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psnet.ahrq.gov/node/50747/psn-pdf
December 18, 2019 - primer/fatigue-sleep-deprivation-and-patient-safety
https://psnet.ahrq.gov/issue/paramedic-self-reported-medication-errors
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psnet.ahrq.gov/node/38226/psn-pdf
February 18, 2011 - https://psnet.ahrq.gov/issue/critical-events-lives-interns
https://psnet.ahrq.gov/issue/rates-medication-errors-among-depressed-and-burnt-out-residents-prospective-cohort-study
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psnet.ahrq.gov/node/42309/psn-pdf
May 18, 2016 - psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-and-quality-award
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
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psnet.ahrq.gov/node/43234/psn-pdf
June 04, 2014 - independent-double-checks-high-alert-medications-essential-practice
Discussing independent double checks as a strategy to reduce risk of high-alert medication … errors, this
commentary reveals challenges related to nurses performing double checks and human factors
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psnet.ahrq.gov/node/40980/psn-pdf
December 31, 2014 - transmitting-and-processing-electronic-prescriptions-experiences-physician-practices-and
https://psnet.ahrq.gov/issue/does-implementation-electronic-prescribing-system-create-unintended-medication-errors-study
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psnet.ahrq.gov/node/46590/psn-pdf
November 01, 2017 - psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
https://psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three
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psnet.ahrq.gov/node/39185/psn-pdf
January 06, 2010 - use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve-
patient-safety
Specific labels for high-risk intravenous medications successfully reduced medication … errors and allowed
nurses to identify medications more efficiently.
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psnet.ahrq.gov/node/38487/psn-pdf
March 18, 2009 - Greater nursing experience also was correlated with lower
rates of medication errors.
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psnet.ahrq.gov/node/43062/psn-pdf
September 04, 2016 - evidence linking safety culture and patient outcomes, including
satisfaction, falls, readmission rates, medication … errors, and mortality.
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - in healthcare are consistently reported as leading causes of preventable adverse events, including medication … errors and misdiagnosis. 1 It is widely recognized that communication , which can be defined as “the … errors, and misdiagnosis or delays in treatment. … study published in 2023 identified ineffective communication as a key contributor to high rates of medication … errors when transitioning patients from the ICU to the general medical ward.
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 01, 2025 - errors, and unexpected clinical deterioration. … errors. … For example, more than half of the T1D patients involved in home visits had medication errors, at a rate … The learning lab found that “medication error” is defined in multiple ways, focusing solely on patient … errors before patient safety is endangered.
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psnet.ahrq.gov/node/37578/psn-pdf
May 02, 2018 - Keeping patients safe from iatrogenic methadone
overdoses.
May 2, 2018
ISMP Medication Safety Alert! Acute care edition. February 14, 2008.
https://psnet.ahrq.gov/issue/keeping-patients-safe-iatrogenic-methadone-overdoses
This article describes errors that can occur when methadone is prescribed for pain and offers…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/references.html
June 01, 2018 - The effect of electronic prescribing on medication errors and adverse drug events: a systematic review
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024264-zhou-final-report-2019.pdf
January 01, 2019 - NLP to Improve Accuracy and Quality of Dictated Medical Documents - Final Report
AHRQ Grant Final Progress Report
Title of Project:
NLP to Improve Accuracy and Quality of Dictated Medical Documents
Principal In…
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psnet.ahrq.gov/node/39593/psn-pdf
June 09, 2010 - Look-alike, sound-alike drugs trigger dangers.
June 9, 2010
Aleccia J.
https://psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-trigger-dangers
This news piece details errors involving medication name confusion and presents tips for consumers to
avoid such mistakes.
https://psnet.ahrq.gov/issue/look-alike-sound-…
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digital.ahrq.gov/ahrq-funded-projects/nlp-improve-accuracy-and-quality-dictated-medical-documents
January 01, 2023 - NLP to Improve Accuracy and Quality of Dictated Medical Documents
Project Final Report ( PDF , 389.03 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the vi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Safe Medication Administration
SAY:
The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and delivery (L&D) units, and discusses the importance of implementing safeguards for their administ…
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psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine
December 21, 2016 - Commentary
System-related and cognitive errors in laboratory medicine.
Citation Text:
Plebani M. System-related and cognitive errors in laboratory medicine. Diagnosis (Berl). 2018;5(4):191-196. doi:10.1515/dx-2018-0085.
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Format:
DOI Google Scholar PubMed BibTeX…
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psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies
August 25, 2021 - Commentary
Errors in clinical reasoning: causes and remedial strategies.
Citation Text:
Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;338:b1860. doi:10.1136/bmj.b1860.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XM…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
AHRQ Publication No. 17-0003-19-EF
May 2017
SAY:
The Safe Medication Administration bundle
provides information on high-alert medications
commonly used in labor and d…