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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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 …
  3. Psn-Pdf (pdf file)

    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…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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 …
  11. Psn-Pdf (pdf file)

    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…
  12. Psn-Pdf (pdf file)

    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…
  13. Psn-Pdf (pdf file)

    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…
  14. Psn-Pdf (pdf file)

    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…
  15. Psn-Pdf (pdf file)

    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…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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.…
  19. Psn-Pdf (pdf file)

    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…
  20. Psn-Pdf (pdf file)

    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…

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