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psnet.ahrq.gov/node/33945/psn-pdf
March 17, 2011 - Massachusetts Coalition for the Prevention of Medical
Errors.
March 17, 2011
Massachusetts Coalition for the Prevention of Medical Errors
https://psnet.ahrq.gov/issue/massachusetts-coalition-prevention-medical-errors
The Massachusetts Coalition for the Prevention of Medical Errors was established to improve patien…
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psnet.ahrq.gov/node/38390/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-33
This monthly selection of medication error reports includes information about the risks of cutting medication
patches, describes examples of dr…
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psnet.ahrq.gov/node/36206/psn-pdf
September 30, 2010 - Reducing medication errors by using applied technology.
September 30, 2010
Caesar BR, Hutchinson B. Reducing medication errors by using applied technology. Nursing (Brux).
2006;36(8):24-25.
https://psnet.ahrq.gov/issue/reducing-medication-errors-using-applied-technology
The authors describe their experience in imp…
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psnet.ahrq.gov/node/866519/psn-pdf
August 14, 2024 - Medication errors in emergency departments: a
systematic review and meta-analysis of prevalence and
severity
August 14, 2024
Nguyen PTL, Phan TAT, Vo VBN, et al. Medication errors in emergency departments: a systematic review
and meta-analysis of prevalence and severity. Int J Clin Pharm. 2024;46(5):1024-1033.
do…
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psnet.ahrq.gov/node/867683/psn-pdf
March 05, 2025 - Ambulatory medication errors and adverse events
involved in medicine-related malpractice cases from 2011
to 2021.
March 5, 2025
Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-
related malpractice cases from 2011 to 2021. J Patient Saf. 2025;21(2):111-117.
doi:10…
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psnet.ahrq.gov/node/72501/psn-pdf
November 25, 2020 - Use of an audit with feedback implementation strategy to
promote medication error reporting by nurses.
November 25, 2020
Hutchinson A, Brotto V, Chapman A, et al. Use of an audit with feedback implementation strategy to
promote medication error reporting by nurses. J Clin Nurs. 2020;29(21-22):4180-4193.
doi:10.111…
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psnet.ahrq.gov/node/866166/psn-pdf
June 19, 2024 - Understanding risk factors for complaints against
pharmacists: a content analysis.
June 19, 2024
Wang Y, Ram S (S), Scahill S. Understanding risk factors for complaints against pharmacists: a content
analysis. J Patient Saf. 2024;20(4):e18-e28. doi:10.1097/pts.0000000000001217.
https://psnet.ahrq.gov/issue/underst…
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psnet.ahrq.gov/node/866732/psn-pdf
September 18, 2024 - Misuse, abuse and medication errors' adverse events
associated with opioids--a systematic review.
September 18, 2024
Gustafsson M, Silva V, Valeiro C, et al. Misuse, abuse and medication errors' adverse events associated
with opioids--a systematic review. Pharmaceuticals (Basel). 2024;17(8):1009. doi:10.3390/ph1708…
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psnet.ahrq.gov/node/37929/psn-pdf
February 18, 2011 - Impact of duty hour regulations on medical students'
education: views of key clinical faculty.
February 18, 2011
Reed DA, Levine RB, Miller RG, et al. Impact of duty hour regulations on medical students' education:
views of key clinical faculty. J Gen Intern Med. 2008;23(7):1084-9. doi:10.1007/s11606-008-0532-1.
h…
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psnet.ahrq.gov/node/44619/psn-pdf
November 04, 2015 - Seeing through Google Glass: using an innovative
technology to improve medication safety behaviors in
undergraduate nursing students.
November 4, 2015
Schneidereith T. Seeing Through Google Glass: Using an Innovative Technology to Improve Medication
Safety Behaviors in Undergraduate Nursing Students. Nurs Educ Per…
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psnet.ahrq.gov/node/47903/psn-pdf
January 01, 2021 - A qualitative analysis of outpatient medication use in
community settings: observed safety vulnerabilities and
recommendations for improved patient safety.
April 17, 2019
Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community
Settings: Observed Safety Vulnerabilitie…
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psnet.ahrq.gov/node/40602/psn-pdf
December 31, 2014 - How to improve the delivery of medication alerts within
computerized physician order entry systems: an
international Delphi study.
December 31, 2014
Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within
computerized physician order entry systems: an international Delphi study…
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psnet.ahrq.gov/node/38784/psn-pdf
July 13, 2010 - A survey of nurses' beliefs about the medical emergency
team system in a Canadian tertiary hospital.
July 13, 2010
Bagshaw SM, Mondor EE, Scouten C, et al. A survey of nurses' beliefs about the medical emergency team
system in a canadian tertiary hospital. Am J Crit Care. 2010;19(1):74-83. doi:10.4037/ajcc2009532.
…
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psnet.ahrq.gov/node/44210/psn-pdf
September 09, 2015 - The future of graduate medical education: a systems-
based approach to ensure patient safety.
September 9, 2015
Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient
Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824.
https://psnet.ahrq.gov/issue/futur…
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psnet.ahrq.gov/node/34933/psn-pdf
April 06, 2011 - Insights from the sharp end of intravenous medication
errors: implications for infusion pump technology.
April 6, 2011
Husch M. Insights from the sharp end of intravenous medication errors: implications for infusion pump
technology. Quality and Safety in Health Care. 2005;14(2). doi:10.1136/qshc.2004.011957.
https…
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psnet.ahrq.gov/node/73209/psn-pdf
May 05, 2021 - Medication incident recovery and prevention utilising an
Australian community pharmacy incident reporting
system: the QUMwatch study.
May 5, 2021
Adie K, Fois RA, McLachlan AJ, et al. Medication incident recovery and prevention utilising an Australian
community pharmacy incident reporting system: the QUMwatch stud…
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psnet.ahrq.gov/node/74856/psn-pdf
February 23, 2022 - The secondary use of data to support medication safety
in the hospital setting: a systematic review and narrative
synthesis.
February 23, 2022
Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in
the hospital setting: a systematic review and narrative synthesis. Ph…
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psnet.ahrq.gov/node/44579/psn-pdf
September 01, 2016 - Increased appropriateness of customized alert
acknowledgement reasons for overridden medication
alerts in a computerized provider order entry system.
September 1, 2016
Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert
acknowledgement reasons for overridden medication alerts i…
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psnet.ahrq.gov/node/46992/psn-pdf
March 20, 2019 - Views of children, parents, and health-care providers on
pediatric disclosure of medical errors.
March 20, 2019
Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical
errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1367493518765220.
https://psnet.ah…
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psnet.ahrq.gov/node/35928/psn-pdf
June 09, 2011 - Clinical pharmacists and inpatient medical care: a
systematic review.
June 9, 2011
Kaboli PJ, Hoth AB, McClimon BJ, et al. Clinical pharmacists and inpatient medical care: a systematic
review. Arch Intern Med. 2006;166(9):955-64.
https://psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systemat…