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psnet.ahrq.gov/node/36510/psn-pdf
June 13, 2011 - Using clinical decision support to improve medication
reconciliation.
June 13, 2011
Moore G. Patient Saf Qual Healthc. November / December 2006.
https://psnet.ahrq.gov/issue/using-clinical-decision-support-improve-medication-reconciliation
The author provides strategies to enhance the value of medication reconcili…
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psnet.ahrq.gov/node/36582/psn-pdf
January 14, 2011 - Paramedic self-reported medication errors.
January 14, 2011
Vilke GM, Tornabene S, Stepanski B, et al. Paramedic self-reported medication errors. Prehosp Emerg
Care. 2007;11(1):80-4.
https://psnet.ahrq.gov/issue/paramedic-self-reported-medication-errors-0
This survey found that paramedics who committed medication …
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psnet.ahrq.gov/node/36355/psn-pdf
October 27, 2010 - Paramedic self-reported medication errors.
October 27, 2010
Vilke GM, Tornabene S, Stepanski B, et al. Paramedic self-reported medication errors. Prehosp Emerg
Care. 2006;10(4):457-462.
https://psnet.ahrq.gov/issue/paramedic-self-reported-medication-errors
The researchers surveyed paramedics and found that 9% made…
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psnet.ahrq.gov/node/35744/psn-pdf
July 15, 2010 - Medication safety infrastructure in critical-access
hospitals in Florida.
July 15, 2010
Winterstein AG, Hartzema AG, Johns TE, et al. Medication safety infrastructure in critical-access hospitals
in Florida. American Journal of Health-System Pharmacy. 2006;63(5). doi:10.2146/ajhp050345.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/39474/psn-pdf
June 27, 2011 - A model for medication safety event detection.
June 27, 2011
Snyder RA, Fields W. A model for medication safety event detection. Int J Qual Health Care.
2010;22(3):179-86. doi:10.1093/intqhc/mzq014.
https://psnet.ahrq.gov/issue/model-medication-safety-event-detection
This AHRQ-funded work describes a model to iden…
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psnet.ahrq.gov/node/37093/psn-pdf
February 01, 2011 - Alliance between society and medicine: the public's stake
in medical professionalism.
February 1, 2011
Cohen JJ, Cruess S, Davidson C. Alliance between society and medicine: the public's stake in medical
professionalism. JAMA. 2007;298(6):670-3.
https://psnet.ahrq.gov/issue/alliance-between-society-and-medicine-pu…
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psnet.ahrq.gov/node/39962/psn-pdf
September 24, 2016 - Interruptions and medication errors: part I.
September 24, 2016
Flanders S, Clark AP. Interruptions and medication errors: part I. Clin Nurse Spec. 2010;24(6):281-5.
doi:10.1097/NUR.0b013e3181faf78b.
https://psnet.ahrq.gov/issue/interruptions-and-medication-errors-part-i
This commentary discusses preventable medic…
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psnet.ahrq.gov/node/39081/psn-pdf
September 27, 2016 - Medication room madness: calming the chaos.
September 27, 2016
Conrad C, Fields W, McNamara T, et al. Medication room madness: calming the chaos. J Nurs Care Qual.
2010;25(2):137-144. doi:10.1097/NCQ.0b013e3181c3695d.
https://psnet.ahrq.gov/issue/medication-room-madness-calming-chaos
Through space and process desi…
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psnet.ahrq.gov/node/37214/psn-pdf
December 15, 2011 - A secondary care nursing perspective on medication
administration safety.
December 15, 2011
McBride-Henry K, Foureur M. A secondary care nursing perspective on medication administration safety. J
Adv Nurs. 2007;60(1):58-66.
https://psnet.ahrq.gov/issue/secondary-care-nursing-perspective-medication-administration-s…
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psnet.ahrq.gov/node/39409/psn-pdf
March 31, 2010 - Learning mechanisms to limit medication administration
errors.
March 31, 2010
Drach-Zahavy A, Pud D. Learning mechanisms to limit medication administration errors. J Adv Nurs.
