-
psnet.ahrq.gov/node/41629/psn-pdf
January 03, 2017 - -
interventional-radiology
Audiovisual recordings, reviews, continual feedback, and modifications led
-
psnet.ahrq.gov/node/38607/psn-pdf
January 02, 2017 - pharmacists-medication-reconciliation-related-clinical-interventions-childrens-
hospital
A pharmacist-led
-
psnet.ahrq.gov/node/37725/psn-pdf
February 17, 2011 - record-avoiding-pitfalls-going-electronic
This commentary discusses how the shift to electronic medical records has led
-
psnet.ahrq.gov/node/40584/psn-pdf
July 25, 2011 - applied a checklist to address 12 commonly identified operating room crises, and found that the
tool led
-
psnet.ahrq.gov/node/45237/psn-pdf
June 15, 2016 - medication-reconciliation-oncological-patients-randomized-clinical-trial
This randomized trial found that a pharmacist-led
-
psnet.ahrq.gov/node/41926/psn-pdf
January 02, 2013 - she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom
A physician whose mother experienced a treatment delay that led
-
psnet.ahrq.gov/node/38292/psn-pdf
May 21, 2009 - psnet.ahrq.gov/issue/effect-medication-errors-pharmacists-charting-medication-emergency-
department
Pharmacist-led
-
psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - In the present case, a series of missed communication opportunities led to a failure to appropriately … manage anticoagulation in the perioperative period, which then led to a fatal bleeding event. … medications management, including anticoagulation.(11) However, the implementation in
health care has led … Unfortunately, the process was not led by a physician and was treated as a "check box" exercise rather
-
psnet.ahrq.gov/node/49788/psn-pdf
March 01, 2017 - allergy identification, and lower 30-
day hospital readmission rates.(5) Additionally, pharmacist-led … the pharmacist's decision to review the
patient's medical record, and not just the medication list, led … discontinuation or proactive recommendations), and patient education.(9) This expanded role of
pharmacists has led … Pharmacy-led medication reconciliation programmes at hospital
transitions: a systematic review and meta-analysis
-
psnet.ahrq.gov/node/47477/psn-pdf
November 14, 2018 - Written
by the patient's husband, the article outlines the failures that led to her death despite the
-
psnet.ahrq.gov/node/44329/psn-pdf
September 04, 2016 - electronic-medication-reconciliation-and-medication-errors
Implementation of an electronic medication reconciliation tool led
-
psnet.ahrq.gov/node/43833/psn-pdf
February 04, 2015 - sterile-compounding-clinical-legal-and-regulatory-implications-patient-safety
Failure to follow safety practices at a compounding pharmacy led
-
psnet.ahrq.gov/node/42028/psn-pdf
February 18, 2014 - mistakenly-applied
Describing several incidents of a corrosive chemical mistakenly applied to skin that led
-
psnet.ahrq.gov/node/43247/psn-pdf
August 02, 2015 - The authors found that 25% of malpractice cases resulted in payout,
and diagnostic errors led to the
-
psnet.ahrq.gov/node/37015/psn-pdf
September 15, 2011 - their analysis of one type of surgical error and strategies for addressing the systemic
factors that led
-
psnet.ahrq.gov/node/44480/psn-pdf
October 14, 2015 - Implementation of this program led to rapid report correction, and the error rate by
radiologists receiving
-
psnet.ahrq.gov/node/36362/psn-pdf
October 27, 2010 - They found the changes led to significant improvements.
-
psnet.ahrq.gov/node/38559/psn-pdf
June 16, 2009 - regional-surveillance-emergency-department-visits-outpatient-adverse-drug-
events
This study found that many adverse drug events led
-
psnet.ahrq.gov/node/41822/psn-pdf
November 07, 2012 - case-adverse-drug-reaction-induced-dispensing-error
This case report discusses how poor communication led
-
psnet.ahrq.gov/node/37588/psn-pdf
February 15, 2011 - reported quality measure on the timing of antibiotic
administration in patients with pneumonia in fact led