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Medication errors: the year in review. | PSNet

psnet.ahrq.gov/issue/medication-errors-year-review

May 02, 2018 - This article discusses distinct medications and errors in their use. … May 2, 2018 ASHP national survey of pharmacy practice in hospital settings: prescribing … September 30, 2020 Are hospitals in a med safety standard slump? … October 14, 2020 ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical … hospitals: a descriptive study.

Online consultations in cyberpharmacies: completeness and patient safety. | PSNet

psnet.ahrq.gov/issue/online-consultations-cyberpharmacies-completeness-and-patient-safety

January 12, 2022 - Online Consultations in Cyberpharmacies: Completeness and Patient Safety. … Online Consultations in Cyberpharmacies: Completeness and Patient Safety. … March 13, 2024 National hospital ratings systems share few common scores and may generate … score for US hospitals. … an outpatient hospital pharmacy.

AI in medicine needs to be carefully deployed to counter bias – and not entrench it. | PSNet

psnet.ahrq.gov/issue/ai-medicine-needs-be-carefully-deployed-counter-bias-and-not-entrench-it

January 31, 2024 - The authors highlight the role of regulators and industry in combating the presence of biases in decision … Citation Related Resources From the Same Author(s) The Sunday story: when hospitals … January 31, 2024 More hospitals move to confront medical errors head on. … December 20, 2023 The hospital ran out of her child's cancer drug. … December 1, 2019 View More See More About The Topic General Public Hospitals

Opioids for pain management in older adults: strategies for safe prescribing. | PSNet

psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing

January 26, 2022 - Opioids for pain management in older adults. … January 26, 2022 Clinical deterioration as a nurse sensitive indicator in the out-of-hospital … March 18, 2020 Medication-related harm in older adults following hospital discharge: … January 29, 2020 Impact of altering referral threshold from out-of-hours primary care to hospital … when patients are in jeopardy.

2009 National Patient Safety Goals. | PSNet

psnet.ahrq.gov/issue/2009-national-patient-safety-goals

August 03, 2016 - of the Joint Commission's 2009 National Patient Safety Goals and summarizes the goals set for the hospital … Citation Related Resources From the Same Author(s) Association between hospital … August 3, 2016 National trends in patient safety for four common conditions, 2005–2011 … hospital practice: factors associated with turnover, outcomes, and patient safety. … December 30, 2014 View More See More About The Topic Hospitals Nurses

How to use online clinician rating systems. | PSNet

psnet.ahrq.gov/issue/how-use-online-clinician-rating-systems

April 19, 2016 - Clinician rating sites may not always provide the best information to help patients choose providers and hospitals … September 24, 2017 6-PACK programme to decrease fall injuries in acute hospitals: cluster … February 14, 2017 Racism in pain medicine: we can and should do more. … July 15, 2010 Fixing America's hospitals. … October 7, 2008 View More See More About The Topic Hospitals Patients

Do not let "Depo-" medications be a depot for mistakes. | PSNet

psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes

March 15, 2022 - Related Resources From the Same Author(s) Survey suggests disrespectful behaviors persist in … March 15, 2022 Selected medication safety risks to manage in 2016 that might otherwise … August 28, 2019 Safety enhancements every hospital must consider in wake of another tragic … January 27, 2009 Fatal drug mix-up exposes hospital flaws. … September 27, 2006 View More See More About The Topic Hospitals Health

Perianesthesia nursing advocacy: an influential voice for patient safety. | PSNet

psnet.ahrq.gov/issue/perianesthesia-nursing-advocacy-influential-voice-patient-safety

June 08, 2022 - hospitals. … March 2, 2011 Rapid response team in a rural hospital. … hospital practice: factors associated with turnover, outcomes, and patient safety. … May 3, 2017 Missed nursing care in pediatrics. … April 6, 2011 Nurse reports of adverse events during sedation procedures at a pediatric hospital

ASHP guidelines on the safe use of automated dispensing devices. | PSNet

psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-dispensing-devices

July 05, 2017 - July 29, 2020 Identifying risk in the use of tumor markers to improve patient safety. … a multistate hospital network--13 academic medical centers, April-June 2020. … View More Related Resources Targeted Medication Safety Best Practices for Hospitals … January 27, 2010 View More See More About The Topic Hospitals Health … Care Providers Quality and Safety Professionals Information Professionals Hospital Pharmacy

Cognitive biases associated with medical decisions: a systematic review. | PSNet

psnet.ahrq.gov/issue/cognitive-biases-associated-medical-decisions-systematic-review

March 01, 2023 - Cognitive bias can contribute to diagnostic error , leading to delays in treatment and unnecessary … September 15, 2021 Community pharmacy medication review, death and re-admission after hospital … September 21, 2022 Honest communication and social asymmetries inside a hospital: pitfalls … July 3, 2016 "First, know thyself": cognition and error in medicine. … April 15, 2016 View More See More About The Topic Hospitals Facility

