-
psnet.ahrq.gov/node/41463/psn-pdf
September 24, 2015 - commentary identifies six types of
disrespectful behavior, ranging from outright abuse to more subtle forms
-
psnet.ahrq.gov/issue/sentinel-event
May 30, 2012 - includes a complete library of previous sentinel event alerts, along with related statistics, podcasts, forms
-
psnet.ahrq.gov/node/43170/psn-pdf
December 12, 2014 - adverse-drug-events-among-hospitalized-medicare-patients-epidemiology-and-national-estimates
https://psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results
-
psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
January 26, 2023 - October 10, 2012
Oral Dosage Forms that Should Not Be Crushed.
-
psnet.ahrq.gov/issue/ismp-cheers-awards
January 26, 2023 - October 10, 2012
Oral Dosage Forms that Should Not Be Crushed.
-
psnet.ahrq.gov/node/47674/psn-pdf
December 19, 2018 - patient-safety-after-implementation-coproduced-family-centered-
communication-programme
Patient engagement in safety takes many forms
-
psnet.ahrq.gov/issue/evaluating-physician-performance-individualizing-care-pilot-study-tracking-contextual-errors
September 20, 2011 - study describes a methodology for measuring physician performance and focuses on the ability to expose forms
-
psnet.ahrq.gov/issue/improving-hand-communication
April 24, 2007 - This book offers health care organizations step-by-step instructions, sample forms, and insights to help
-
psnet.ahrq.gov/issue/improving-quality-insulin-prescribing-people-diabetes-being-discharged-hospital
November 16, 2022 - guidelines improved from an average of 50% to 99% after introduction of a poster and then checklist forms
-
psnet.ahrq.gov/issue/balancing-doctor-egos-and-errors
December 04, 2019 - December 4, 2019
Oral Dosage Forms that Should Not Be Crushed.
-
psnet.ahrq.gov/issue/ismp-survey-iv-push-medication-practices
January 26, 2023 - October 10, 2012
Oral Dosage Forms that Should Not Be Crushed.
-
psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
January 26, 2023 - October 10, 2012
Oral Dosage Forms that Should Not Be Crushed.
-
psnet.ahrq.gov/issue/fellowships-and-mentorships-program
January 26, 2023 - October 10, 2012
Oral Dosage Forms that Should Not Be Crushed.
-
psnet.ahrq.gov/issue/institute-safe-medication-practices-international-mentorship-program
January 26, 2023 - October 10, 2012
Oral Dosage Forms that Should Not Be Crushed.
-
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/node/49567/psn-pdf
September 01, 2008 - Initial laboratory tests revealed a WBC count of 2100/µL with 40% band forms and 10% lymphocytes;
platelets … In addition to RA, other forms of arthritis that have partial or greater response to
glucocorticoids … weeks to patients with the following disorders:
https://psnet.ahrq.gov//#references
Infection—all forms … In severely ill patients with an undiagnosed systemic disease in whom most forms of infection have
been
-
psnet.ahrq.gov/web-mm/techno-trip
May 01, 2005 - But new technology is also a potent source of new forms of failure, especially when the human–computer … technology that makes high-quality information available is simultaneously an unexpected source of new forms … The new forms of failure that result from IT use in health care share common features ( 10 ): the failures … organization ( 19 ) stress the advantages of IT but do not acknowledge that IT itself is generating new forms
-
psnet.ahrq.gov/issue/safemedicationuseca
October 10, 2012 - October 12, 2018
Oral Dosage Forms that Should Not Be Crushed.
-
psnet.ahrq.gov/issue/eliminating-dangerous-abbreviations-acronyms-and-symbols
June 17, 2014 - June 24, 2009
Oral Dosage Forms that Should Not Be Crushed.
-
psnet.ahrq.gov/issue/predictors-unit-level-medication-administration-accuracy-microsystem-impacts-medication
October 06, 2016 - administration demonstrated that adherence to safe practices such as minimizing interruptions , checking two forms