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Showing results for "medication errors".
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  1. Culture of resistance. | PSNet

    psnet.ahrq.gov/issue/culture-resistance
    September 19, 2016 - Newspaper/Magazine Article Culture of resistance. Citation Text: Culture of resistance. Berens MJ; Armstrong K. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  2. Making patient safety event data actionable: understanding patient safety analyst needs. | PSNet

    psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs
    October 17, 2018 - May 13, 2020 A text mining approach to categorize patient safety event reports by medication … error type.

  3. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. | PSNet

    psnet.ahrq.gov/issue/safety-and-efficiency-considerations-introduction-electronic-ordering-blood-bank
    March 25, 2015 - December 16, 2020 How effective are electronic medication systems in reducing medication … error rates and associated harm among hospital inpatients?

  4. Feasibility of prospective error reporting in home palliative care: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods-study
    November 11, 2020 - December 13, 2013 Improving medication error reporting in hospice care.

  5. Repeat prescribing of medications: a system-centred risk management model for primary care organisations. | PSNet

    psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care
    January 20, 2016 - Patient Safety Primers Patient Safety 101 June 15, 2024 ISMP medication … error report analysis.

  6. A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. | PSNet

    psnet.ahrq.gov/issue/scoping-review-legibility-hand-written-prescriptions-and-drug-orders-writing-wall
    January 12, 2022 - Pharmacist Role in Patient Safety February 21, 2020 ISMP medication … error report analysis.

  7. A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. | PSNet

    psnet.ahrq.gov/issue/comprehensive-patient-safety-program-can-significantly-reduce-preventable-harm-associated
    October 27, 2010 - 2018 An internal quality improvement collaborative significantly reduces hospital-wide medication … error related adverse drug events.

  8. Nurses' experiences of organizational learning. | PSNet

    psnet.ahrq.gov/issue/nurses-experiences-organizational-learning
    July 21, 2021 - February 1, 2023 Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.

  9. Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-ethical-principles-regulatory-approach-bias-healthcare
    April 21, 2021 - machine learning-based clinical decision support system to identify prescriptions with a high risk of medication … error.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38250/psn-pdf
    June 10, 2018 - Using external errors to signal a clear and present danger. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 6, 2008;13:1-2. https://psnet.ahrq.gov/issue/using-external-errors-signal-clear-and-present-danger This article addresses the biases inherent when hearing reports of errors at other …

  11. Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. | PSNet

    psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults
    July 06, 2022 - Leading to More Appropriate Medication Use March 31, 2021 Medicines management, medication … errors and adverse medication events in older people referred to a community nursing service: a retrospective

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44649/psn-pdf
    November 11, 2015 - Seven (potentially) deadly prescribing errors. November 11, 2015 Graham LR, Scudder L, Stokowski L. Medscape. October 22, 2015. https://psnet.ahrq.gov/issue/seven-potentially-deadly-prescribing-errors Errors in the prescribing process can lead to adverse drug events. This slide set provides information about commo…

  13. One doctor. 25 deaths. How could it have happened? | PSNet

    psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
    November 06, 2019 - 2013 View More See More About The Topic Risk Managers Medicine Medication … Errors/Preventable Adverse Drug Events Latent Errors Role of the Media

  14. Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. | PSNet

    psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
    January 30, 2003 - April 7, 2010 USP drug safety review: medication errors involving NMBAs.   

  15. Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-considerations
    November 20, 2019 - September 7, 2022 Preventing Medication Errors: A $21 Billion Opportunity.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44401/psn-pdf
    November 20, 2015 - Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. November 20, 2015 Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. Int J Clin Prac…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43079/psn-pdf
    May 28, 2014 - Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. May 28, 2014 Macdonald M, Heilemann MS, MacKinnon NJ, et al. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Qual Health Res. 2014;24(4):536-50. …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45278/psn-pdf
    September 07, 2016 - Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences. September 7, 2016 Schwappach DLB, Pfeiffer Y, Taxis K. Medication double-checking procedures in clinical practice: a cross- sectional survey of oncology nurses' experiences. BMJ Open. 2016;6(6). do…

  19. Toward safer practice in otology: a report on 15 years of clinical negligence claims. | PSNet

    psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims
    January 21, 2015 - October 26, 2022 Infusion medication error reduction by two-person verification: a quality

  20. The morbidity and mortality meeting: time for a different approach? | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
    August 30, 2023 - July 10, 2008 The VHA New England Medication Error Prevention Initiative as a model for
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