Legislative Report to the General Assembly: Adverse Event Reporting. | PSNet

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May 20, 2009 - May 20, 2009 Detection of missed fractures of hand and forearm in whole-body CT in a … September 29, 2021 Southern Baptist Hospital of Florida v. Charles. … September 28, 2022 Organizational safety climate and job enjoyment in hospital surgical … January 18, 2012 The High Costs of Weak Compliance With the New York State Hospital Adverse … April 26, 2006 View More See More About The Topic Hospitals Policy

The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. | PSNet

psnet.ahrq.gov/issue/impact-electronic-medical-records-hospital-acquired-adverse-safety-events-differential

October 24, 2012 - likely to have hospital-acquired safety events compared to hospitals with multiple systems in place. … a pediatric hospital system. … September 19, 2018 A national survey assessing the number of records allowed open in … electronic health records at hospitals and ambulatory sites. … February 10, 2018 Progress in interoperability: measuring US hospitals' engagement in

Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis. | PSNet

psnet.ahrq.gov/issue/adverse-events-hospitalized-paediatric-patients-systematic-review-and-meta-regression

February 25, 2015 - Assessment of a wearable fall prevention system at a Veterans Health Administration hospital … July 10, 2024 Drug-drug interactions and prescription appropriateness at hospital discharge … February 27, 2014 Drug administration errors in hospital inpatients: a systematic review … March 18, 2011 View More See More About The Topic Children's Hospitals … Quality and Safety Professionals Safety Scientists Hospital Medicine Pediatrics

If only...: failed, missed and absent error recovery opportunities in medication errors. | PSNet

psnet.ahrq.gov/issue/if-only-failed-missed-and-absent-error-recovery-opportunities-medication-errors

July 15, 2009 - hospitals. … April 5, 2013 Errors in medication history at hospital admission: prevalence and predicting … March 31, 2009 Characteristics of medication errors and adverse drug events in hospitals … November 12, 2008 View More See More About The Topic Hospitals Quality … and Safety Professionals General Internal Medicine Hospital Medicine Hospital Pharmacy

A framework for patient safety: a defense nuclear industry-based high-reliability model. | PSNet

psnet.ahrq.gov/issue/framework-patient-safety-defense-nuclear-industry-based-high-reliability-model

June 14, 2017 - hospital practice: factors associated with turnover, outcomes, and patient safety. … US hospitals. … April 1, 2015 Evidence-based organization and patient safety strategies in European hospitals … June 30, 2011 The Patient Safety Initiative at America’s Public Hospitals: The Year One … February 9, 2011 View More See More About The Topic Hospitals Health

Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. | PSNet

psnet.ahrq.gov/issue/medication-related-emergency-department-visits-and-hospital-admissions-pediatric-patients

March 13, 2015 - Review Medication-related emergency department visits and hospital admissions in … Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative … Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative … and adverse events in older patients admitted to hospital: a retrospective cohort study. … and adverse events in older patients admitted to hospital: a retrospective cohort study.

Use of specific indicators to detect warfarin-related adverse events. | PSNet

psnet.ahrq.gov/issue/use-specific-indicators-detect-warfarin-related-adverse-events

October 19, 2022 - October 19, 2022 Families as partners in hospital error and adverse event surveillance … February 27, 2019 ASHP national survey of pharmacy practice in hospital settings: prescribing … September 20, 2017 ASHP national survey of pharmacy practice in hospital settings: monitoring … July 20, 2016 ASHP national survey of pharmacy practice in hospital settings: prescribing … May 29, 2014 Medication error reporting in rural critical access hospitals in the North

Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? | PSNet

psnet.ahrq.gov/issue/patient-safety-measures-burn-care-do-national-reporting-systems-accurately-reflect-quality

August 20, 2018 - a multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … February 6, 2012 An inpatient fall prevention initiative in a tertiary care hospital. … a Canadian tertiary hospital. … September 9, 2009 View More See More About The Topic Specialty Hospitals

Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. | PSNet

psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital

March 27, 2024 - Medication errors and error chains involving high-alert medications in a paediatric hospital setting: … This study determined that most self-reported high-alert medication errors in a children’s hospital … Medication errors and error chains involving high-alert medications in a paediatric hospital setting: … June 5, 2024 Systemic defenses to prevent intravenous medication errors in hospitals: … February 3, 2021 6-PACK programme to decrease fall injuries in acute hospitals: cluster

Building Capacity for Patient Safety | PSNet

psnet.ahrq.gov/perspective/building-capacity-patient-safety

July 31, 2023 - After nursing school, I worked as a staff nurse in a hospital, then as a director of nursing in a long-term … That is the microsystem of the learning system in Pennsylvania and what is happening within each hospital … We advise hospitals through publication. … event and risk information back to health systems in order to impact hospital processes related to that … We were working not on falls or adverse drug reactions, but on the overarching issues that could make

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