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  1. psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology
    September 30, 2015 - Part 1 of this series provides examples of patient safety concerns in dermatology (e.g., medication errors
  2. 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.
  3. psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
    December 23, 2016 - June 29, 2022 View More Related Resources ISMP medication error … December 23, 2016 ISMP medication error report analysis.
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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. …
  6. 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…
  7. 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 …
  8. psnet.ahrq.gov/issue/delivering-truth-challenges-and-opportunities-error-disclosure-obstetrics
    December 01, 2021 - 27, 2019 Shaping systems for better behavioral choices: lessons learned from a fatal medicationerror.
  9. psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
    April 03, 2017 - February 5, 2020 ISMP medication error report analysis.
  10. Psn-Pdf (pdf file)

    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…
  11. psnet.ahrq.gov/web-mm/over-not-so-easy
    April 01, 2005 - Effect of computerized physician order entry and a team intervention on prevention of serious medicationerrors. … Medication-Induced Hemolysis in a Patient With a Known Allergy October 1, 2015 ISMP medicationerror report analysis.
  12. psnet.ahrq.gov/issue/medication-safety-technologies-what-and-not-working
    January 02, 2017 - Newspaper/Magazine Article Medication safety technologies: what is and is not working. Citation Text: Medication safety technologies: what is and is not working. Bates DW, Wachter RM, Vanderveen T. Patient Saf Qual Healthc. July/August 2009;6:22-27. Copy Citation Sav…
  13. psnet.ahrq.gov/issue/skin-tears-clinical-challenge
    March 18, 2010 - March 13, 2013 Ambulatory surgery facilities: a comprehensive review of medication error
  14. psnet.ahrq.gov/issue/patient-safety-measures-complications
    March 23, 2012 - Copy Citation Related Resources From the Same Author(s) Preventing MedicationErrors: A $21 Billion Opportunity.
  15. 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
  16. psnet.ahrq.gov/issue/do-no-harm
    June 27, 2018 - March 27, 2018 Medication errors in older people with mental health problems: a review
  17. psnet.ahrq.gov/issue/adverse-events
    October 28, 2020 - View More See More About The Topic Quality and Safety Professionals Patients MedicationErrors/Preventable Adverse Drug Events Pressure Ulcers Surgical Complications View More
  18. psnet.ahrq.gov/issue/safety-numbers-try-connectivity
    October 07, 2008 - May 1, 2015 Hospital Medication Errors Commonplace.
  19. psnet.ahrq.gov/issue/patient-safety-papers-5
    July 03, 2013 - February 10, 2010 Medication Errors.
  20. 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 MedicationErrors/Preventable Adverse Drug Events Nosocomial Infections Venous Thrombosis and Thromboembolism