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psnet.ahrq.gov/issue/analgesic-prescribing-errors-and-associated-medication-characteristics
November 01, 2003 - Study
Analgesic prescribing errors and associated medication characteristics.
Citation Text:
Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. The journal of pain : official journal of the American Pain Society. 2011;12(1):29-40. doi:10.1016/j.…
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psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
April 17, 2019 - Commentary
Case report of a medication error: in the eye of the beholder.
Citation Text:
Naunton M, Nor K, Bartholomaeus A, et al. Case report of a medication error. Medicine (Baltimore). 2016;95(28):e4186. doi:10.1097/md.0000000000004186.
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psnet.ahrq.gov/issue/safety-incidents-family-medicine
December 11, 2013 - Study
Safety incidents in family medicine.
Citation Text:
O'Beirne M, Sterling PD, Zwicker K, et al. Safety incidents in family medicine. BMJ Qual Saf. 2011;20(12):1005-10. doi:10.1136/bmjqs-2011-000105.
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psnet.ahrq.gov/issue/safety-considerations-container-labels-and-carton-labeling-design-minimize-medication-errors
January 13, 2021 - Regulation
Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry.
Citation Text:
Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. Rockville,…
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psnet.ahrq.gov/issue/interventions-reducing-medication-errors-children-hospital
May 19, 2018 - Review
Interventions for reducing medication errors in children in hospital.
Citation Text:
Maaskant JM, Vermeulen H, Apampa B, et al. Interventions for reducing medication errors in children in hospital. Cochrane Database Syst Rev. 2015;(3):CD006208. doi:10.1002/14651858.CD006208.pub3. …
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psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
February 15, 2024 - Press Release/Announcement
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products.
Citation Text:
FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…
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psnet.ahrq.gov/issue/tiering-drug-drug-interaction-alerts-severity-increases-compliance-rates
February 18, 2011 - Study
Tiering drug–drug interaction alerts by severity increases compliance rates.
Citation Text:
Paterno MD, Maviglia SM, Gorman PN, et al. Tiering drug-drug interaction alerts by severity increases compliance rates. J Am Med Inform Assoc. 2009;16(1):40-6. doi:10.1197/jamia.M2808.
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psnet.ahrq.gov/issue/medication-reconciliation-community-nonteaching-hospital
October 19, 2012 - Commentary
Medication reconciliation in a community, nonteaching hospital.
Citation Text:
Wortman SB. Medication reconciliation in a community, nonteaching hospital. Am J Health Syst Pharm. 2008;65(21):2047-54. doi:10.2146/ajhp080091.
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psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-blaming-attitudes
September 07, 2022 - Newspaper/Magazine Article
During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes.
Citation Text:
During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. ISMP Medication Safety Alert! Acute care e…
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psnet.ahrq.gov/issue/medication-errors-involving-intravenous-administration-route-characteristics-voluntarily
January 31, 2018 - Review
Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors.
Citation Text:
Wolf ZR. Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily Reported Medication Errors. J Infus…
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psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2
December 27, 2018 - Newspaper/Magazine Article
ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2.
Citation Text:
ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;…
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psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-learned-united-states
January 13, 2021 - Webinar
Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States.
Citation Text:
Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. Institute for Safe Medication Practices and US Food and Drug Administration Divisio…
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psnet.ahrq.gov/issue/automated-drug-dispensing-system-reduces-medication-errors-intensive-care-setting
April 08, 2009 - Study
Automated drug dispensing system reduces medication errors in an intensive care setting.
Citation Text:
Chapuis C, Roustit M, Bal G, et al. Automated drug dispensing system reduces medication errors in an intensive care setting. Crit Care Med. 2010;38(12):2275-2281. doi:10.1097/C…
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psnet.ahrq.gov/issue/drive-deprescribe
August 19, 2020 - Multi-use Website
Drive to Deprescribe.
Citation Text:
Drive to Deprescribe. The Society for Post-Acute and Long-Term Care Medicine.
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psnet.ahrq.gov/issue/finding-and-fixing-diagnosis-errors-can-triggers-help
January 31, 2024 - Commentary
Finding and fixing diagnosis errors: can triggers help?
Citation Text:
Schiff GD. Finding and fixing diagnosis errors: can triggers help? BMJ Qual Saf. 2011;21(2):89-92. doi:10.1136/bmjqs-2011-000590.
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psnet.ahrq.gov/issue/challenges-posthospital-care-nurses-coaches-medication-management
August 22, 2012 - Study
Challenges in posthospital care: nurses as coaches for medication management.
Citation Text:
Costa LL, Poe SS, Lee MC. Challenges in posthospital care: nurses as coaches for medication management. J Nurs Care Qual. 2011;26(3):243-51. doi:10.1097/NCQ.0b013e31820e1543.
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psnet.ahrq.gov/issue/recurring-problem-retained-swabs-and-instruments
June 19, 2019 - Review
The recurring problem of retained swabs and instruments.
Citation Text:
Mahran MA, Toeima E, Morris EP. The recurring problem of retained swabs and instruments. Best Pract Res Clin Obstet Gynaecol. 2013;27(4):489-95. doi:10.1016/j.bpobgyn.2013.03.001.
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psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events
November 16, 2022 - Commentary
It is time to define antimicrobial never events.
Citation Text:
Liu J, Kaye KS, Mercuro NJ, et al. It is time to define antimicrobial never events. Infect Control Hosp Epidemiol. 2019;40(2):206-207. doi:10.1017/ice.2018.313.
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psnet.ahrq.gov/issue/association-physician-burnout-suicidal-ideation-and-medical-errors
December 02, 2020 - Study
Association of physician burnout with suicidal ideation and medical errors.
Citation Text:
Menon NK, Shanafelt TD, Sinsky CA, et al. Association of Physician Burnout With Suicidal Ideation and Medical Errors. JAMA Netw Open. 2020;3(12):e2028780. doi:10.1001/jamanetworkopen.2020.287…
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psnet.ahrq.gov/issue/adverse-incidents-patient-flow-and-nursing-workforce-variables-acute-psychiatric-wards
April 03, 2019 - Study
Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study.
Citation Text:
Bowers L, Allan T, Simpson A, et al. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins …