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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40360/psn-pdf
    April 22, 2011 - The influence of formulation and medicine delivery system on medication administration errors in care homes for older people. April 22, 2011 Alldred DP, Standage C, Fletcher O, et al. The influence of formulation and medicine delivery system on medication administration errors in care homes for older people. BMJ Q…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42728/psn-pdf
    February 06, 2014 - Taking ergonomics to the bedside—a multi-disciplinary approach to designing safer healthcare. February 6, 2014 Norris B, West J, Anderson O, et al. Taking ergonomics to the bedside--a multi-disciplinary approach to designing safer healthcare. Appl Ergon. 2014;45(3):629-38. doi:10.1016/j.apergo.2013.09.004. https:/…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73638/psn-pdf
    August 25, 2021 - The pain was unbearable. So why did doctors turn her away? August 25, 2021 Szalavitz M. Wired Magazine. August 11, 2021.  https://psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away The opioid epidemic has contributed to uncertainties for pain management patients that result in harm…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836763/psn-pdf
    March 16, 2022 - Maternity Pre-arrival Instructions by 999 Call Handlers. March 16, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; February 2022. https://psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers Pre-hospital emergency care can be vulnerable to timing, information, and task failures th…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43126/psn-pdf
    April 23, 2014 - Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. April 23, 2014 Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002. https://psnet.ahrq.gov/issue/safe-and-appropriate-use-…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44731/psn-pdf
    December 02, 2015 - How to maximize patient safety when prescribing opioids. December 2, 2015 Kirpalani D. How to Maximize Patient Safety When Prescribing Opioids. PM R. 2015;7(11 Suppl):S225- S235. doi:10.1016/j.pmrj.2015.08.016. https://psnet.ahrq.gov/issue/how-maximize-patient-safety-when-prescribing-opioids Inappropriate opioid u…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45567/psn-pdf
    October 12, 2016 - Insulin Pens Devices. October 12, 2016 Am J Health Syst Pharm. 2016;73(19 suppl 5);s1-s47. https://psnet.ahrq.gov/issue/insulin-pens-devices As a high-alert medication, insulin has the potential to result in serious patient harm if administered incorrectly. Articles in this special issue discuss recommendations de…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842774/psn-pdf
    January 18, 2023 - ER doctors misdiagnose patients with unusual symptoms. January 18, 2023 Abelson R. New York Times. December 15, 2022. https://psnet.ahrq.gov/issue/er-doctors-misdiagnose-patients-unusual-symptoms Emergency department safety is challenged by factors such as production pressure, burnout, and overcrowding. This news…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837077/psn-pdf
    May 11, 2022 - At US hospitals, a drug mix-up is just a few keystrokes away. May 11, 2022 Kelman B. Kaiser Health News. April 29, 2022. https://psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away Technological solutions harbor unique risks that can result in patient harm. This article shares a response to report…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866823/psn-pdf
    September 25, 2024 - Understanding human factors in patient safety when prescribing. September 25, 2024 Coon R, Holden K. Understanding human factors in patient safety when prescribing. Pharmaceutical Journal. September 2024;313(7989). https://psnet.ahrq.gov/issue/understanding-human-factors-patient-safety-when-prescribing Prescripti…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38105/psn-pdf
    February 15, 2011 - Frequency of and risk factors for preventable medication- related hospital admissions in the Netherlands. February 15, 2011 Leendertse AJ, Egberts ACG, Stoker LJ, et al. Frequency of and risk factors for preventable medication- related hospital admissions in the Netherlands. Arch Intern Med. 2008;168(17):1890-1896.…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855105/psn-pdf
    January 01, 2024 - Sentinel Event Alert 68: updated surgical fire prevention for the 21st Century. November 8, 2023 Sentinel Event Alert 68: Updated Surgical Fire Prevention for the 21st Century. Jt Comm J Qual Patient Saf. 2024;50(2):157-160. doi:10.1016/j.jcjq.2023.10.003. https://psnet.ahrq.gov/issue/sentinel-event-alert-68-updat…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43575/psn-pdf
    April 22, 2015 - Patient safety challenges in low-income and middle- income countries. April 22, 2015 Steffner KR, McQueen KAK, Gelb AW. Patient safety challenges in low-income and middle-income countries. Curr Opin Anaesthesiol. 2014;27(6):623-9. doi:10.1097/ACO.0000000000000121. https://psnet.ahrq.gov/issue/patient-safety-challe…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74128/psn-pdf
    December 01, 2021 - Call to action: addressing pediatric fall safety in ambulatory environments. December 1, 2021 Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012. https://psnet.ahrq.gov/issue/call-action-ad…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46648/psn-pdf
    March 14, 2018 - Parenteral nutrition errors and potential errors reported over the past 10 years. March 14, 2018 Guenter P, Ayers P, Boullata JI, et al. Parenteral Nutrition Errors and Potential Errors Reported Over the Past 10 Years. Nutr Clin Pract. 2017;32(6):826-830. doi:10.1177/0884533617715868. https://psnet.ahrq.gov/issue/…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838196/psn-pdf
    July 01, 2019 - The impact of racism on child and adolescent health. July 1, 2019 Trent M, Dooley DG, Dougé J, et al. The impact of racism on child and adolescent health. Pediatrics. 2019;144(2):e20191765. doi:10.1542/peds.2019-1765. https://psnet.ahrq.gov/issue/impact-racism-child-and-adolescent-health Children and adolescents a…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73546/psn-pdf
    July 28, 2021 - A tragic death shows how ERs fail patients who struggle with addiction. July 28, 2021 Pattani A. Health Shots. National Public Radio. July 14, 2021. https://psnet.ahrq.gov/issue/tragic-death-shows-how-ers-fail-patients-who-struggle-addiction Patients with substance abuse disorders face challenges to safe…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44420/psn-pdf
    August 26, 2015 - Obstetric safety and quality. August 26, 2015 Pettker CM, Grobman WA. Obstetric Safety and Quality. Obstet Gynecol. 2015;126(1):196-206. doi:10.1097/AOG.0000000000000918. https://psnet.ahrq.gov/issue/obstetric-safety-and-quality Obstetric hospital admission has substantial potential for harm should something go wr…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46976/psn-pdf
    June 25, 2018 - 2017 update on pediatric medical overuse: a review. June 25, 2018 Coon ER, Young PC, Quinonez RA, et al. 2017 Update on Pediatric Medical Overuse. JAMA Pediatr. 2018;172(5). doi:10.1001/jamapediatrics.2017.5752. https://psnet.ahrq.gov/issue/2017-update-pediatric-medical-overuse-review Overuse of medical care has b…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50666/psn-pdf
    November 13, 2019 - Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets. November 13, 2019 ISMP Medication Safety Alert! Acute Care Edition. October 24, 2019. https://psnet.ahrq.gov/issue/over-top-risky-overuse-adc-overrides-removal-drugs-without-order-and-use- non-profile…
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