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Showing results for "medication errors".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38198/psn-pdf
    May 05, 2018 - highlights learnings from ISMP's QuarterWatch report, a pilot program used to identify new drug risks and medication … errors reported to the US Food and Drug Administration (FDA).

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38017/psn-pdf
    May 02, 2018 - a patient controlled analgesia (PCA) pump and provides recommendations for preventing pump-related medication … errors.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48150/psn-pdf
    August 21, 2019 - closing-loop-guide-safer-ambulatory-referrals-ehr-era https://psnet.ahrq.gov/issue/incidence-clinically-relevant-medication-errors-era-electronically-prepopulated-medication

  4. Limited health literacy is a barrier to medication reconciliation in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/limited-health-literacy-barrier-medication-reconciliation-ambulatory-care
    March 24, 2010 - Study Limited health literacy is a barrier to medication reconciliation in ambulatory care. Citation Text: Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6. Copy Citatio…

  5. Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/conducting-efficient-proactive-risk-assessment-prior-cpoe-implementation-intensive-care-unit
    December 31, 2014 - January 8, 2020 View More Related Resources ISMP medication error … September 1, 2016 ISMP medication error report analysis.

  6. Medication reconciliation in the acute care setting: opportunity and challenge for nursing. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-acute-care-setting-opportunity-and-challenge-nursing
    June 02, 2021 - September 11, 2009 Nurses' perceptions of causes of medication errors and barriers to

  7. Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review. | PSNet

    psnet.ahrq.gov/issue/key-factors-effective-implementation-healthcare-workers-support-interventions-after-patient
    September 27, 2023 - 2023 Perceptions and attitudes of pediatricians and families with regard to pediatric medication … errors at home. … January 11, 2017 A systematic review on pediatric medication errors by parents or caregivers

  8. In search of an international multidimensional action plan for second victim support: a narrative review. | PSNet

    psnet.ahrq.gov/issue/search-international-multidimensional-action-plan-second-victim-support-narrative-review
    February 15, 2023 - 2024 Perceptions and attitudes of pediatricians and families with regard to pediatric medication … errors at home. … September 6, 2023 A systematic review on pediatric medication errors by parents or caregivers

  9. Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet

    psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
    March 23, 2022 - Pharmacist-led educational interventions provided to healthcare providers to reduce medication … errors: a systematic review and meta-analysis. … August 4, 2021 Impact of pharmacist interventions on medication errors in hospitalized

  10. Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic review and narrative synthesis. | PSNet

    psnet.ahrq.gov/issue/essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review
    September 28, 2022 - 11, 2013 View More Related Resources Measurement of ambulatory medication … errors in children: a scoping review. … September 29, 2021 A systematic review on pediatric medication errors by parents or caregivers

  11. Exploring care left undone in pediatric nursing. | PSNet

    psnet.ahrq.gov/issue/exploring-care-left-undone-pediatric-nursing
    October 25, 2017 - January 26, 2022 Preventing medication errors in pediatric anesthesia: a systematic scoping … Related Resources Examining the relationship between nurse fatigue, alertness, and medication … errors.

  12. Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience. | PSNet

    psnet.ahrq.gov/issue/investigating-hospital-supervision-case-study-regulatory-inspectors-roles-potential-co
    September 23, 2020 - July 20, 2022 Effectiveness of pharmacist intervention to reduce medication errors and … July 19, 2017 The trigger tool as a method to measure harmful medication errors in children

  13. How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? | PSNet

    psnet.ahrq.gov/issue/how-reliable-are-patient-completed-medication-reconciliation-forms-compared-pharmacy-lists
    April 24, 2018 - A medication error caused in part by a discrepancy between patient-reported medications and the medical … 1, 2010 Formal medicine reconciliation within the emergency department reduces the medication … error rates for emergency admissions.

  14. Hyponatremia Secondary to Home Parenteral Nutrition Error | PSNet

    psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
    May 27, 2020 - September 28, 2022 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40928/psn-pdf
    May 04, 2012 - Decision-making processes used by nurses during intravenous drug preparation and administration. May 4, 2012 Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1111/j.1365-2648.2011.05838.x. https://…

  16. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record
    March 04, 2011 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … errors.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39013/psn-pdf
    October 14, 2009 - Incidents included poor communication and teamwork, particularly with other departments, but medication … errors and diagnostic errors were also noted. 

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39857/psn-pdf
    October 13, 2010 - rate-undesirable-events-beginning-academic-year-retrospective-cohort-study https://psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47721/psn-pdf
    April 24, 2019 - unintended-effects-computerized-physician-order-entry-nearly-hard-stop-alert-prevent-drug https://psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43438/psn-pdf
    February 23, 2018 - safety-i-and-safety-ii-past-and-future-safety-management https://psnet.ahrq.gov/issue/reactive-proactive-safety-approach-analysis-medication-errors-chemotherapy-using-general
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