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Showing results for "adverse drug events".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33618/psn-pdf
    September 01, 2005 - Effect of bar code technology on the incidence of medication dispensing errors and potential adverse … drug events in a hospital pharmacy. … High rates of adverse drug events in a highly computerized hospital.

  2. Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/interprofessional-learning-multidisciplinary-healthcare-teams-associated-reduced-patient
    April 10, 2024 - Review Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. Citation Text: Webster CS, Coomber T, Liu S, et al. Interprofessional learning in multidisciplinary healthcare teams i…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49829/psn-pdf
    May 01, 2018 - Root Cause Analysis Gone Wrong May 1, 2018 Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong The Case A 42-year-old man with history of end-stage renal disease on hemodialysis was awaiting a kidney transplant. A suitabl…

  4. The Media’s Role in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/medias-role-patient-safety
    April 27, 2022 - Reporting adverse drug reactions (ADRs) through Twitter is another example of social media use in regard … Is an adverse drug reaction a safety issue that could have been prevented or not?

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60328/psn-pdf
    May 27, 2020 - Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression May 27, 2020 Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory- …

  6. Philosophy of science and the diagnostic process. | PSNet

    psnet.ahrq.gov/issue/philosophy-science-and-diagnostic-process
    April 24, 2018 - Commentary Philosophy of science and the diagnostic process. Citation Text: Willis BH, Beebee H, Lasserson DS. Philosophy of science and the diagnostic process. Fam Pract. 2013;30(5):501-5. doi:10.1093/fampra/cmt031. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  7. Omission of high-alert medications: a hidden danger. | PSNet

    psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
    January 11, 2017 - Newspaper/Magazine Article Omission of high-alert medications: a hidden danger. Citation Text: Omission of high-alert medications: a hidden danger. Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. Copy Citation Save Save to your libra…

  8. Decreasing patient misidentification before chemotherapy administration. | PSNet

    psnet.ahrq.gov/issue/decreasing-patient-misidentification-chemotherapy-administration
    July 19, 2023 - Commentary Decreasing patient misidentification before chemotherapy administration. Citation Text: Spruill A, Eron B, Coghill A, et al. Decreasing patient misidentification before chemotherapy administration. Clin J Oncol Nurs. 2009;13(6):716-7. doi:10.1188/09.CJON.716-717. Copy Cita…

  9. Administration of concentrated potassium chloride for injection during a code: still deadly! | PSNet

    psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
    May 02, 2018 - Newspaper/Magazine Article Administration of concentrated potassium chloride for injection during a code: still deadly! Citation Text: Administration of concentrated potassium chloride for injection during a code: still deadly! ISMP Medication Safety Alert! Acute care edition. June …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49625/psn-pdf
    May 01, 2011 - Pocket Syringe Swap May 1, 2011 Kulli JC. Pocket Syringe Swap. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/pocket-syringe-swap The Case A 58-year-old man, scheduled for aortoiliac artery bypass graft, had an epidural catheter placed for postoperative pain management. Surgery proceeded uneventfully under…

  11. Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. | PSNet

    psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care
    March 10, 2021 - Intensive Care Units Quality and Safety Professionals Pediatrics Medication Errors/Preventable Adverse … Drug Events Medical Complications View More

  12. Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. | PSNet

    psnet.ahrq.gov/issue/results-and-lessons-hospital-wide-initiative-incentivised-delivery-system-reform-improve
    March 02, 2022 - March 2, 2022 Preventable adverse drug events causing hospitalisation: identifying root

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33636/psn-pdf
    July 01, 2006 - Adverse drug event trigger tool: a practical methodology for measuring medication related harm.

  14. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. | PSNet

    psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
    March 23, 2022 - Study Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. Citation Text: Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1)…

  15. Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. | PSNet

    psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
    December 18, 2019 - Study Emerging Classic Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. Citation Text: Härkänen M, Turunen H, Vehviläine…

  16. Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs. | PSNet

    psnet.ahrq.gov/issue/entangled-complexity-ethnographic-study-organizational-adaptability-and-safe-care-transitions
    August 21, 2024 - Study Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs. Citation Text: Hedqvist A‐T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of organizational adaptability a…

  17. Conceptual and practical challenges associated with understanding patient safety within community-based mental health services. | PSNet

    psnet.ahrq.gov/issue/conceptual-and-practical-challenges-associated-understanding-patient-safety-within-community
    December 15, 2021 - Review Conceptual and practical challenges associated with understanding patient safety within community-based mental health services. Citation Text: Averill P, Vincent CA, Reen G, et al. Conceptual and practical challenges associated with understanding patient safety within community‐ba…

  18. Why Things Bite Back: Technology and the Revenge of Unintended Consequences. | PSNet

    psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences
    March 20, 2019 - Book/Report Classic Why Things Bite Back: Technology and the Revenge of Unintended Consequences. Citation Text: Why Things Bite Back: Technology and the Revenge of Unintended Consequences. Tenner E. New York, NY: Knopf; 1996. ISBN: 0679425632. Copy Citation …

  19. Accuracy of pediatric trauma field triage: a systematic review. | PSNet

    psnet.ahrq.gov/issue/accuracy-pediatric-trauma-field-triage-systematic-review
    November 04, 2020 - Review Accuracy of pediatric trauma field triage: a systematic review. Citation Text: van der Sluijs R, van Rein EAJ, Wijnand JGJ, et al. Accuracy of Pediatric Trauma Field Triage: A Systematic Review. JAMA Surg. 2018;153(7):671-676. doi:10.1001/jamasurg.2018.1050. Copy Citation Fo…

  20. Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study. | PSNet

    psnet.ahrq.gov/issue/lifetime-prevalence-and-correlates-patient-perceived-medical-errors-experienced-us-ambulatory
    June 09, 2021 - Study Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study. Citation Text: Sundwall DN, Munger MA, Tak CR, et al. Lifetime prevalence and correlates of patient-perceived medical errors experienced in t…
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