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www.ahrq.gov/news/newsroom/case-studies/ktcquips89.html
October 01, 2014 - Massachusetts Hospital Improves Medication Reconciliation With AHRQ Toolkit
Search All Impact Case Studies
March 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, Masspro, the Massachusetts Quality Improvement Organization (QIO), worked with New England Rehabilitation …
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psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
July 17, 2024 - Common incidents included pressure injuries, medication errors , and premature discharge.
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psnet.ahrq.gov/issue/duke-center-healthcare-safety-and-quality
June 01, 2016 - July 10, 2019
Prevalence and Economic Burden of Medication Errors in the NHS England.
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psnet.ahrq.gov/issue/patient-safety-measures-complications
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/issue/patient-safety-papers-5
July 03, 2013 - February 10, 2010
Medication Errors.
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psnet.ahrq.gov/issue/patient-safety-old-and-new-issue
June 01, 2011 - About The Topic
Discontinuities, Gaps, and Hand-Off Problems
Fatigue and Sleep Deprivation
Medication … Errors/Preventable Adverse Drug Events
Nosocomial Infections
Venous Thrombosis and Thromboembolism
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psnet.ahrq.gov/issue/do-no-harm
June 27, 2018 - March 27, 2018
Medication errors in older people with mental health problems: a review
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psnet.ahrq.gov/issue/canadian-patient-safety-week
August 24, 2022 - September 30, 2020
Do No Harm: Are We Preventing Medication Errors in Children with Medical
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psnet.ahrq.gov/issue/safety-numbers-try-connectivity
October 07, 2008 - May 1, 2015
Hospital Medication Errors Commonplace.
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psnet.ahrq.gov/issue/adverse-events
October 28, 2020 - View More
See More About The Topic
Quality and Safety Professionals
Patients
Medication … Errors/Preventable Adverse Drug Events
Pressure Ulcers
Surgical Complications
View More
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psnet.ahrq.gov/node/46965/psn-pdf
March 28, 2018 - The other opioid crisis: hospital shortages lead to patient
pain, medical errors.
March 28, 2018
Bartolone P. Kaiser Health News. March 16, 2018.
https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors
Drug shortages may require clinicians, pharmacists, and hospitals to…
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psnet.ahrq.gov/node/44883/psn-pdf
February 17, 2016 - Comparison of barcode scanning by pharmacy
technicians and pharmacists' visual checks for final
product verification.
February 17, 2016
Wang BN-T, Brummond P, Stevenson JG. Comparison of barcode scanning by pharmacy technicians and
pharmacists' visual checks for final product verification. Am J Health Syst Pharm. …
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psnet.ahrq.gov/node/38163/psn-pdf
April 11, 2011 - Retrospective evaluation of a computerized physician
order entry adaptation to prevent prescribing errors in a
pediatric emergency department.
April 11, 2011
Sard BE, Walsh KE, Doros G, et al. Retrospective evaluation of a computerized physician order entry
adaptation to prevent prescribing errors in a pediatric e…
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psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - WebM&M Cases
Syringe Swap During Regional Block: A Case of Medication … Error and Recovery
January 31, 2024
Intervention study for the reduction of … medication errors in elderly trauma patients. … August 23, 2017
Medication errors in the care transition of trauma patients
December … 18, 2019
Using Healthcare Failure Mode and Effect Analysis to reduce medication errors
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psnet.ahrq.gov/issue/organisational-conditions-safety-management-practice-homecare-and-nursing-homes-pre-pandemic
August 03, 2022 - Identifying high-alert medications in a university hospital by applying data from the medication … error reporting system.
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psnet.ahrq.gov/issue/socio-technical-issues-and-challenges-implementing-safe-patient-handovers-insights
July 19, 2023 - November 19, 2016
Case report of a medication error: in the eye of the beholder.
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psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions-and-medications
November 16, 2022 - November 13, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/clinical-decision-support-early-recognition-sepsis
July 29, 2020 - machine learning-based clinical decision support system to identify prescriptions with a high risk of medication … error.
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psnet.ahrq.gov/issue/effect-behavioral-interventions-inappropriate-antibiotic-prescribing-among-primary-care
August 02, 2015 - June 19, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/sign-right-here-and-youre-good-go-content-analysis-audiotaped-emergency-department-discharge
December 18, 2013 - August 26, 2020
ISMP medication error report analysis.