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New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI). | PSNet

psnet.ahrq.gov/issue/new-2012-national-patient-safety-goal-catheter-associated-urinary-tract-infection-cauti

February 28, 2018 - May 8, 2012 Medication Reconciliation Handbook, 2nd edition. … implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication … orders with Joint Commission medication management standards in a pediatric ICU.

Using Six Sigma to improve patient safety in the perioperative process. | PSNet

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June 27, 2018 - June 27, 2018 Wrong-patient medication errors: an analysis of event reports in Pennsylvania … June 27, 2018 Medication safety technologies: what is and is not working. … February 18, 2015 Using clinical decision support to improve medication reconciliation

Sentinel Event Data Summary. | PSNet

psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019

February 28, 2018 - May 8, 2012 Medication Reconciliation Handbook, 2nd edition. … implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication … orders with Joint Commission medication management standards in a pediatric ICU.

The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-introducing-automated-dispensing-cabinets-barcode-medication-administration-and-closed

March 10, 2021 - Emerging Classic The impact of introducing automated dispensing cabinets, barcode medication … administration, and closed-loop electronic medication management systems on work processes and safety … The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop … in reducing controlled substance medication errors in hospitals. … October 5, 2022 Longitudinal medication reconciliation at hospital admission, discharge

Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. | PSNet

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January 18, 2023 - Study Associations between double-checking and medication administration errors: … Associations between double-checking and medication administration errors: a direct observational study … January 18, 2023 Developing a process to measure actual harm from medication errors in … December 21, 2017 How effective are electronic medication systems in reducing medication … reconciliation at 18 hospitals: results of the MARQUIS2 study.

Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. | PSNet

psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free

December 18, 2019 - Study Identifying risks areas related to medication administrations - text mining … Identifying risks areas related to medication administrations - text mining analysis using free-text … July 10, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 A web application to involve patients in the medication reconciliation

Resident and family engagement in medication management in aged care facilities: a systematic review. | PSNet

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August 11, 2021 - Review Resident and family engagement in medication management in aged care facilities … Medication errors are a common cause of preventable harm in long-term care facilities . … August 11, 2021 Advanced medication reconciliation: a systematic review of the impact … on medication errors and adverse drug events associated with transitions of care. … August 25, 2021 Detectability of medication errors with a STOPP/START-based medication

Methods used to obtain pediatric patient weights, their accuracy and associated drug dosing errors in 142 simulated prehospital pediatric patient encounters. | PSNet

psnet.ahrq.gov/issue/methods-used-obtain-pediatric-patient-weights-their-accuracy-and-associated-drug-dosing

March 01, 2023 - Inaccurate assessment of pediatric patient weight can lead to medication dosing errors. … July 7, 2021 Advanced medication reconciliation: a systematic review of the impact on … medication errors and adverse drug events associated with transitions of care. … February 22, 2023 The effect of structured medication review followed by face-to-face … August 11, 2021 Detectability of medication errors with a STOPP/START-based medication

Preventable medication harm across health care settings: a systematic review and meta-analysis. | PSNet

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July 31, 2019 - Medication errors represent a significant source of preventable harm . … Preventable medication harm occurred most frequently during medication prescribing and monitoring. … July 31, 2019 Medication-related interventions to improve medication safety and patient … February 6, 2019 How effective are electronic medication systems in reducing medication … April 15, 2020 WebM&M Cases Medication Reconciliation

Triaging Interhospital Transfers | PSNet

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April 12, 2023 - reconciliation: an on-treatment and site analysis of the MARQUIS2 study. … reconciliation at 18 hospitals: results of the MARQUIS2 study. … May 19, 2021 Effects of a multifaceted medication reconciliation quality improvement … January 23, 2019 A toolkit to disseminate best practices in inpatient medication reconciliation … : Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS).

An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference. | PSNet

psnet.ahrq.gov/issue/analysis-prehospital-pediatric-medication-dosing-errors-after-implementation-state-wide-ems

August 25, 2021 - Study An analysis of prehospital pediatric medication dosing errors after implementation … An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS … April 6, 2022 Detectability of medication errors with a STOPP/START-based medication … August 11, 2021 Advanced medication reconciliation: a systematic review of the impact … on medication errors and adverse drug events associated with transitions of care.

