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Showing results for "medication errors".
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  1. Can first-year medical students acquire quality improvement knowledge prior to substantial clinical exposure? A mixed-methods evaluation of a pre-clerkship curriculum that uses education as the context for learning. | PSNet

    psnet.ahrq.gov/issue/can-first-year-medical-students-acquire-quality-improvement-knowledge-prior-substantial
    April 24, 2019 - September 1, 2016 Medication errors involving oral chemotherapy.

  2. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. | PSNet

    psnet.ahrq.gov/issue/hospital-organisation-management-and-structure-prevention-health-care-associated-infection
    January 22, 2014 - accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication … errors?

  3. Developing an adverse event reporting system using administrative data. | PSNet

    psnet.ahrq.gov/issue/developing-adverse-event-reporting-system-using-administrative-data
    September 23, 2009 - Study Developing an adverse event reporting system using administrative data. Citation Text: Developing an adverse event reporting system using administrative data. Bahl V; Thompson MA; Commisky EL; Anderson S; Campbell DA Jr. Copy Citation Save Save to your …

  4. Operating-room fire at hospital burns patient, prompts changes. | PSNet

    psnet.ahrq.gov/issue/operating-room-fire-hospital-burns-patient-prompts-changes
    September 21, 2022 - Newspaper/Magazine Article Operating-room fire at hospital burns patient, prompts changes. Citation Text: Operating-room fire at hospital burns patient, prompts changes. Natt TM Jr. The Pilot. August 9, 2013. Copy Citation Save Save to your library Pri…

  5. Consumer Guide to Adverse Health Events. | PSNet

    psnet.ahrq.gov/issue/consumer-guide-adverse-health-events
    June 04, 2024 - Book/Report Consumer Guide to Adverse Health Events. Citation Text: Consumer Guide to Adverse Health Events. St Paul, MN: Minnesota Department of Health; 2015. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837853/psn-pdf
    August 17, 2022 - RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. August 17, 2022 Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45524/psn-pdf
    January 03, 2017 - Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. January 3, 2017 Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial Engineering Methods to Improve Accuracy and Speed of Drug Sel…

  8. Electronic health record use and the quality of ambulatory care in the United States. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-use-and-quality-ambulatory-care-united-states
    May 31, 2023 - Study Electronic health record use and the quality of ambulatory care in the United States. Citation Text: Linder JA, Ma J, Bates DW, et al. Electronic health record use and the quality of ambulatory care in the United States. Arch Intern Med. 2007;167(13):1400-5. Copy Citation F…

  9. Electronic medical record availability and primary care depression treatment. | PSNet

    psnet.ahrq.gov/issue/electronic-medical-record-availability-and-primary-care-depression-treatment
    November 16, 2022 - Study Electronic medical record availability and primary care depression treatment. Citation Text: Harman JS, Rost KM, Harle CA, et al. Electronic medical record availability and primary care depression treatment. J Gen Intern Med. 2012;27(8):962-7. doi:10.1007/s11606-012-2001-0. Copy …

  10. Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. | PSNet

    psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety-communication
    October 28, 2020 - Press Release/Announcement Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. Citation Text: Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug A…

  11. Reasons for after-hours calls by hospital floor nurses to on-call physicians. | PSNet

    psnet.ahrq.gov/issue/reasons-after-hours-calls-hospital-floor-nurses-call-physicians
    March 21, 2017 - Study Reasons for after-hours calls by hospital floor nurses to on-call physicians. Citation Text: Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9. Copy Citation F…

  12. A leadership initiative to improve communication and enhance safety. | PSNet

    psnet.ahrq.gov/issue/leadership-initiative-improve-communication-and-enhance-safety
    March 11, 2009 - Commentary A leadership initiative to improve communication and enhance safety. Citation Text: Donahue M, Miller M, Smith L, et al. A Leadership Initiative to Improve Communication and Enhance Safety. American Journal of Medical Quality. 2011;26(3). doi:10.1177/1062860610387410. Copy…

  13. Nurses' workarounds in acute healthcare settings: a scoping review. | PSNet

    psnet.ahrq.gov/issue/nurses-workarounds-acute-healthcare-settings-scoping-review
    December 08, 2021 - Review Nurses' workarounds in acute healthcare settings: a scoping review. Citation Text: Debono DS, Greenfield D, Travaglia J, et al. Nurses' workarounds in acute healthcare settings: a scoping review. BMC Health Serv Res. 2013;13:175. doi:10.1186/1472-6963-13-175. Copy Citation …

  14. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. | PSNet

    psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety
    March 14, 2022 - Commentary Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Citation Text: Salmon PM, Hulme A, Walker GH, et al. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Ergonomics…

  15. AHRQ Health Information Technology Research: 2018 Year in Review. | PSNet

    psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
    May 07, 2014 - Government Resource AHRQ Health Information Technology Research: 2018 Year in Review. Citation Text: AHRQ Health Information Technology Research: 2018 Year in Review. AHRQ Health Information Technology Research: 2018 Year in Review. (Prepared by John Snow, Inc. Under Contract No. HHSN316…

  16. Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. | PSNet

    psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
    November 16, 2022 - Commentary Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. Citation Text: Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Com…

  17. Safely implementing health information and converging technologies. | PSNet

    psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
    May 14, 2018 - Sentinel Event Alerts Safely implementing health information and converging technologies. Citation Text: Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  18. Work-arounds observed by fourth-year nursing students. | PSNet

    psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
    July 30, 2014 - Study Work-arounds observed by fourth-year nursing students. Citation Text: Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707. Copy Citation Format: DOI Google Scholar Pu…

  19. Leveraging the electronic health record to improve quality and safety in rheumatology. | PSNet

    psnet.ahrq.gov/issue/leveraging-electronic-health-record-improve-quality-and-safety-rheumatology
    June 12, 2019 - Review Leveraging the electronic health record to improve quality and safety in rheumatology. Citation Text: Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4. …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35298/psn-pdf
    August 08, 2018 - Safety still compromised by computer weaknesses. August 8, 2018 ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3. https://psnet.ahrq.gov/issue/safety-still-compromised-computer-weaknesses The Institute for Safe Medication Practices (ISMP) reports on a 2005 field test that indicates many pha…
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