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

    psnet.ahrq.gov/node/39428/psn-pdf
    April 07, 2010 - failure, resuscitation equipment not available, physical environment, insufficient monitoring, and medication … error. 

  2. Addressing the Opioid Crisis in the United States. | PSNet

    psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states
    November 18, 2011 - Pharmacist Role in Patient Safety February 21, 2020 ISMP medication … error report analysis. … June 16, 2019 ISMP medication error report analysis.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49439/psn-pdf
    March 01, 2004 - Limited health literacy is likely linked to medication errors.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39063/psn-pdf
    December 17, 2009 - error analysis, and systems to mitigate and reduce specific errors (such as diagnostic errors and medication … errors).

  5. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
    February 01, 2014 - They concluded that each interruption results in a 12.7% increased risk of a medication error and that … individually and collectively, to ensure that they actually do reduce the frequency and severity of medication … errors without negative unanticipated consequences.( 5 ) Certain clinical environments such as the … errors ( 14 ) or interruptions.( 2 ) The adoption of this strategy appears somewhat limited perhaps … Keep away: Kaiser South San Francisco RNs don yellow sashes to reduce interruptions and medication errors

  6. "Use as directed" can cause confusion for both patients and practitioners. | PSNet

    psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
    August 24, 2016 - Newspaper/Magazine Article "Use as directed" can cause confusion for both patients and practitioners. Citation Text: "Use as directed" can cause confusion for both patients and practitioners. ISMP Medication Safety Alert! Acute Care Edition. August 25, 2016;21:1-3. Copy Citation …

  7. Ten ways to improve medication safety in community pharmacies. | PSNet

    psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies
    May 08, 2017 - Commentary Ten ways to improve medication safety in community pharmacies. Citation Text: Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003). 2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018. Copy Citation Format: DOI Google Scho…

  8. Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease. | PSNet

    psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication-adherence-chronic
    January 20, 2016 - November 2, 2011 Out-of-hospital medication errors: a 6-year analysis of the national

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49639/psn-pdf
    November 01, 2011 - Comparing near miss and harmful medication errors. BMJ. In press. 6.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46009/psn-pdf
    September 13, 2017 - issue/preventing-falls-and-fall-related-injuries-health-care-facilities https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845301/psn-pdf
    March 01, 2023 - health-outcomes-deprescribing-interventions-among-older-residents-nursing-homes-systematic https://psnet.ahrq.gov/issue/medication-errors-and-processes-reduce-them-care-homes-united-kingdom-scoping-review

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46160/psn-pdf
    June 07, 2017 - ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. June 7, 2017 Horsham, PA: Institute for Safe Medication Practices; May 2017. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults Insulin is a widely used medication that can contribute to serious patien…

  13. Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/physician-antipsychotic-overprescribing-letters-and-cognitive-behavioral-and-physical-health
    March 05, 2025 - Study Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. Citation Text: Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing…

  14. Implicit bias and patient care: mitigating bias, preventing harm. | PSNet

    psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
    September 22, 2021 - Color coded medication safety system reduces community pediatric emergency nursing medication … errors.

  15. A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. | PSNet

    psnet.ahrq.gov/issue/national-survey-assessing-number-records-allowed-open-electronic-health-records-hospitals-and
    May 29, 2019 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … errors.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46667/psn-pdf
    February 22, 2018 - efficiency-and-thoroughness-trade-offs-high-volume-organisational-routines-ethnographic-study https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861881/psn-pdf
    January 31, 2024 - Ric Ricciardi: The risk of medication error occurs at many points throughout the system. … You alluded to TeamSTEPPS earlier, and you mentioned interventions to mitigate medication errors.

  18. Hospital readmissions: physician awareness and communication practices. | PSNet

    psnet.ahrq.gov/issue/hospital-readmissions-physician-awareness-and-communication-practices
    December 19, 2009 - Study Classic Hospital readmissions: physician awareness and communication practices. Citation Text: Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s1…

  19. Where are my instruments? Hazards in delivery of surgical instruments. | PSNet

    psnet.ahrq.gov/issue/where-are-my-instruments-hazards-delivery-surgical-instruments
    September 25, 2008 - Study Where are my instruments? Hazards in delivery of surgical instruments. Citation Text: Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7. Copy Citat…

  20. Pharmacy-driven performance improvement initiative to increase compliance with intravenous smart pump drug error reduction systems at a large urban academic medical center. | PSNet

    psnet.ahrq.gov/issue/pharmacy-driven-performance-improvement-initiative-increase-compliance-intravenous-smart-pump
    September 23, 2020 - Study Pharmacy-driven performance improvement initiative to increase compliance with intravenous smart pump drug error reduction systems at a large urban academic medical center. Citation Text: Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to …
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