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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
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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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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.
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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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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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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/delivering-truth-challenges-and-opportunities-error-disclosure-obstetrics
December 01, 2021 - 27, 2019
Shaping systems for better behavioral choices: lessons learned from a fatal medication … error.
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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.
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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/over-not-so-easy
April 01, 2005 - Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors. … Medication-Induced Hemolysis in a Patient With a Known Allergy
October 1, 2015
ISMP medication … error report analysis.
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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…
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psnet.ahrq.gov/issue/skin-tears-clinical-challenge
March 18, 2010 - March 13, 2013
Ambulatory surgery facilities: a comprehensive review of medication error
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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/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/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/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/issue/safety-numbers-try-connectivity
October 07, 2008 - May 1, 2015
Hospital Medication Errors Commonplace.
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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