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psnet.ahrq.gov/node/42968/psn-pdf
February 26, 2014 - The investigators found that errors occurred at each stage of the
process, with a small but significant
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - Preventing medication errors requires specific steps to ensure safety at each stage of the pathway (Table … Strategies to Prevent Adverse Drug Events Stage Safety Strategy Prescribing Avoid unnecessary medications
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psnet.ahrq.gov/node/39549/psn-pdf
March 22, 2011 - impact-traditional-and-smart-pump-infusion-technology-nurse-medication-
administration
Errors at the administration stage
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psnet.ahrq.gov/node/39653/psn-pdf
November 15, 2011 - culture of safety within residency programs
and focus more broadly on enhancing supervision for early-stage
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psnet.ahrq.gov/node/43865/psn-pdf
May 01, 2015 - computerised-physician-order-entry-related-medication-errors-analysis-
reported-errors-and
This study used a two-stage
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-hospitalized-patients-comparative-study-intensive-care-and
March 31, 2021 - The authors also present data on the stage at which an ADE occurred, consequences of the preventable
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psnet.ahrq.gov/issue/consumer-involvement-design-and-development-medication-safety-interventions-or-services
August 30, 2023 - Review
Consumer involvement in the design and development of medication safety interventions or services in primary care: a scoping review.
Citation Text:
DelDot M, Lau E, Rayner N, et al. Consumer involvement in the design and development of medication safety interventions or services i…
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psnet.ahrq.gov/training-catalog/2024-annual-clinical-and-scientific-meeting
January 01, 2024 - 2024 Annual Clinical and Scientific Meeting
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Organization:
Organization
American Congress of Obstetricians and Gynecologists (ACOG)
…
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psnet.ahrq.gov/issue/relationships-between-medications-used-mental-health-hospital-and-types-medication-errors
November 29, 2023 - Nearly one-third of errors were wrong dose and occurred in the prescribing stage.
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psnet.ahrq.gov/node/33564/psn-pdf
March 15, 2025 - inpatient medication errors found that approximately 90% occurred at either the ordering
or transcribing stage
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - inpatient medication errors found that approximately 90% occurred at either the ordering or transcribing stage
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psnet.ahrq.gov/node/60754/psn-pdf
August 05, 2020 - COVID blindness.
August 5, 2020
Brown L. COVID blindness. Diagnosis (Berl). 2020;7(2):83-84. doi:10.1515/dx-2020-0042.
https://psnet.ahrq.gov/issue/covid-blindness
This editorial describes one clinician’s experience treating a patient during the early stages of the COVID-
19 pandemic, and the impacts of “COVID bli…
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psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
October 25, 2023 - Overall, most incidents occurred at the prescribing stage, but varied by patient age group.
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psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew
April 26, 2023 - Commentary
Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.
Citation Text:
Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …
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psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
September 21, 2008 - that harmful errors involving antidepressants most commonly occurred at the medication administration stage
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psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future
January 09, 2008 - They suggest utilizing the evidence at each stage of deployment, supporting staff competence with the
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psnet.ahrq.gov/issue/medication-errors-ambulatory-treatment-pediatric-attention-deficit-hyperactivity-disorder
April 08, 2011 - Most errors were detected by pharmacists and were committed at the prescribing stage.
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psnet.ahrq.gov/issue/safety-medication-use-primary-care
March 04, 2011 - The authors identified most errors in the prescribing stage, and older patients and children seem
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psnet.ahrq.gov/issue/failures-communication-and-information-transfer-across-surgical-care-pathway-interview-study
August 09, 2013 - qualitative study found considerable evidence for communication failures between clinicians at each stage
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psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors
March 24, 2011 - Most errors occurred at the transcription stage, and a substantial proportion were attributed to poor