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psnet.ahrq.gov/issue/misleading-one-detail-preventable-mode-diagnostic-error
February 10, 2016 - March 23, 2011
Factors influencing doctors' ability to calculate drug doses correctly
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psnet.ahrq.gov/issue/effect-prescriber-education-medication-related-patient-harm-hospital-systematic-review
January 07, 2015 - July 18, 2012
Factors influencing doctors' ability to calculate drug doses correctly.
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psnet.ahrq.gov/node/42476/psn-pdf
September 27, 2016 - Lives and Dollars Lost Calculator.
September 27, 2016
Leapfrog Group.
https://psnet.ahrq.gov/issue/lives-and-dollars-lost-calculator
This Web site provides resources to help employers and purchasers estimate latent costs related to unsafe
care.
https://psnet.ahrq.gov/issue/lives-and-dollars-lost-calculator
https:…
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
January 01, 2021 - Recognize differences in how oral morphine milligram-
equivalents (OME) are calculated and appropriately calculate … a
patient’s medication from oxycodone 40 mg orally every 6 hours to oral
hydromorphone:
Step 1: Calculate
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - Step 2: Calculate anion gap (AG = Na-(Cl+HCO3) = 137-(96+18) = 23 in this case). … Step 3: Calculate excess anion gap (delta gap): total anion gap minus the normal anion gap (12 mmol/L
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psnet.ahrq.gov/node/73063/psn-pdf
March 24, 2021 - Clinical data sharing improves quality measurement and
patient safety.
March 24, 2021
D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient
safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039.
https://psnet.ahrq.gov/issue/clinical-data-sh…
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psnet.ahrq.gov/web-mm/miscalculated-risk
March 01, 2015 - To calculate an equianalgesic dose, the following steps should be followed: First, add up the patient's … Finally, calculate a rescue dose for breakthrough pain.
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psnet.ahrq.gov/issue/evaluating-impact-auto-calculation-settings-opioid-prescribing-academic-medical-center
March 09, 2011 - Study
Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center.
Citation Text:
Crothers G, Edwards DA, Ehrenfeld JM, et al. Evaluating the Impact of Auto-Calculation Settings on Opioid Prescribing at an Academic Medical Center. Jt Comm J Qual…
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psnet.ahrq.gov/issue/medication-dosage-calculation-among-nursing-students-does-digital-technology-make-difference
October 12, 2022 - Review
Medication dosage calculation among nursing students: does digital technology make a difference? A literature review.
Citation Text:
Stake-Nilsson K, Almstedt M, Fransson G, et al. Medication dosage calculation among nursing students: does digital technology make a difference? A …
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psnet.ahrq.gov/issue/weight-estimation-drug-dose-calculations-prehospital-setting-systematic-review
November 16, 2022 - Review
Weight estimation for drug dose calculations in the prehospital setting - a systematic review.
Citation Text:
Wells M, Henry B, Goldstein L. Weight estimation for drug dose calculations in the prehospital setting - a systematic review. Prehosp Disaster Med. 2023;38(4):471-484. doi…
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psnet.ahrq.gov/node/46283/psn-pdf
April 24, 2018 - Decreasing prescribing errors during pediatric
emergencies: a randomized simulation trial.
April 24, 2018
Larose G, Levy A, Bailey B, et al. Decreasing Prescribing Errors During Pediatric Emergencies: A
Randomized Simulation Trial. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-3200.
https://psnet.ahrq.gov/issue/d…
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psnet.ahrq.gov/node/38877/psn-pdf
April 08, 2011 - Computerized order entry with limited decision support to
prevent prescription errors in a PICU.
April 8, 2011
Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to
prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-940. doi:10.1542/peds.2008-2737.
https…
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psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - Recognize differences in how oral morphine milligram-equivalents (OME) are calculated and appropriately calculate … convert a patient’s medication from oxycodone 40 mg orally every 6 hours to oral hydromorphone: Step 1 : Calculate
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psnet.ahrq.gov/node/42290/psn-pdf
May 22, 2013 - Safety in Numbers: Evidence-based Development of a
Medicine Management Learning Tool.
May 22, 2013
Holland K, ed. Nurse Educ Pract. 2013;13(2):e1-e87.
https://psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management-
learning-tool
Articles in this special issue outline the developm…
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psnet.ahrq.gov/node/41932/psn-pdf
December 19, 2012 - Important change to heparin container labels to clearly
state the total drug strength.
December 19, 2012
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 6, 2012.
https://psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
This announc…
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psnet.ahrq.gov/issue/measurement-matters-changing-penalty-calculations-under-hospital-acquired-condition-reduction
August 10, 2022 - Study
Measurement matters: changing penalty calculations under the hospital acquired condition reduction program (HACRP) cost hospitals millions.
Citation Text:
Vsevolozhskaya OA, Manz KC, Zephyr PM, et al. Measurement matters: changing penalty calculations under the hospital acquired co…
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psnet.ahrq.gov/node/60853/psn-pdf
August 26, 2020 - Medication dosing safety for pediatric patients:
recognizing gaps, safety threats, and best practices in the
emergency medical services setting. A position statement
and resource document from NAEMSP.
August 26, 2020
Cicero MX, Adelgais K, Hoyle JD, et al. Medication dosing safety for pediatric patients: recognizi…
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psnet.ahrq.gov/node/39731/psn-pdf
August 04, 2010 - Comparing errors in ED computer-assisted vs
conventional pediatric drug dosing and administration.
August 4, 2010
Yamamoto LG, Kanemori J. Comparing errors in ED computer-assisted vs conventional pediatric drug
dosing and administration. Am J Emerg Med. 2010;28(5):588-92. doi:10.1016/j.ajem.2009.02.009.
https://ps…
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psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - ordered correctly.(8)
Furthermore, clinicians should ensure they have all of the data necessary to calculate
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - Recognize differences in how oral morphine milligram-equivalents (OME) are calculated and
appropriately calculate … convert a patient’s
medication from oxycodone 40 mg orally every 6 hours to oral hydromorphone:
Step 1: Calculate