-
psnet.ahrq.gov/node/46228/psn-pdf
August 23, 2017 - These
included previously identified problems associated with errors in free-text fields and errors
-
psnet.ahrq.gov/node/39331/psn-pdf
March 03, 2010 - The interactive communication methods included joint consultations, scheduled phone discussions, and
-
psnet.ahrq.gov/node/43111/psn-pdf
November 04, 2014 - Contributing factors included poor inter-operability between pharmacy and clinic
systems, inadequate
-
psnet.ahrq.gov/node/35619/psn-pdf
June 24, 2010 - greater discussion of the pros and cons to each methodological approach (a
comprehensive table is included
-
psnet.ahrq.gov/node/44621/psn-pdf
February 10, 2016 - This study included semistructured interviews with 18 surgical residents, providing qualitative
analyses
-
psnet.ahrq.gov/node/34866/psn-pdf
February 03, 2011 - illustrating hypothetical errors and the types of errors most and least likely to be reported are included
-
psnet.ahrq.gov/node/38598/psn-pdf
June 03, 2010 - Themes that predicted successful implementation included clear
organizational support for the RRT, support
-
psnet.ahrq.gov/node/43087/psn-pdf
April 02, 2014 - effect-clinical-pharmacist-led-training-programme-intravenous-medication-
errors-controlled
An educational program that included
-
psnet.ahrq.gov/node/46912/psn-pdf
March 28, 2018 - Factors that contributed to the failures included poor care coordination, premature
discharge, and lack
-
psnet.ahrq.gov/node/45566/psn-pdf
October 19, 2016 - Areas of
improvement included reductions in surgical site infections, adverse drug events, and postoperative
-
psnet.ahrq.gov/node/44935/psn-pdf
April 15, 2016 - This
systematic review included 19 studies that supported the positive impact of pharmacy-led medication
-
psnet.ahrq.gov/node/44400/psn-pdf
September 23, 2015 - Common issues included medication safety, handoffs, human factors,
and systems vulnerabilities, all
-
psnet.ahrq.gov/node/45339/psn-pdf
August 10, 2016 - The strategies included engaging a nurse practitioner to lead each team, standardizing care escalation
-
psnet.ahrq.gov/node/34933/psn-pdf
April 06, 2011 - Findings included an error rate of nearly 67%,
with about 10% due to a programming mistake on the pump
-
psnet.ahrq.gov/node/47476/psn-pdf
February 13, 2019 - anesthesia compared self-reported errors before and after implementation
of a medication safety bundle that included
-
psnet.ahrq.gov/node/47508/psn-pdf
October 24, 2018 - Areas of focus included team
communication, restraint use, and staff education.
-
psnet.ahrq.gov/node/35312/psn-pdf
January 02, 2017 - captured and their location of origin, in addition to the most frequent contributing factors, which
included
-
psnet.ahrq.gov/node/45072/psn-pdf
May 04, 2016 - In this pre-post study,
investigators found that implementing a bundled approach—which included staff
-
psnet.ahrq.gov/node/47015/psn-pdf
May 09, 2018 - news article describes how the hospital
changed their processes to improve medication safety, which included
-
psnet.ahrq.gov/node/37545/psn-pdf
February 20, 2008 - The most common (and most serious)
events included nosocomial infections and respiratory problems.