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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854833/psn-pdf
    October 25, 2023 - Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. October 25, 2023 Washington, DC: The Veterans Affairs Inspector General. October 4, 2023. Report No. 23-00080-227. https://psnet.ahrq.gov/issue/deficiencies-facility-leaders-respons…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60898/psn-pdf
    September 09, 2020 - Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. September 9, 2020 Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74055/psn-pdf
    January 01, 2022 - Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review. November 10, 2021 Hyvämäki P, Kääriäinen M, Tuomikoski A-M, et al. Registered nurses' and medical doctors' experiences of patient safety in health …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43277/psn-pdf
    June 18, 2014 - The Food and Drug Administration's initiative for safe design and effective use of home medical equipment. June 18, 2014 Weick-Brady M, Singh S. The Food and Drug Administration's initiative for safe design and effective use of home medical equipment. Home Healthc Nurse. 2014;32(6):343-8. doi:10.1097/NHH.0000000000…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862150/psn-pdf
    February 07, 2024 - Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy management. February 7, 2024 Roosan D, Padua P, Khan R, et al. Effectiveness of ChatGPT in clinical pharmacy and the role of artificial intelligence in medication therapy management. J Am Pharm Assoc (2003).…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46728/psn-pdf
    March 27, 2018 - Near-miss event analysis enhances the barcode medication administration process. March 27, 2018 Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M. https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration- process Near misses provide unique opportunities to ide…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36550/psn-pdf
    January 12, 2011 - Effects of technological interventions on the safety of a medication-use system. January 12, 2011 Skibinski K, White BA, Lin LI-K, et al. Effects of technological interventions on the safety of a medication- use system. Am J Health Syst Pharm. 2007;64(1):90-6. https://psnet.ahrq.gov/issue/effects-technological-int…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38439/psn-pdf
    December 23, 2012 - Legality of technicians' involvement in medication reconciliation not clear. December 23, 2012 Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists. 2009;66…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35538/psn-pdf
    March 29, 2010 - Identifying medical errors: developing consensus on classifications and consequences. March 29, 2010 Hobgood C; Eaton J; Weiner BJ. https://psnet.ahrq.gov/issue/identifying-medical-errors-developing-consensus-classifications-and- consequences The investigators surveyed a panel of experts to determine if they coul…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41831/psn-pdf
    December 31, 2012 - The economics of health care quality and medical errors. December 31, 2012 Andel C, Davidow SL, Hollander M, et al. The economics of health care quality and medical errors. J Health Care Finance. 2012;39(1):39-50. https://psnet.ahrq.gov/issue/economics-health-care-quality-and-medical-errors Discussing the financia…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41943/psn-pdf
    August 15, 2013 - Medication reconciliation: a qualitative analysis of clinicians' perceptions. August 15, 2013 Vogelsmeier A, Pepper GA, Oderda L, et al. Medication reconciliation: A qualitative analysis of clinicians' perceptions. Res Social Adm Pharm. 2013;9(4):419-30. doi:10.1016/j.sapharm.2012.08.002. https://psnet.ahrq.gov/is…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35336/psn-pdf
    June 17, 2014 - Medication safety issue brief. Bar code implementation strategies. June 17, 2014 Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hospitals & health networks. 2005;79(7):65-6. https://psnet.ahrq.gov/issue/medication-safety-issue-brief-bar-c…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38113/psn-pdf
    February 28, 2009 - Prioritising the prevention of medication handling errors. February 28, 2009 Bertsche T, Niemann D, Mayer Y, et al. Prioritising the prevention of medication handling errors. Pharm World Sci. 2008;30(6):907-15. doi:10.1007/s11096-008-9250-3. https://psnet.ahrq.gov/issue/prioritising-prevention-medication-handling-e…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40751/psn-pdf
    September 07, 2011 - Developing a programme for medication reconciliation at the time of admission into hospital. September 7, 2011 Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi:10.1007/s11096-011-9530-1. http…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38348/psn-pdf
    December 30, 2014 - Implementing a bar-code medication administration system. December 30, 2014 Weber RJ. Implementing a Bar-Code Medication Administration System. Hosp Pharm. 2010;43(12):1016- 1022. doi:10.1310/hpj4312-1016. https://psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system This commentary discusse…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41617/psn-pdf
    August 22, 2012 - Medical devices and patient safety. August 22, 2012 Mattox E. Medical devices and patient safety. Crit Care Nurse. 2012;32(4):60-8. doi:10.4037/ccn2012925. https://psnet.ahrq.gov/issue/medical-devices-and-patient-safety This commentary discusses errors associated with medical device use in intensive care environmen…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41275/psn-pdf
    April 04, 2012 - Medication reconciliation campaign in a clinic for homeless patients. April 4, 2012 Moczygemba LR, Gatewood SBS, Kennedy AK, et al. Medication reconciliation campaign in a clinic for homeless patients. Am J Health Syst Pharm. 2012;69(7):558, 560-2. doi:10.2146/ajhp110334. https://psnet.ahrq.gov/issue/medication-re…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47594/psn-pdf
    March 17, 2023 - Prevention of perioperative medication errors. March 17, 2023 Nanji K. UpToDate. March 7, 2023. https://psnet.ahrq.gov/issue/prevention-perioperative-medication-errors Perioperative adverse drug events are common and understudied. This review examines factors that contribute to adverse drug events in the surgical …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36267/psn-pdf
    October 21, 2010 - Antiretroviral medication errors among hospitalized patients with HIV infection. October 21, 2010 Rastegar DA, Knight AM, Monolakis JS. Antiretroviral medication errors among hospitalized patients with HIV infection. Clin Infect Dis. 2006;43(7):933-8. https://psnet.ahrq.gov/issue/antiretroviral-medication-errors-a…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37565/psn-pdf
    February 27, 2008 - Effect of pharmacists on medication errors in an emergency department. February 27, 2008 Brown JN, Barnes CL, Beasley B, et al. Effect of pharmacists on medication errors in an emergency department. Am J Health Syst Pharm. 2008;65(4):330-3. doi:10.2146/ajhp070391. https://psnet.ahrq.gov/issue/effect-pharmacists-me…

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