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Showing results for "adverse drug events".
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  1. What's changed 1 year after RaDonda Vaught's conviction? | PSNet

    psnet.ahrq.gov/issue/whats-changed-1-year-after-radonda-vaughts-conviction
    October 13, 2021 - Newspaper/Magazine Article What's changed 1 year after RaDonda Vaught's conviction? Citation Text: What's changed 1 year after RaDonda Vaught's conviction? Bean M, Carbajal E. Becker's Hospital Review. March 29, 2023. Copy Citation Save Save to your library …

  2. Pharmacists and health information technology: emerging issues in patient safety. | PSNet

    psnet.ahrq.gov/issue/pharmacists-and-health-information-technology-emerging-issues-patient-safety
    November 13, 2013 - Review Pharmacists and health information technology: emerging issues in patient safety. Citation Text: Fuji KT, Galt KA. Pharmacists and Health Information Technology: Emerging Issues in Patient Safety. HEC Forum. 2008;20(3). doi:10.1007/s10730-008-9075-4. Copy Citation Format: …

  3. Defensive medicine: it is time to finally slow down an epidemic. | PSNet

    psnet.ahrq.gov/issue/defensive-medicine-it-time-finally-slow-down-epidemic
    November 18, 2016 - Commentary Emerging Classic Defensive medicine: it is time to finally slow down an epidemic. Citation Text: Vento S, Cainelli F, Vallone A. Defensive medicine: It is time to finally slow down an epidemic. World J Clin Cases. 2018;6(11):406-409. doi:10.12998/wjcc…

  4. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity. | PSNet

    psnet.ahrq.gov/issue/development-patient-safety-culture-measurement-tool-ambulatory-health-care-settings-analysis
    October 03, 2011 - Study Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity. Citation Text: Schutz AL, Counte MA, Meurer S. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of con…

  5. ASHP guidelines on remote medication order processing. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-remote-medication-order-processing
    April 19, 2013 - Commentary ASHP guidelines on remote medication order processing. Citation Text: Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003. Copy Citation Format: …

  6. Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. | PSNet

    psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-improve-safety
    August 08, 2018 - Newspaper/Magazine Article Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. Citation Text: Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. ISMP Medication Safety Alert! Acute care edition…

  7. Laney's story: the problem of delayed diagnosis of pediatric stroke. | PSNet

    psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke
    April 24, 2018 - Commentary Laney's story: the problem of delayed diagnosis of pediatric stroke. Citation Text: Fitzsimons BT, Fitzsimons LL, Sun LR. Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. Pediatrics. 2019;143(4):e20183458. doi:10.1542/peds.2018-3458. Copy Citation For…

  8. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
    March 01, 2011 - Medication errors and adverse drug events in pediatric inpatients.

  9. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet

    psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
    July 20, 2010 - web-based reporting system, and an electronic automated surveillance system for detection of potential adverse … drug events.

  10. AHRQ PSNet Webinar (pdf file)

    psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
    January 01, 2025 - report cards & outcome measurements to improve safety of surgical care • Deprescribing • Reducing adverse … drug events related to anticoagulants • Hours of service, fatigue & sleepiness Rapid Reviews • Patient

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49817/psn-pdf
    January 01, 2018 - The effectiveness of computerized order entry at reducing preventable adverse drug events and medication

  12. Pocket Syringe Swap | PSNet

    psnet.ahrq.gov/web-mm/pocket-syringe-swap
    July 01, 2006 - Pocket Syringe Swap Citation Text: Kulli JC. Pocket Syringe Swap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33773/psn-pdf
    September 01, 2014 - Overuse as a Patient Safety Problem September 1, 2014 Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem Perspective Nearly half of primary care physicians in the United States believe that patients cared for in their own prac…

  14. Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. | PSNet

    psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
    May 27, 2020 - Book/Report Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Citation Text: Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Washington, DC: United States Government Accountability Office; March 2020. Publication GAO-20-248. Copy Citat…

  15. When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? | PSNet

    psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
    March 13, 2019 - Newspaper/Magazine Article When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Citation Text: When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019. Copy Citati…

  16. Complicated: medical missteps are not inevitable. | PSNet

    psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
    August 30, 2023 - Commentary Complicated: medical missteps are not inevitable. Citation Text: Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-1181. doi:10.1377/hlthaff.2017.1550. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  17. Using information technology to improve the quality and safety of emergency care. | PSNet

    psnet.ahrq.gov/issue/using-information-technology-improve-quality-and-safety-emergency-care
    July 13, 2010 - Commentary Using information technology to improve the quality and safety of emergency care. Citation Text: Handel DA, Wears RL, Nathanson LA, et al. Using Information Technology to Improve the Quality and Safety of Emergency Care. Academic Emergency Medicine. 2011;18(6). doi:10.1111/j…

  18. How studying human factors improves patient safety. | PSNet

    psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
    July 24, 2024 - Newspaper/Magazine Article How studying human factors improves patient safety. Citation Text: Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  19. Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. | PSNet

    psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-prescribing-practices
    September 07, 2016 - Book/Report Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. Citation Text: Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. Washington, DC: United States Government Accountability Office; January 5, …

  20. Promoting civility in the OR: an ethical imperative. | PSNet

    psnet.ahrq.gov/issue/promoting-civility-or-ethical-imperative
    September 12, 2016 - Commentary Promoting civility in the OR: an ethical imperative. Citation Text: Clark CM, Kenski D. Promoting Civility in the OR: An Ethical Imperative. AORN J. 2017;105(1):60-66. doi:10.1016/j.aorn.2016.10.019. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …
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