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Showing results for "drugs".

9221. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46818/psn-pdf
      April 18, 2018 - Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework. April 18, 2018 Mekonnen AB, McLachlan AJ, Brien J-AE, et al. Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a q…

9222. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72503/psn-pdf
      November 25, 2020 - Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. November 25, 2020 Maloney LM, Alptunaer T, Coleman G, et al. Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. J Emerg Med. 2020;59(6):872-883. doi:10.1016/j.jemermed.2020.07.009.…

9223. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46771/psn-pdf
      January 30, 2018 - Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients. January 30, 2018 Malte CA, Berger D, Saxon AJ, et al. Electronic Medical Record Alert Associated With Reduced Opioid and Benzodiazepine Coprescribing in High-risk Veteran Patients. Med Car…

9224. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38033/psn-pdf
      September 24, 2010 - Implementing online medication reconciliation at a large academic medical center. September 24, 2010 Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508. https://psnet.ahrq.gov/issue/implementing-online-m…

9225. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46775/psn-pdf
      March 07, 2018 - Ten ERs in Colorado tried to curtail opioids and did better than expected. March 7, 2018 Daley J. Colorado Public Radio. February 23, 2018. https://psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected Innovations in the prescribing of opioids in the emergency department are needed to…

9226. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60836/psn-pdf
      August 26, 2020 - Factors associated with workarounds in barcode-assisted medication administration in hospitals. August 26, 2020 Veen W, Taxis K, Wouters H, et al. Factors associated with workarounds in barcode?assisted medication administration in hospitals. J Clin Nurs. 2020;29(13-14):2239-2250. doi:10.1111/jocn.15217. https://p…

9227. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43765/psn-pdf
      February 04, 2015 - Differences in medication knowledge and risk of errors between graduating nursing students and working registered nurses: comparative study. February 4, 2015 Simonsen BO, Daehlin GK, Johansson I, et al. Differences in medication knowledge and risk of errors between graduating nursing students and working registere…

9228. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43662/psn-pdf
      November 05, 2014 - A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. November 5, 2014 ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5. https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly- fr…

9229. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46300/psn-pdf
      August 16, 2017 - Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. August 16, 2017 Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. J Glob Health. 2017;7(1):011001. doi…

9230. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35840/psn-pdf
      May 27, 2011 - Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. May 27, 2011 Kilbridge PM, Welebob EM, Classen DC. Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. Qual…

9231. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45463/psn-pdf
      April 12, 2017 - Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement. April 12, 2017 de Wet C, Black C, Luty S, et al. Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality imp…

9232. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867192/psn-pdf
      November 20, 2024 - 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events. November 20, 2024 2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. 24-0088 https://psnet.ahrq.gov/issue…

9233. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50745/psn-pdf
      December 18, 2019 - Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. December 18, 2019 Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. BMJ Open. 2019;9(1…

9234. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34767/psn-pdf
      November 28, 2018 - Why Things Bite Back: Technology and the Revenge of Unintended Consequences. November 28, 2018 Tenner E. New York, NY: Knopf; 1996. ISBN: 0679425632. https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences Tenner’s discussions of medical and nonmedical examples provide an e…

9235. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41151/psn-pdf
      February 10, 2015 - Survey shows that at least some physicians are not always open or honest with patients. February 10, 2015 Iezzoni LI, Rao SR, DesRoches CM, et al. Survey Shows That At Least Some Physicians Are Not Always Open Or Honest With Patients. Health Aff (Millwood). 2012;31(2):383-391. doi:10.1377/hlthaff.2010.1137. https:…

9236. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45510/psn-pdf
      October 19, 2016 - How to perform a root cause analysis for workup and future prevention of medical errors: a review. October 19, 2016 Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20. doi:10.1186/s13037-016-0107-8. …

9237. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43799/psn-pdf
      January 07, 2015 - Omission of high-alert medications: a hidden danger. January 7, 2015 Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. https://psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger Analyzing incidents reported over a 4-month period, this article reveals that 21% of 2700 med…

9238. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46347/psn-pdf
      December 22, 2018 - Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. December 22, 2018 M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. Anesth Analg. 2017;125(3):936-942. do…

9239. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73420/psn-pdf
      June 23, 2021 - Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. June 23, 2021 Norris B, Soncrant C, Mills PD, et al. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2021;47(8):489-495. doi:10…

9240. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44207/psn-pdf
      August 21, 2018 - U.S. compounding pharmacy-related outbreaks, 2001-- 2013: public health and patient safety lessons learned. August 21, 2018 Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf. 2018;14(3):164-173. doi:10.1097…