conclude that the program improved safety culture and decreased length of stay, medication
errors
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psnet.ahrq.gov/node/35848/psn-pdf
July 21, 2010 - describe the development of a staff-driven reporting program to collect data on indicators such
as medication … errors, patient falls, and nurse overtime hours.
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psnet.ahrq.gov/issue/iatroref-study-medical-errors-are-associated-symptoms-depression-icu-staff-not-burnout-or
April 12, 2011 - December 6, 2013
Automated drug dispensing system reduces medication errors in an intensive
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psnet.ahrq.gov/node/38995/psn-pdf
March 04, 2011 - Does computerized provider order entry reduce
prescribing errors for hospital inpatients? A systematic
review.
March 4, 2011
Reckmann MH, Westbrook JI, Koh Y, et al. Does computerized provider order entry reduce prescribing
errors for hospital inpatients? A systematic review. J Am Med Inform Assoc. 2009;16(5):613-…
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digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-lasa-substitution-errors/citation
January 01, 2023 - Using pharmacy data to screen for look-alike, sound-alike substitution errors in pediatric prescriptions
Citation
Basco WT Jr, Ebeling M, Hulsey TC, et al. Using pharmacy data to screen for look-alike, sound-alike substitution errors in pediatric prescriptions. Acad Pediatr 2010 Jul-Aug;10(4):233-7.
…
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digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records/annual-summary/2008
January 01, 2008 - A quasi-experimental pre-post study evaluated the effect of EHR implementation on medication errors. … in physicians’ offices throughout Massachusetts. ( Achieved )
Determine the effect of EHR use on medication … error rates, and determine the effects of EHR use on quality of care in primary care office practices
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psnet.ahrq.gov/issue/patient-safety-25
December 14, 2022 - 2022
Use of complete medication history to identify and correct transitions-of-care medication … errors at psychiatric hospital admission.
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psnet.ahrq.gov/issue/listen-me-i-really-am-sick-patient-and-family-narratives-clinical-deterioration-and-during
June 25, 2018 - January 4, 2012
Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.
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psnet.ahrq.gov/issue/effect-hospital-electronic-health-record-adoption-nurse-assessed-quality-care-and-patient
March 28, 2012 - Related Resources
How effective are electronic medication systems in reducing medication … error rates and associated harm among hospital inpatients?
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psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety-incidents-descriptive
November 10, 2021 - May 22, 2024
Enhanced free-text search for aggregated medication error report analysis
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psnet.ahrq.gov/issue/implementing-patient-and-family-involvement-interventions-promoting-patient-safety-systematic
February 02, 2022 - February 10, 2021
How effective are electronic medication systems in reducing medication … error rates and associated harm among hospital inpatients?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
April 17, 2008 - The Institute of Medicine’s report, Preventing Medication Errors 2007, states that poor
communication … errors and up to 20 percent of adverse drug events.1 Each time a
patient moves from one clinic or setting … process does not occur in a standardized manner that is designed to ensure complete
reconciliation, medication … errors could lead to adverse events and patient harm. … Institute of Medicine, Preventing medication errors.
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psnet.ahrq.gov/node/47267/psn-pdf
September 05, 2018 - The national cost of adverse drug events resulting from
inappropriate medication-related alert overrides in the
United States.
September 5, 2018
Slight SP, Seger DL, Franz C, et al. The national cost of adverse drug events resulting from inappropriate
medication-related alert overrides in the United States. J Am M…
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psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system-failures
July 31, 2023 - December 23, 2016
Preventing pediatric medication errors.
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psnet.ahrq.gov/node/34746/psn-pdf
July 08, 2016 - Although the report has been criticized for its strong focus on
medication errors and computerized order
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psnet.ahrq.gov/issue/leapfrog-hospital-safety-scores-depressing
November 13, 2013 - February 12, 2014
Reporting trends in a regional medication error data-sharing system
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psnet.ahrq.gov/node/46340/psn-pdf
September 27, 2017 - A systematic review of the effectiveness of interruptive
medication prescribing alerts in hospital CPOE systems
to change prescriber behavior and improve patient safety.
September 27, 2017
Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medication
prescribing alerts in ho…
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psnet.ahrq.gov/issue/effect-restriction-number-concurrently-open-records-electronic-health-record-wrong-patient
July 09, 2018 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … errors.
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-cpoe-clinical-pharmacy-practice-hypothesis
November 16, 2022 - November 20, 2013
Medication-error reporting and pharmacy resident experience during
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psnet.ahrq.gov/issue/preventable-closed-claims-aana-foundation-closed-malpractice-claims-database
March 11, 2020 - July 13, 2022
Nonpunitive medication error reporting: 3-year findings from one hospital's