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psnet.ahrq.gov/node/838134/psn-pdf
September 21, 2022 - Allergic adverse drug events after alert overrides in
hospitalized patients.
September 21, 2022
Luri M, Gastaminza G, Idoate A, et al. Allergic adverse drug events after alert overrides in hospitalized
patients. J Patient Saf. 2022;18(6):630-636. doi:10.1097/pts.0000000000001034.
https://psnet.ahrq.gov/issue/aller…
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psnet.ahrq.gov/node/60019/psn-pdf
March 04, 2020 - Chronic pain diagnoses and opioid dispensings among
insured individuals with serious mental illness.
March 4, 2020
Owen-Smith A, Stewart C, Sesay MM, et al. Chronic pain diagnoses and opioid dispensings among insured
individuals with serious mental illness. BMC Psych. 2020;20(1):40. doi:10.1186/s12888-020-2456-1.
…
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psnet.ahrq.gov/node/44928/psn-pdf
April 27, 2016 - Impact of stewardship interventions on antiretroviral
medication errors in an urban medical center: a three
year, multi-phase study.
April 27, 2016
Zucker J, Mittal J, Jen S-P, et al. Impact of Stewardship Interventions on Antiretroviral Medication Errors in
an Urban Medical Center: A 3-Year, Multiphase Study. Pha…
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psnet.ahrq.gov/node/853612/psn-pdf
September 20, 2023 - Pharmacy e-prescription dispensing before and after
CancelRx implementation.
September 20, 2023
Pitts SI, Olson S, Yanek LR, et al. Pharmacy e-prescription dispensing before and after CancelRx
implementation. JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/45636/psn-pdf
September 26, 2018 - Pharmacist outpatient prescription review in the
emergency department: a pediatric tertiary hospital
experience.
September 26, 2018
Shah D, Manzi S. Pharmacist Outpatient Prescription Review in the Emergency Department: A Pediatric
Tertiary Hospital Experience. Pediatr Emerg Care. 2018;34(7):497-500.
doi:10.1097/…
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psnet.ahrq.gov/node/46228/psn-pdf
August 23, 2017 - Technology-induced errors associated with computerized
provider order entry software for older patients.
August 23, 2017
Vélez-Díaz-Pallarés M, Díaz AMÁ, Caro TG, et al. Technology-induced errors associated with
computerized provider order entry software for older patients. Int J Clin Pharm. 2017;39(4):729-742.
do…
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psnet.ahrq.gov/node/48020/psn-pdf
July 17, 2019 - 'I think this medicine actually killed my wife': patient and
family perspectives on shared decision-making to
optimize medications and safety.
July 17, 2019
Mangin D, Risdon C, Lamarche L, et al. 'I think this medicine actually killed my wife': patient and family
perspectives on shared decision-making to optimize …
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psnet.ahrq.gov/node/46153/psn-pdf
May 31, 2017 - Adverse health events related to self-medication practices
among elderly: a systematic review.
May 31, 2017
Locquet M, Honvo G, Rabenda V, et al. Adverse health events related to self-medication practices among
elderly: a systematic review. Drugs Aging. 2017;34(5):359-365. doi:10.1007/s40266-017-0445-y.
https://ps…
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psnet.ahrq.gov/taxonomy/term/3475
June 09, 2025 - Error
An act of commission (doing something wrong) or omission (failing to do the right thing) that leads to an undesirable outcome or significant potential for such an outcome. For instance, ordering a medication for a patient with a documented allergy to that medication would be an act of commission. Failing to pre…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.185_slideshow.ppt
October 01, 2008 - Physician communication when prescribing new medications.
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psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - complex system of scores of individual tasks that can be categorized into five stages: ordering or prescribing … medication safety.( 2 )
Research has shown that most medication errors are made by providers during the prescribing … study , only about a third to a half of serious medication errors are committed during the physician prescribing … November 12, 2014
Unrealized potential and residual consequences of electronic prescribing
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psnet.ahrq.gov/node/838250/psn-pdf
October 06, 2022 - The impact of electronic communication of medication
discontinuation (CancelRx) on medication safety: a pilot
study.
October 6, 2022
Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation
(CancelRx) on medication safety: a pilot study. J Patient Saf. 2022;18(6):e93…
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psnet.ahrq.gov/node/44672/psn-pdf
October 11, 2017 - Identifying patient safety problems associated with
information technology in general practice: an analysis of
incident reports.
October 11, 2017
Magrabi F, Liaw ST, Arachi D, et al. Identifying patient safety problems associated with information
technology in general practice: an analysis of incident reports. BMJ…
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psnet.ahrq.gov/node/865487/psn-pdf
April 03, 2024 - Evaluation of the design and structure of electronic
medication labels to improve patient health knowledge
and safety: a systematic review.
April 3, 2024
Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels
to improve patient health knowledge and safety: a sy…
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psnet.ahrq.gov/node/853434/psn-pdf
September 13, 2023 - Handling polypharmacy--a qualitative study using focus
group interviews with older patients, their relatives, and
healthcare professionals.
September 13, 2023
Mikkelsen TH, Søndergaard J, Kjaer NK, et al. Handling polypharmacy –a qualitative study using focus
group interviews with older patients, their relatives, …
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psnet.ahrq.gov/node/46335/psn-pdf
December 19, 2017 - Prescription opioid analgesics commonly unused after
surgery: a systematic review.
December 19, 2017
Bicket MC, Long JJ, Pronovost PJ, et al. Prescription Opioid Analgesics Commonly Unused After Surgery.
JAMA Surg. 2017;152(11):1066-1071. doi:10.1001/jamasurg.2017.0831.
https://psnet.ahrq.gov/issue/prescription-op…
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psnet.ahrq.gov/node/45335/psn-pdf
August 10, 2016 - The Feasibility of Determining the Effectiveness and Cost-
effectiveness of Medication Organisation Devices
Compared with Usual Care for Older People in a
Community Setting: Systematic Review, Stakeholder
Focus Groups and Feasibility RCT.
August 10, 2016
Bhattacharya D, Aldus CF, Barton G, et al. Health Tech…
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psnet.ahrq.gov/node/73119/psn-pdf
April 07, 2021 - Impact of computerised physician order entry (CPOE) on
the incidence of chemotherapy-related medication errors:
a systematic review.
April 7, 2021
Srinivasamurthy SK, Ashokkumar R, Kodidela S, et al. Impact of computerised physician order entry
(CPOE) on the incidence of chemotherapy-related medication errors: a s…
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psnet.ahrq.gov/node/40873/psn-pdf
November 26, 2014 - Inappropriate medication in a national sample of US
elderly patients receiving home health care.
November 26, 2014
Bao Y, Shao H, Bishop TF, et al. Inappropriate medication in a national sample of US elderly patients
receiving home health care. J Gen Intern Med. 2012;27(3):304-310. doi:10.1007/s11606-011-1905-4.
h…
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psnet.ahrq.gov/node/73488/psn-pdf
July 14, 2021 - Influences of physical layout and space on patient safety
and communication in ambulatory oncology practices: a
multisite, mixed method investigation.
July 14, 2021
Fauer AJ. Influences of physical layout and space on patient safety and communication in ambulatory
oncology practices: a multisite, mixed method inve…