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psnet.ahrq.gov/node/37151/psn-pdf
January 02, 2017 - The impact of abbreviations on patient safety.
January 2, 2017
Brunetti L, Santell JP, Hicks RW. The impact of abbreviations on patient safety. Jt Comm J Qual Patient
Saf. 2007;33(9):576-83.
https://psnet.ahrq.gov/issue/impact-abbreviations-patient-safety
Avoiding use of unclear or misleading abbreviations is a ke…
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psnet.ahrq.gov/node/44516/psn-pdf
June 10, 2018 - Managing hospitalized patients with ambulatory pumps:
findings from an ISMP survey—Part 1.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition. November 19, 2015;20(23):1-5.
https://psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1
Infusion therapies are in…
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psnet.ahrq.gov/node/37769/psn-pdf
March 10, 2011 - Turning off frequently overridden drug alerts: limited
opportunities for doing it safely.
March 10, 2011
van der Sijs H, Aarts J, van Gelder T, et al. Turning off frequently overridden drug alerts: limited
opportunities for doing it safely. J Am Med Inform Assoc. 2008;15(4):439-48. doi:10.1197/jamia.M2311.
https:/…
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psnet.ahrq.gov/node/42657/psn-pdf
October 16, 2013 - Medication safety and knowledge-based functions: a
stepwise approach against information overload.
October 16, 2013
Patapovas A, Dormann H, Sedlmayr B, et al. Medication safety and knowledge-based functions: a stepwise
approach against information overload. Br J Clin Pharmacol. 2013;76 Suppl 1:14-24.
doi:10.1111/b…
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psnet.ahrq.gov/node/34113/psn-pdf
December 24, 2008 - MEDMARX 5th Anniversary Data Report: A Chartbook of
2003 Findings and Trends 1999-2003.
December 24, 2008
Hicks RW, Santell JP, Cousins DD, et al. Rockville, MD: USP Center for the Advancement of
Patient Safety; 2004.
https://psnet.ahrq.gov/issue/medmarx-5th-anniversary-data-report-chartbook-2003-fi…
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psnet.ahrq.gov/node/47514/psn-pdf
October 31, 2018 - Making Hospitals Safe for People With Diabetes.
October 31, 2018
Watts E, Rayman G. Diabetes UK. London, UK; 2018.
https://psnet.ahrq.gov/issue/making-hospitals-safe-people-diabetes
Chronic disease management can add complexity to inpatient care regimens. Researchers worked with
patients, system leaders, and clini…
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psnet.ahrq.gov/node/41717/psn-pdf
September 01, 2016 - A clinical data warehouse-based process for refining
medication orders alerts.
September 1, 2016
Boussadi A, Caruba T, Zapletal E, et al. A clinical data warehouse-based process for refining medication
orders alerts. J Am Med Inform Assoc. 2012;19(5):782-5. doi:10.1136/amiajnl-2012-000850.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/43726/psn-pdf
September 01, 2016 - Differences of reasons for alert overrides on
contraindicated co-prescriptions by admitting
department.
September 1, 2016
Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co-
prescriptions by Admitting Department. Healthc Inform Res. 2014;20(4):280-7.
doi:10.4258/hir.2…
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psnet.ahrq.gov/node/45656/psn-pdf
August 01, 2017 - Prescription of long-acting opioids and mortality in
patients with chronic noncancer pain.
August 1, 2017
Ray WA, Chung CP, Murray KT, et al. Prescription of Long-Acting Opioids and Mortality in Patients With
Chronic Noncancer Pain. JAMA. 2016;315(22):2415-23. doi:10.1001/jama.2016.7789.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/44852/psn-pdf
February 10, 2016 - Medication errors with antituberculosis therapy in an
inpatient, academic setting: forgotten but not gone.
February 10, 2016
Jen SP, Zucker J, Buczynski P, et al. Medication errors with antituberculosis therapy in an inpatient,
academic setting: forgotten but not gone. J Clin Pharm Ther. 2016;41(1):54-8. doi:10.111…
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psnet.ahrq.gov/node/60878/psn-pdf
January 01, 2021 - Intervention study for the reduction of medication errors
in elderly trauma patients.
September 2, 2020
Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of
medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(1):160-166. doi:10.1111/jep.134…
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psnet.ahrq.gov/node/46776/psn-pdf
February 28, 2018 - Older adults' awareness of deprescribing: a population-
based survey.
February 28, 2018
Turner JP, Tannenbaum C. Older adults' awareness of deprescribing: a population-based survey. J Am
Geriatr Soc. 2017;65(12):2691-2696. doi:10.1111/jgs.15079.
https://psnet.ahrq.gov/issue/older-adults-awareness-deprescribing-pop…
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psnet.ahrq.gov/node/46764/psn-pdf
March 28, 2018 - The Report of the Short Life Working Group on Reducing
Medication-related Harm.
March 28, 2018
Department of Health and Social Care. London, England: Crown Publishing; February 2018.
https://psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm
Medication errors are a prominent chal…
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psnet.ahrq.gov/node/40894/psn-pdf
December 10, 2014 - High incidence of medication documentation errors in a
Swiss university hospital due to the handwritten
prescription process.
December 10, 2014
Hartel MJ, Staub LP, Röder C, et al. High incidence of medication documentation errors in a Swiss
university hospital due to the handwritten prescription process. BMC Heal…
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psnet.ahrq.gov/node/73075/psn-pdf
March 24, 2021 - Analysis of transdermal medication patch errors
uncovers a “patchwork” of safety challenges.
March 24, 2021
ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(5):1-6.
https://psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-
challenges
Skin patches are a conveni…
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psnet.ahrq.gov/node/46206/psn-pdf
August 02, 2017 - Patient safety in dentistry: development of a candidate
'never event' list for primary care.
August 2, 2017
Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care.
Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456.
https://psnet.ahrq.gov/issue/patie…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weaver.pdf
January 01, 2003 - In the previous review, 96.4 percent of all patients (27 of 28)
prescribed combination therapy with
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience
131
Quantitative and Qualitative Analysis of
Medication Errors: The New York Experience
Elizabeth Duthie, Barbara Favreau, Angelo Ruperto,
Janet Mannion, Ellen Flink, Ruth Leslie
Abstract
Objectives: In June 2000, the New Yo…
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effectivehealthcare.ahrq.gov/sites/default/files/cer-239-acute-migraine-evidence-summary.pdf
December 01, 2020 - When this is viewed in the
context of how widely opioids are prescribed for migraine management, it
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psnet.ahrq.gov/web-mm/too-much-too-fast
June 14, 2019 - One 2003 study in an academic medical center noted that 83% of potassium doses prescribed to patients