-
psnet.ahrq.gov/issue/dtap-tdap-mix-ups-now-affecting-hundreds-patients
June 10, 2018 - December 21, 2014
Use of an anatomic marking form as an alternative to the Universal
-
psnet.ahrq.gov/issue/medication-accuracy-electronic-health-records-microbial-keratitis
September 29, 2021 - March 20, 2024
Comparing the variability of ingredient, strength, and dose form information … clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms
-
psnet.ahrq.gov/issue/impact-medication-reconciliation-improving-transitions-care
June 19, 2019 - May 10, 2023
Electronic prescribing and other forms of technology to reduce inappropriate … June 25, 2014
Medication reconciliation physician order form.
-
psnet.ahrq.gov/node/49466/psn-pdf
October 14, 2004 - On the
consultation form, she recommended that the patient be made NPO. … recommendation
was important enough to "bother" the physician, and recorded it only on the consultation form … The physician did not see the form, and the patient continued to
receive thickened liquids.
-
psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
February 01, 2019 - minimized through strict adherence to use of pre-printed labels with the name of the medication, its form … should be administered without a complete label, defined as listing the name of the medication, its form … No medication should be administered without a complete label, defined as listing its name, form and/
-
psnet.ahrq.gov/node/49574/psn-pdf
November 01, 2008 - working on his first call night in July at a new hospital, thumbed through the
different insulin order forms … This
particular hospital used different insulin order forms depending on whether the patient was insulin … The confused intern chose the wrong form, causing the patient to receive
insulin in doses that failed … patient responded quickly to
treatment with D50 and had a full recovery once the error in insulin order forms … this critical error in judgment by the new intern, by recognizing the disconnect
between the insulin form
-
psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
January 13, 2012 - Management, host the first International Symposium on Preventable Anesthesia Mortality and Morbidity, and form
-
psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
December 21, 2014 - team based on specific physiologic parameters, and then required responding housestaff to complete a form
-
psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators
June 02, 2010 - As most nursing homes also did not use computerized provider order entry or any other form of electronic
-
psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-concerns
January 21, 2019 - clinical environment, with recent data showing that most hospitals and clinics have implemented some form
-
psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
September 25, 2011 - After implementation of an electronic and standardized surgical listing form, the error rate was significantly
-
psnet.ahrq.gov/issue/deriving-framework-systems-approach-agitated-patient-care-emergency-department
June 13, 2018 - They also completed surveys prior to the simulation and focus groups, which researchers analyzed to form
-
psnet.ahrq.gov/issue/what-safety-leadership-systematic-review-definitions
October 26, 2022 - leadership formed the foundation for many definitions, though the authors advise adopting multiple forms
-
psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not-just-bedside
March 15, 2022 - December 30, 2014
Use of an anatomic marking form as an alternative to the Universal
-
psnet.ahrq.gov/issue/verbal-medication-orders-or
March 06, 2024 - September 15, 2011
Use of an anatomic marking form as an alternative to the Universal
-
psnet.ahrq.gov/issue/interventions-address-potentially-inappropriate-prescribing-community-dwelling-older-adults
August 14, 2024 - August 14, 2024
Electronic prescribing and other forms of technology to reduce inappropriate … January 31, 2013
Electronic prescribing and other forms of technology to reduce inappropriate
-
psnet.ahrq.gov/issue/implementing-nurse-shadowing-program-first-year-medical-students-improve-interprofessional
January 15, 2025 - September 12, 2018
Standardized handoff report form in clinical nursing education: an
-
psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
December 01, 2021 - June 1, 2011
Use of an anatomic marking form as an alternative to the Universal Protocol
-
psnet.ahrq.gov/issue/decreasing-patient-misidentification-chemotherapy-administration
July 19, 2023 - December 30, 2014
Use of an anatomic marking form as an alternative to the Universal
-
psnet.ahrq.gov/issue/potential-inaccuracy-electronically-transmitted-medication-history-information-used
December 15, 2021 - July 10, 2015
Medication reconciliation physician order form.