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psnet.ahrq.gov/issue/health-care-simulation-advance-safety-responding-ebola-and-other-threats
September 16, 2015 - September 16, 2015
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative
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psnet.ahrq.gov/issue/medication-safety-and-hospital-referrals-report-health-and-disability-commissioner
March 30, 2022 - June 29, 2016
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative
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psnet.ahrq.gov/issue/guidance-safe-medical-staffing-report-working-party
February 08, 2011 - October 7, 2020
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative
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psnet.ahrq.gov/issue/correlates-medication-error-hospitals
August 24, 2022 - September 30, 2020
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative
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psnet.ahrq.gov/node/44724/psn-pdf
November 25, 2015 - What's in your kit? A safety checkup may be in order.
November 25, 2015
Paparella S. What's In Your Kit? A Safety Checkup May Be In Order. Journal of emergency nursing: JEN :
official publication of the Emergency Department Nurses Association. 2015;41(6):513-5.
doi:10.1016/j.jen.2015.07.001.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/37909/psn-pdf
February 23, 2009 - Prevalence of adverse drug combinations in a large post-
mortem toxicology database.
February 23, 2009
Launiainen T, Vuori E, Ojanperä I. Prevalence of adverse drug combinations in a large post-mortem
toxicology database. Int J Legal Med. 2009;123(2):109-15. doi:10.1007/s00414-008-0261-3.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/44425/psn-pdf
February 24, 2016 - Dangerous doses.
February 24, 2016
Roe S, King K. Chicago Tribune. February 10–13, 2016.
https://psnet.ahrq.gov/issue/dangerous-doses
Drug interactions can be hazardous to patients, particularly when combined with risk factors such as age
and use of medications for chronic conditions. This series of news reports d…
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psnet.ahrq.gov/node/47986/psn-pdf
May 29, 2019 - Work overload is related to increased risk of error during
chemotherapy preparation.
May 29, 2019
Carrez L, Bouchoud L, Fleury S, et al. Work overload is related to increased risk of error during
chemotherapy preparation. J Oncol Pharm Pract. 2019;25(6):1456-1466. doi:10.1177/1078155219845432.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/45925/psn-pdf
April 19, 2017 - All consumer medication information is not created equal:
implications for medication safety.
April 19, 2017
Monkman H, Kushniruk AW. All Consumer Medication Information Is Not Created Equal: Implications for
Medication Safety. Stud Health Technol Inform. 2017;234:233-237.
https://psnet.ahrq.gov/issue/all-consumer…
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psnet.ahrq.gov/node/850927/psn-pdf
June 21, 2023 - Room of horrors simulation in healthcare education: a
systematic review.
June 21, 2023
Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic
review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824.
https://psnet.ahrq.gov/issue/room-horrors-simulation-he…
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psnet.ahrq.gov/node/43404/psn-pdf
August 06, 2014 - 'Even now it makes me angry': health care students'
professionalism dilemma narratives.
August 6, 2014
Monrouxe L, Rees CE, Endacott R, et al. 'Even now it makes me angry': health care students'
professionalism dilemma narratives. Med Educ. 2014;48(5):502-17. doi:10.1111/medu.12377.
https://psnet.ahrq.gov/issue/ev…
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psnet.ahrq.gov/node/60842/psn-pdf
August 26, 2020 - Longitudinal medication reconciliation at hospital
admission, discharge and post-discharge.
August 26, 2020
Daliri S, Bouhnouf M, van de Meerendonk HWPC, et al. Longitudinal medication reconciliation at hospital
admission, discharge and post-discharge. Res Social Adm Pharm. 2020;17(4):677-684.
doi:10.1016/j.saphar…
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psnet.ahrq.gov/node/43565/psn-pdf
March 22, 2016 - The role of failure mode and effects analysis in health
care.
March 22, 2016
Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec.
2014;40(4):28-32.
https://psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
Failure mode and effects analysis (FMEA) h…
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psnet.ahrq.gov/node/47172/psn-pdf
June 13, 2018 - Usage and accuracy of medication data from nationwide
health information exchange in Quebec, Canada.
June 13, 2018
Motulsky A, Weir DL, Couture I, et al. Usage and accuracy of medication data from nationwide health
information exchange in Quebec, Canada. J Am Med Inform Assoc. 2018;25(6):722-729.
doi:10.1093/jamia…
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psnet.ahrq.gov/node/60589/psn-pdf
June 23, 2020 - Medication Safety During the COVID-19 Pandemic: What
Have We Learned in the United States.
June 23, 2020
Institute for Safe Medication Practices and US Food and Drug Administration Division of Drug Information.
June 23, 2020.
https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-lear…
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psnet.ahrq.gov/node/46931/psn-pdf
January 15, 2019 - Strategies for optimizing OR drug safety.
January 15, 2019
Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018.
https://psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety
Perioperative adverse drug events are common and understudied. Reporting on the complexity of
medication administration durin…
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psnet.ahrq.gov/node/60615/psn-pdf
June 24, 2020 - Key potentially inappropriate drugs in pediatrics: the KIDs
list.
June 24, 2020
Meyers RS, Thackray J, Matson KL, et al. Key potentially inappropriate drugs in pediatrics: the KIDs list. J
Pediatr Pharmacol Ther. 2020;25(3). doi:10.5863/1551-6776-25.3.175.
https://psnet.ahrq.gov/issue/key-potentially-inappropriate…
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psnet.ahrq.gov/node/34786/psn-pdf
March 28, 2005 - Errors in drug computations during newborn intensive
care.
March 28, 2005
Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch
Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006.
https://psnet.ahrq.gov/issue/errors-drug-computatio…
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psnet.ahrq.gov/web-mm/sick-and-pregnant
August 25, 2021 - Sick and Pregnant
Citation Text:
El-Ibiary S. Sick and Pregnant. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/node/73953/psn-pdf
October 27, 2021 - Deprescribing as a Patient Safety Strategy
October 27, 2021
Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
Background
Polypharmacy is defined as the act of taking five or more medications on a regular basis…