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Showing results for "medication errors".
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7581. Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. | PSNet
      psnet.ahrq.gov/issue/disclosing-large-scale-adverse-events-us-veterans-health-administration-lessons-media
      August 18, 2021 - See More About The Topic Specialty Hospitals Health Care Providers Medicine Medication … Errors/Preventable Adverse Drug Events Nosocomial Infections View More

7582. Effect of the surgical safety checklist on provider and patient outcomes: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effect-surgical-safety-checklist-provider-and-patient-outcomes-systematic-review
      March 01, 2023 - October 27, 2021 Advanced medication reconciliation: a systematic review of the impact on medication … errors and adverse drug events associated with transitions of care.

7583. Influencing a culture of quality and safety through huddles. | PSNet
      psnet.ahrq.gov/issue/influencing-culture-quality-and-safety-through-huddles
      April 05, 2023 - September 27, 2017 Identifying and reducing medication errors in psychiatry: creating

7584. The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review. | PSNet
      psnet.ahrq.gov/issue/effect-transitions-intervention-ensure-patient-safety-and-satisfaction-when-transferred
      October 20, 2021 - February 3, 2021 Medication errors and processes to reduce them in care homes in the

7585. The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients. | PSNet
      psnet.ahrq.gov/issue/burden-opioid-related-adverse-drug-events-hospitalized-previously-opioid-free-surgical
      March 24, 2021 - August 25, 2021 Detectability of medication errors with a STOPP/START-based medication

7586. Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff. | PSNet
      psnet.ahrq.gov/issue/perceptions-providing-safe-care-frail-older-people-home-qualitative-study-based-focus-group
      July 29, 2020 - January 25, 2023 Intervention study for the reduction of medication errors in elderly

7587. Is there a mismatch between the perspectives of patients and regulators on healthcare quality? A survey study. | PSNet
      psnet.ahrq.gov/issue/there-mismatch-between-perspectives-patients-and-regulators-healthcare-quality-survey-study
      September 08, 2021 - August 25, 2021 Medication errors in anesthesiology: is it time to train by example?

7588. To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? | PSNet
      psnet.ahrq.gov/issue/disclose-or-not-disclose-radiologic-errors-should-patient-first-supersede-radiologist-self
      October 23, 2018 - September 25, 2019 ISMP medication error report analysis.

7589. Reporting Patient Safety Events | PSNet
      psnet.ahrq.gov/primer/reporting-patient-safety-events
      March 30, 2022 - the actions leading up to it (e.g., the nurse, pharmacist, or physician caring for a patient when a medication … error occurred), rather than management or patient safety professionals. … Reporting and Learning System , a nationwide voluntary event reporting system, and the MEDMARX voluntary medication … error reporting system in the U.S. has led to much valuable research. … Studies of electronic hospital event reporting systems generally show that medication errors and patient

7590. Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. | PSNet
      psnet.ahrq.gov/issue/leaders-and-followers-individual-experiences-during-early-phase-simulation-based-team
      January 18, 2011 - September 30, 2011 Developing a process to measure actual harm from medication errors … October 7, 2020 Human-simulation-based learning to prevent medication error: a systematic

7591. The Safety and Quality of Long Term Care | PSNet
      psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
      January 01, 2016 - For example, in the Institute of Medicine report on Preventing Medication Errors, approximately 800,000 … errors, adverse drug events). … Aspden P, Wolcott J, Bootman JL, et al., eds for the Committee on Identifying and Preventing Medication … Errors, Institute of Medicine. … Preventing Medication Errors: Quality Chasm Series.

7592. Organizational resilience as paradox management: a systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/organizational-resilience-paradox-management-systematic-review-literature
      February 15, 2017 - February 15, 2017 Determining medication errors in an adult intensive care unit. … April 24, 2018 The alarming reality of medication error: a patient case and review of

7593. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. | PSNet
      psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its
      March 04, 2015 - 28, 2021 Shaping systems for better behavioral choices: lessons learned from a fatal medication … error. … February 1, 2013 Using Healthcare Failure Mode and Effect Analysis to reduce medication … errors in the process of drug prescription, validation and dispensing in hospitalised patients.

7594. Limiting nurse overtime, and promoting other good working conditions, influences patient safety. | PSNet
      psnet.ahrq.gov/issue/limiting-nurse-overtime-and-promoting-other-good-working-conditions-influences-patient-safety
      June 23, 2009 - May 20, 2009 How useful are voluntary medication error reports? … The case of warfarin-related medication errors.

7595. The high-reliability pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/high-reliability-pediatric-intensive-care-unit
      July 16, 2014 - November 18, 2016 Increasing medication error reporting rates while reducing harm through … December 18, 2014 Preventing medication errors in neonatology: is it a dream?

7596. Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. | PSNet
      psnet.ahrq.gov/issue/eliminating-serious-preventable-and-costly-medical-errors-never-events
      May 26, 2021 - February 10, 2021 Preventing Medication Errors: A $21 Billion Opportunity.

7597. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40842/psn-pdf
      September 24, 2016 - A case of an interruption leading to a medication error is discussed in this AHRQ WebM&M commentary.

7598. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41240/psn-pdf
      October 19, 2012 - year-prospective-study https://psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre

7599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44551/psn-pdf
      September 30, 2015 - patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

7600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838085/psn-pdf
      September 14, 2022 - psnet.ahrq.gov/issue/administering-high-strength-insulin-pen-device-hospital https://psnet.ahrq.gov/issue/medication-errors-associated-transition-insulin-pens-insulin-vials