-
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/38292/psn-pdf
May 21, 2009 - psnet.ahrq.gov/issue/effect-medication-errors-pharmacists-charting-medication-emergency-
department
Pharmacist-led
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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/44873/psn-pdf
March 21, 2016 - Analyzing more than 7000 cases in
which communication breakdowns led to patient harm, this report explores
-
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
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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
-
psnet.ahrq.gov/web-mm/transition-nowhere
March 21, 2009 - and health care costs.( 1 ) The prolonged duration of this vulnerability to hospital readmission has led … identification of barriers to an effective transition, and activation of a transition management team led … telemedicine visit utilizing self-taken blood pressure measurements, augmented by clinical pharmacist-led … Reconciliation Victory After an Avoidable Error
March 21, 2009
A clinical pharmacist-led
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digital.ahrq.gov/2018-year-review/research-spotlights/leveraging-health-it-test-solutions-are-replicable-scalable-and
January 01, 2018 - as one of 50 experts leading the field of patient safety in 2018 by Becker’s Hospital Review, 2 has led … An additional Adelman-led, AHRQ-funded study is assessing the effectiveness of using patient photographs
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digital.ahrq.gov/ahrq-funded-projects/community-shared-clinical-abstract-improve-care/annual-summary/2010
January 01, 2010 - accommodate HIE and to affirm its commitment to a state-based HIE organization; however, these changes led … Recognizing the need for an exchange organization in Minnesota led to the inception of the MN HIE in