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Showing results for "medication errors".
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  1. 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…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36033/psn-pdf
    June 21, 2006 - infants-risk-when-nurse-fatigue-jeopardizes-quality-care The authors discuss nurse fatigue and present two case studies of medication … errors committed by tired nurses to illustrate its impact on neonatal intensive care unit (NICU) care

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36723/psn-pdf
    July 26, 2011 - prescribing-safely-children The authors describe challenges in prescribing medications for children, including common medication … errors and adverse drug reactions.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47079/psn-pdf
    July 02, 2019 - decision support systems are widely utilized to improve patient safety by alerting providers to potential medication … errors and other safety concerns.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45595/psn-pdf
    April 19, 2017 - triggers-and-trigger-tools https://psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42361/psn-pdf
    September 19, 2013 - engaging-patient-observer-promote-hand-hygiene-compliance-ambulatory-care https://psnet.ahrq.gov/issue/medication-errors-home-multisite-study-children-cancer

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41349/psn-pdf
    May 02, 2012 - Patient Safety Papers 6. May 2, 2012 Baker GR, ed. Healthc Q. 2012;15:1-72. https://psnet.ahrq.gov/issue/patient-safety-papers-6 This special issue exploring patient safety in Canada highlights topics such as teamwork, medication reconciliation, and diagnostic error. https://psnet.ahrq.gov/issue/patient-safety-pa…

  8. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-25
    December 14, 2022 - 2022 Use of complete medication history to identify and correct transitions-of-care medication … errors at psychiatric hospital admission.

  9. Caution, Interrupted | PSNet

    psnet.ahrq.gov/web-mm/caution-interrupted
    October 01, 2016 - Nonetheless, the ED and pharmacy flagged this as a potentially fatal medication error and pursued a joint … Color coded medication safety system reduces community pediatric emergency nursing medication … errors. … Medical Record Causing an Accidental Medication Overdose October 31, 2023 ISMP medication … error report analysis.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47994/psn-pdf
    July 16, 2019 - What's in a name? Newborn naming conventions and wrong-patient errors. July 16, 2019 ISMP Medication Safety Alert! Acute Care Edition. April 25, 2019. https://psnet.ahrq.gov/issue/whats-name-newborn-naming-conventions-and-wrong-patient-errors Newborns assigned temporary names are at increased risk for patient misi…

  11. Electronic health record use issues and diagnostic error: a scoping review and framework. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-use-issues-and-diagnostic-error-scoping-review-and-framework
    September 14, 2011 - Review Electronic health record use issues and diagnostic error: a scoping review and framework. Citation Text: Dixit RA, Boxley CL, Samuel S, et al. Electronic health record use issues and diagnostic error: a scoping review and framework. J Patient Saf. 2023;19(1):e25-e30. doi:10.1097/p…

  12. Medical errors reported by French general practitioners in training: results of a survey and individual interviews. | PSNet

    psnet.ahrq.gov/issue/medical-errors-reported-french-general-practitioners-training-results-survey-and-individual
    March 10, 2011 - Study Medical errors reported by French general practitioners in training: results of a survey and individual interviews. Citation Text: Venus E, Galam E, Aubert J-P, et al. Medical errors reported by French general practitioners in training: results of a survey and individual intervie…

  13. Clinical review: the hospital of the future—building intelligent environments to facilitate safe and effective acute care delivery. | PSNet

    psnet.ahrq.gov/issue/clinical-review-hospital-future-building-intelligent-environments-facilitate-safe-and
    March 16, 2022 - Review Clinical review: the hospital of the future—building intelligent environments to facilitate safe and effective acute care delivery. Citation Text: Pickering BW, Litell JM, Herasevich V, et al. Clinical review: the hospital of the future - building intelligent environments to faci…

  14. Innovative teaching in situational awareness. | PSNet

    psnet.ahrq.gov/issue/innovative-teaching-situational-awareness
    November 04, 2020 - Commentary Innovative teaching in situational awareness. Citation Text: Gregory A, Hogg G, Ker J. Innovative teaching in situational awareness. Clin Teach. 2015;12(5):331-5. doi:10.1111/tct.12310. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  15. Using prospective clinical surveillance to identify adverse events in hospital. | PSNet

    psnet.ahrq.gov/issue/using-prospective-clinical-surveillance-identify-adverse-events-hospital
    November 11, 2015 - Study Using prospective clinical surveillance to identify adverse events in hospital. Citation Text: Forster AJ, Worthington JR, Hawken S, et al. Using prospective clinical surveillance to identify adverse events in hospital. BMJ Qual Saf. 2011;20(9):756-63. doi:10.1136/bmjqs.2010.0486…

  16. Bending the patient safety curve: how much can AI help? | PSNet

    psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help
    March 31, 2021 - Commentary Bending the patient safety curve: how much can AI help? Citation Text: Classen DC, Longhurst CA, Thomas EJ. Bending the patient safety curve: how much can AI help? NPJ Digit Med. 2023;6(1):2. doi:10.1038/s41746-022-00731-5. Copy Citation Format: DOI Google Schola…

  17. Considering human factors and developing systems-thinking behaviours to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
    March 01, 2023 - Newspaper/Magazine Article Considering human factors and developing systems-thinking behaviours to ensure patient safety. Citation Text: Considering human factors and developing systems-thinking behaviours to ensure patient safety. Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical H…

  18. Adverse events and near misses relating to information management in a hospital. | PSNet

    psnet.ahrq.gov/issue/adverse-events-and-near-misses-relating-information-management-hospital
    December 29, 2014 - Study Adverse events and near misses relating to information management in a hospital. Citation Text: Jylhä V, Bates DW, Saranto K. Adverse events and near misses relating to information management in a hospital. Health Inf Manag. 2016;45(2):55-63. doi:10.1177/1833358316641551. Copy Ci…

  19. Simulation-based medical error disclosure training for pediatric healthcare professionals. | PSNet

    psnet.ahrq.gov/issue/simulation-based-medical-error-disclosure-training-pediatric-healthcare-professionals
    April 11, 2011 - Study Simulation-based medical error disclosure training for pediatric healthcare professionals. Citation Text: Wayman KI, Yaeger KA, Sharek PJ, et al. Simulation-based medical error disclosure training for pediatric healthcare professionals. J Healthc Qual. 2007;29(4):12-9. Copy Cit…

  20. General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all. | PSNet

    psnet.ahrq.gov/issue/general-internists-pursuit-diagnostic-excellence-primary-care-proudtobegim-thread-unites-us
    April 03, 2024 - Commentary General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all. Citation Text: Kwan JL, Singh H. General Internists in Pursuit of Diagnostic Excellence in Primary Care: a #ProudtobeGIM Thread That Unites Us All. J Gen Intern M…
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