An engineered solution to the maladministration of spinal injections. | PSNet

psnet.ahrq.gov/issue/engineered-solution-maladministration-spinal-injections

March 14, 2022 - Download Citation Related Resources From the Same Author(s) Preventing home medication … April 7, 2011 Identifying the latent failures underpinning medication administration … Design and implementation of an application and associated services to support interdisciplinary medication … reconciliation efforts at an integrated healthcare delivery network. … June 21, 2023 Facilitated self-reported anaesthetic medication errors before and after

Functional safety of health information technology. | PSNet

psnet.ahrq.gov/issue/functional-safety-health-information-technology

February 14, 2024 - January 12, 2022 Risk factors for clinically relevant deviations in patients' medication … March 2, 2022 The effect of structured medication review followed by face-to-face feedback … September 25, 2008 View More Related Resources Ten ways to improve medication … December 12, 2018 Electronic tools to support medication reconciliation—a systematic … September 3, 2011 Beyond the prescription: medication monitoring and adverse drug events

Geometric probability distribution for modeling of error risk during prescription dispensing. | PSNet

psnet.ahrq.gov/issue/geometric-probability-distribution-modeling-error-risk-during-prescription-dispensing

December 24, 2008 - nurses on the medication administration error rate: a randomized controlled trial. … October 19, 2022 The problems of detecting medication errors in hospitals. … January 22, 2016 Clinicians' use of health information exchange technologies for medication … reconciliation in the U.S. … June 10, 2018 Certified pharmacy technicians' views on their medication preparation errors

Specimen labeling errors in surgical pathology: an 18-month experience. | PSNet

psnet.ahrq.gov/issue/specimen-labeling-errors-surgical-pathology-18-month-experience

January 04, 2012 - September 23, 2020 Medication reconciliation: comparing a customized medication history … form to a standard medication form in a specialty clinic (CAMPII 2). … September 18, 2013 Medication errors and patient complications with continuous renal … November 5, 2014 The impact of traditional and smart pump infusion technology on nurse medication

Barriers to incident notification in a regional prehospital setting. | PSNet

psnet.ahrq.gov/issue/barriers-incident-notification-regional-prehospital-setting

December 21, 2022 - Download Citation Related Resources From the Same Author(s) Detectability of medication … errors with a STOPP/START-based medication review in older people prior to a potentially preventable … October 31, 2011 Standardized assessment of medication reconciliation in post-acute care … EMS Perils from Hospital Overcrowding August 31, 2022 Factors influencing medication … October 20, 2021 A standardized formulary to reduce pediatric medication dosing errors

Effectiveness of computerized provider order entry with dose range checking on prescribing errors. | PSNet

psnet.ahrq.gov/issue/effectiveness-computerized-provider-order-entry-dose-range-checking-prescribing-errors

October 23, 2024 - reconciliation in the U.S. … July 10, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 Impact of a drug shortage on medication errors and clinical outcomes in … September 6, 2016 Medication prescribing errors involving the route of administration

Patient identification errors: the detective in the laboratory. | PSNet

psnet.ahrq.gov/issue/patient-identification-errors-detective-laboratory

March 09, 2022 - October 23, 2019 Developing a programme for medication reconciliation at the time of … 2011 Perceptions and attitudes of pediatricians and families with regard to pediatric medication … September 6, 2023 A systematic review on pediatric medication errors by parents or caregivers … August 28, 2019 ISMP medication error report analysis. … May 29, 2019 Effect of number of open charts on intercepted wrong-patient medication

Decreasing paediatric prescribing errors in a district general hospital. | PSNet

psnet.ahrq.gov/issue/decreasing-paediatric-prescribing-errors-district-general-hospital

June 09, 2011 - A prescribing tutorial for junior doctors successfully reduced medication prescribing errors in a children's … December 16, 2011 Adopting National Quality Forum medication safe practices: progress … August 23, 2023 Improving medication safety in a paediatric hospital: a mixed-methods … January 26, 2022 Quantifying discharge medication reconciliation errors at 2 pediatric … November 5, 2014 Prevention of pediatric medication errors by hospital pharmacists and

Mistaken identity of skin cleansing solution leading to extensive chemical burns in an extremely preterm infant. | PSNet

psnet.ahrq.gov/issue/mistaken-identity-skin-cleansing-solution-leading-extensive-chemical-burns-extremely-preterm

October 19, 2022 - Design and implementation of an application and associated services to support interdisciplinary medication … reconciliation efforts at an integrated healthcare delivery network. … March 8, 2023 Prevalence, causes and severity of medication administration errors in … February 9, 2022 Prevalence and nature of medication errors and preventable adverse drug … January 23, 2019 Origins of and solutions for neonatal medication-dispensing errors.

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