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The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

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Displaying 1 - 4 of 4 Results
Leonard JB, McFadden C, Feemster AA, et al. Drug Therap Perspect. 2020;36.
The authors retrospectively reviewed over 99,000 medication errors reported to the US National Poison Data Systems from 2000 to 2017 in order to characterize errors attributed to healthcare professionals or occurring in a healthcare facility. Antibiotics, pain medicines, and sedatives/hypnotics were the most common medication types involved in these errors, and the most common error types involved the wrong medication, incorrect dose and incorrect administration route.
Leonard JB, Klein-Schwartz W. Ame J Health-syst Pharm. 2019;76:264-265.
Patient and family medication administration mistakes can result in medication errors at home. This commentary describes the problem of "pill dumping," where patients combine their daily medicines into a spare vial. However, patients are at risk for mistakenly taking a vial of a single medication instead of their pill-dump vial and inadvertently overdosing. The authors suggest medication counseling and use of daily pill boxes as tactics to prevent this type of error.