-
psnet.ahrq.gov/issue/patient-safety-toolkit-general-practice
April 25, 2018 - Materials included in the kit are a trigger tool , medication reconciliation form, and significant
-
psnet.ahrq.gov/issue/rapid-response-systems-netherlands
November 20, 2015 - Nearly 80% of Dutch hospitals have implemented a rapid response system in some form, although the structure
-
psnet.ahrq.gov/issue/pharmacist-medication-assessments-surgical-preadmission-clinic
October 15, 2008 - evaluated an intervention of pharmacist medication assessments and a postoperative medication order form
-
psnet.ahrq.gov/issue/lost-art-history-and-physical
May 08, 2013 - Highlighting concerns about over-reliance on laboratory tests to form diagnoses, this commentary discusses
-
psnet.ahrq.gov/node/47104/psn-pdf
December 04, 2018 - They also completed surveys prior to the simulation and focus
groups, which researchers analyzed to form
-
psnet.ahrq.gov/node/41964/psn-pdf
April 17, 2013 - As most
nursing homes also did not use computerized provider order entry or any other form of electronic
-
psnet.ahrq.gov/issue/how-would-final-year-medical-students-perform-if-their-skill-based-prescription-assessment
October 18, 2023 - common type of error was inadequate information in the prescription – such as not indicating the dosage form
-
psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - After his recovery, he completed a DNR (do not resuscitate) form signifying his desire to avoid such … Although his DNR form was with him, neither the ED staff nor the consulting surgeon looked at it. … Postoperatively, an internist came upon the DNR form in the patient's chart and discussed resuscitation … older nursing home resident is transferred to an acute care setting, not only should an interagency form
-
psnet.ahrq.gov/issue/reconciling-medications-admission-safe-practice-recommendations-and-implementation-strategies
January 02, 2017 - The authors provide a summary of their safe practice recommendations and share their reconciliation form
-
psnet.ahrq.gov/issue/effect-barcode-technology-medication-preparation-safety-quasi-experimental-study
December 01, 2021 - Use of BCMA decreased wrong medication and wrong dosage errors, and wrong patient, wrong form, and
-
psnet.ahrq.gov/issue/adverse-events-patients-home-healthcare-retrospective-record-review-using-trigger-tool
August 05, 2020 - adverse events occurred frequently, were mostly preventable, and often led to patient harm in the form
-
psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
September 29, 2021 - showed improvement (prefilled syringe, nurses’ education program, and the protocolized program logic form
-
psnet.ahrq.gov/issue/electronic-health-records-ambulatory-care-national-survey-physicians
February 17, 2011 - This national survey of more than 2000 physicians found that only 17% were using any form of EHR, and
-
psnet.ahrq.gov/issue/how-might-health-services-capture-patient-reported-safety-concerns-hospital-setting
July 21, 2017 - three different methods for capturing safety concerns from patients: bedside interviews, a paper-based form
-
psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes
February 10, 2015 - Home Compare does not accurately capture patient safety performance in nursing homes in its current form
-
psnet.ahrq.gov/issue/effect-residential-care-pharmacist-medication-administration-practices-aged-care-controlled
August 31, 2016 - identify and intervene on potential medication problems, primarily by preventing inappropriate dosage form
-
psnet.ahrq.gov/issue/reasons-drug-administration-problems-and-perceived-needs-assistance-patients-family
November 02, 2010 - caregivers were generally unaware of errors and primarily attributed administration problems to dosage form
-
psnet.ahrq.gov/issue/effect-warning-symbols-combination-education-frequency-erroneously-crushing-medication
March 04, 2011 - Not all pill-form medications can be safely crushed to administer to patients who have difficulty swallowing
-
psnet.ahrq.gov/issue/evaluating-impact-auto-calculation-settings-opioid-prescribing-academic-medical-center
March 09, 2011 - When they subsequently implemented a default number of 30 pills for pill-form opioid medications , there
-
psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety
June 07, 2017 - They found that 5.6% of events resulted in some form of temporary patient harm.