2010;66(4). doi:10.1111/j.1365-2648.2010.05294.x.
https://psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
…
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psnet.ahrq.gov/node/40409/psn-pdf
April 27, 2011 - Year in review: medication mishaps in the elderly.
April 27, 2011
Peron EP, Marcum ZA, Boyce R, et al. Year in review: medication mishaps in the elderly. Am J Geriatr
Pharmacother. 2011;9(1):1-10. doi:10.1016/j.amjopharm.2011.01.003.
https://psnet.ahrq.gov/issue/year-review-medication-mishaps-elderly
This review a…
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psnet.ahrq.gov/node/37186/psn-pdf
September 25, 2008 - The variability and quality of medication container labels.
September 25, 2008
Shrank WH, Agnew-Blais J, Choudhry NK, et al. The variability and quality of medication container labels.
Arch Intern Med. 2007;167(16):1760-1765.
https://psnet.ahrq.gov/issue/variability-and-quality-medication-container-labels
Pharmacy…
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psnet.ahrq.gov/node/36871/psn-pdf
May 11, 2014 - Improving medication safety in the ICU: the pharmacist's
role.
May 11, 2014
Lee AJ, Chiao TB, Lam JT, et al. Improving Medication Safety in the ICU: The Pharmacist's Role. Hosp
Pharm. 2010;42(4):337-344. doi:10.1310/hpj4204-337.
https://psnet.ahrq.gov/issue/improving-medication-safety-icu-pharmacists-role
The aut…
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psnet.ahrq.gov/node/37353/psn-pdf
March 28, 2012 - Medication Use: A Systems Approach to Reducing Errors,
Second Edition.
March 28, 2012
Porche? RA. Oakbrook Terrace, IL: Joint Commission Resources: 2008. ISBN 9781599400976.
https://psnet.ahrq.gov/issue/medication-use-systems-approach-reducing-errors-second-edition
Co-authored by a host of medication safety expert…
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psnet.ahrq.gov/node/38360/psn-pdf
March 18, 2010 - Medication errors occurring with the use of bar-code
administration technology.
March 18, 2010
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
https://psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology
This article describes errors associated with bar coded medication admin…
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psnet.ahrq.gov/node/35465/psn-pdf
January 05, 2017 - Medication errors related to product names.
January 5, 2017
Santell JP, Cousins DD. Medication errors related to product names. Jt Comm J Qual Patient Saf.
2005;31(11):649-54.
https://psnet.ahrq.gov/issue/medication-errors-related-product-names
The authors use data from United States Pharmacopeia Medication Errors…
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psnet.ahrq.gov/node/35653/psn-pdf
June 25, 2010 - Effective strategies to increase reporting of medication
errors in hospitals.
June 25, 2010
Force MVO, Deering L, Hubbe J, et al. Effective strategies to increase reporting of medication errors in
hospitals. J Nurs Adm. 2006;36(1):34-41.
https://psnet.ahrq.gov/issue/effective-strategies-increase-reporting-medicati…
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psnet.ahrq.gov/node/38020/psn-pdf
August 27, 2008 - Pediatric medication safety in the emergency department.
August 27, 2008
Cadwell SM. Pediatric medication safety in the emergency department. Journal of emergency nursing: JEN
: official publication of the Emergency Department Nurses Association. 2008;34(4):375-7.
doi:10.1016/j.jen.2008.04.014.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/37237/psn-pdf
December 15, 2011 - Discontinuity and disaster: gaps and the negotiation of
culpability in medication delivery.
December 15, 2011
Dekker SWA. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. J
Law Med Ethics. 2007;35(3):463-70.
https://psnet.ahrq.gov/issue/discontinuity-and-disaster-gaps-and…
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psnet.ahrq.gov/node/36417/psn-pdf
April 12, 2011 - Excess mortality caused by medical injury.
April 12, 2011
Meurer LN, Yang H, Guse CE, et al. Excess mortality caused by medical injury. Ann Fam Med.
2006;4(5):410-6.
https://psnet.ahrq.gov/issue/excess-mortality-caused-medical-injury
The authors describe a state-based review of discharge diagnoses to identify medi…