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Showing results for "drugs".

  1. digital.ahrq.gov/location/usa-wi-west-bend
    January 01, 2023 - USA, WI, West Bend Improving Patient Safety/Quality with Health Information Technology Implementation Description Implemented an Epic health IT system and diffused the system community-wide; identified the prevalence of medication errors, near misses, and preventable adverse d…
  2. digital.ahrq.gov/location/usa-mi-traverse-city
    January 01, 2023 - USA, MI, Traverse City Bar Coding for Patient Safety in Northern Michigan Description Implemented a bar-coding application to an existing integrated health IT network that alerts providers to potential drug interactions and allergic reactions, tracks "near misses," and provide…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39044/psn-pdf
    March 12, 2010 - Relenza (zanamivir) inhalation powder. March 12, 2010 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 9, 2009. https://psnet.ahrq.gov/issue/relenza-zanamivir-inhalation-powder This alert notifies health care providers of the potential for patient harm if a particular inhalation po…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42126/psn-pdf
    November 30, 2016 - 2015 Patient Safety Core Topics and Tips. November 30, 2016 Chicago, IL: American Society for Healthcare Risk Management; 2015. https://psnet.ahrq.gov/issue/2015-patient-safety-core-topics-and-tips This fact sheet lists 10 patient safety concerns such as adverse drug events and offers tips to address them. https:…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41757/psn-pdf
    January 25, 2018 - BeSafeRx: Know Your Online Pharmacy. January 25, 2018 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/besaferx-know-your-online-pharmacy This Web site raises awareness of risks associated with buying medications from online pharmacies and offers resources to help identify whether an online pharm…
  6. www.ahrq.gov/sites/default/files/2024-01/gurwitz-report.pdf
    January 01, 2024 - Final Progress Report: Enhancing the Safety of Warfarin in the Nursing Home Project Title: Enhancing the Safety of Warfarin in the Nursing Home Principal Investigator: Jerry H. Gurwitz, MD Principal Team Members: Jerry Gurwitz, MD; Terry S. Field, DSc; Jennifer Tjia, MD, MSCE; Kathleen M. Mazor, EdD; Leslie R. Ha…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36915/psn-pdf
    May 30, 2007 - Fatal error sparks debate over punitive measures.  May 30, 2007 Fernandez J. Drug Topics. May 7, 2007. https://psnet.ahrq.gov/issue/fatal-error-sparks-debate-over-punitive-measures This article discusses a chemotherapy overdose that led to a child's death and the punitive measures taken against the pharmacist invo…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38342/psn-pdf
    September 08, 2022 - Consumermedsafety.org September 8, 2022 Institute for Safe Medication Practices; 5200 Butler Pike, Plymouth Meeting, PA 19462. https://psnet.ahrq.gov/issue/consumermedsafetyorg This redesigned Web site provides information about drug safety alerts and allows consumers to help report and prevent medication errors. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36872/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-12 This monthly selection of medication error reports provides examples of problems related to medication misadministration, drug shortages, and the appropriate use of the "five rights"…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35533/psn-pdf
    February 22, 2010 - Essay: the political logic of regulatory error. February 22, 2010 Carpenter D, Ting MM. Essay: the political logic of regulatory error. Nat Rev Drug Discov. 2005;4(10):819- 23. https://psnet.ahrq.gov/issue/essay-political-logic-regulatory-error The authors draw on political science to discuss factors that contribu…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38151/psn-pdf
    March 18, 2010 - Medication errors associated with documented allergies. March 18, 2010 PA-PSRS Patient Saf Advis. September 2008;5:75-80.   https://psnet.ahrq.gov/issue/medication-errors-associated-documented-allergies This article analyzed reports of medication errors due to patient allergies and found that lack of patient o…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35883/psn-pdf
    July 01, 2009 - Bar Code Label Requirements for Blood and Blood Components. July 1, 2009 FDA; Food and Drug Administration; CBER; Center for Biologics Evaluation and Research. https://psnet.ahrq.gov/issue/bar-code-label-requirements-blood-and-blood-components This FAQ answers questions related to the FDA machine-readable bar-codi…
  13. digital.ahrq.gov/sites/default/files/docs/resource/Laminated_Reminder_Card.pdf
    June 16, 2021 - laminated reminder card Exclusions • Terminal Status (Hospice Patients) • Incarceration (Prison Population) • New wound (less than 3 weeks) • Wound already scheduled for surgery • Patient doesn’t live in a study county Telewound Care Study contact: Cynthia Scheideman-Miller Phone: (405) 713…
  14. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide09.html
    October 01, 2014 - 9. Funded by: Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Agency for Healthcare Research and Quality National Cancer Institute National Heart, Lung & Blood Institute National Institute on Drug Abuse Centers for Disease Control and Prevention The Robert …
  15. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide06.html
    October 01, 2014 - 6. Funded by Treating Tobacco Use and Dependence: 2008 Update Overview Text version of slide presentation. Agency for Healthcare Research and Quality National Cancer Institute National Heart, Lung & Blood Institute National Institute on Drug Abuse Centers for Disease Control and Prevention The…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49745/psn-pdf
    October 01, 2015 - Amphotericin Toxicity October 1, 2015 Nagel J, Nguyen E. Amphotericin Toxicity. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/amphotericin-toxicity The Case A 42-year-old woman status-post left pneumonectomy for aspergilloma was being treated with oral posaconazole for residual fungal disease. She present…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49463/psn-pdf
    October 14, 2004 - Moved Too Soon October 1, 2004 Lindenauer PK. Moved Too Soon. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/moved-too-soon The Case A 67-year-old man was admitted to a general hospital ward after undergoing a laminectomy. Two hours after arriving, while the patient was still groggy from anesthesia, a nurs…
  18. psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
    December 23, 2020 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience James B. Conway; Saul N. Weingart, MD, PhD | May 1, 2005  View more articles from the same authors. Citation Text: Conway JB, Weingart SN. Organizational Change…
  19. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
    December 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case December 2004 Discharge Fumbles Source and Credits This presentation is based on the Dec. 2004 AHRQ WebM&M Spotlight Case in Hospital Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Alan Forster, M…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72837/psn-pdf
    September 01, 2022 - Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes. Originally published on March 11, 2021 Last updated on March 16, 2021 https://psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder- improves-maternal-and Summary Project…