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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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 medicationerrors, this commentary reveals challenges related to nurses performing double checks and human factors
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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 medicationerrors and allowed nurses to identify medications more efficiently.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38487/psn-pdf
    March 18, 2009 - Greater nursing experience also was correlated with lower rates of medication errors.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43062/psn-pdf
    September 04, 2016 - evidence linking safety culture and patient outcomes, including satisfaction, falls, readmission rates, medicationerrors, and mortality.
  10. psnet.ahrq.gov/perspective/communication-during-transitions-care
    July 10, 2024 - in healthcare are consistently reported as leading causes of preventable adverse events, including medicationerrors 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 medicationerrors when transitioning patients from the ICU to the general medical ward.
  11. 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.
  12. Psn-Pdf (pdf file)

    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…
  13. 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
  14. 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…
  15. Psn-Pdf (pdf file)

    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-…
  16. 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…
  17. Safemed Facguide (doc file)

    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…
  18. 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. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
  19. 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. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…
  20. 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…