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Showing results for "medication errors".
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  1. Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure. | PSNet

    psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause
    June 22, 2022 - Hospital Readmissions and Improve Health Outcomes March 29, 2023 Detectability of medication … errors with a STOPP/START-based medication review in older people prior to a potentially preventable

  2. When is the surgeon too old to operate? | PSNet

    psnet.ahrq.gov/issue/when-surgeon-too-old-operate
    February 12, 2016 - June 12, 2019 At Walgreens, complaints of medication errors go missing.

  3. Documentation bad habits: shortcuts in electronic records pose risk. | PSNet

    psnet.ahrq.gov/issue/documentation-bad-habits-shortcuts-electronic-records-pose-risk
    March 12, 2014 - June 22, 2022 Medication errors in older people with mental health problems: a review

  4. Johns Hopkins receives $10 million to open patient safety institute. | PSNet

    psnet.ahrq.gov/issue/johns-hopkins-receives-10-million-open-patient-safety-institute
    August 06, 2014 - December 6, 2016 Use of dimensional analysis to reduce medication errors.

  5. 5 cataract surgeries, 5 people blinded: what went wrong? | PSNet

    psnet.ahrq.gov/issue/5-cataract-surgeries-5-people-blinded-what-went-wrong
    June 08, 2011 - June 8, 2011 Report faults Children's Hospital for medication errors.

  6. A surgeon so bad it was criminal. | PSNet

    psnet.ahrq.gov/issue/surgeon-so-bad-it-was-criminal
    October 24, 2018 - September 16, 2020 Report faults Children's Hospital for medication errors.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37980/psn-pdf
    October 28, 2009 - practice of double checking medicines before administration did not appear to effectively prevent medication … errors. 

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41431/psn-pdf
    June 06, 2012 - health care information technology implementation, problems such as hospital-acquired infections and medication … errors persist.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42268/psn-pdf
    May 15, 2013 - clinical-pharmacy-interventions-paediatric-electronic-prescriptions Pharmacists frequently had to intervene to prevent medication … errors in a children's hospital, despite the presence of a computerized provider order entry system

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38162/psn-pdf
    October 22, 2008 - standardized protocol for administering intravenous medications was associated with a reduction in medication … errors in intensive care unit patients.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36393/psn-pdf
    May 20, 2024 - Medication errors were the highest recorded sentinel event in the latest period.

  12. Impact of computerized prescriber order entry (CPOE) on clinical pharmacy practice: a hypothesis-generating study. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-cpoe-clinical-pharmacy-practice-hypothesis
    November 16, 2022 - November 20, 2013 Medication-error reporting and pharmacy resident experience during

  13. Preventable closed claims in the AANA Foundation closed malpractice claims database. | PSNet

    psnet.ahrq.gov/issue/preventable-closed-claims-aana-foundation-closed-malpractice-claims-database
    March 11, 2020 - July 13, 2022 Nonpunitive medication error reporting: 3-year findings from one hospital's

  14. Errors, incidents and accidents in anaesthetic practice. | PSNet

    psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice
    April 06, 2011 - Commentary Classic Errors, incidents and accidents in anaesthetic practice. Citation Text: Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5…

  15. Medical errors related to discontinuity of care from an inpatient to an outpatient setting. | PSNet

    psnet.ahrq.gov/issue/medical-errors-related-discontinuity-care-inpatient-outpatient-setting
    July 08, 2008 - Study Medical errors related to discontinuity of care from an inpatient to an outpatient setting. Citation Text: Moore C, Wisnivesky J, Williams SP, et al. Medical errors related to discontinuity of care from an inpatient to an outpatient setting. J Gen Intern Med. 2004;18(8). doi:10.1…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867145/psn-pdf
    November 13, 2024 - //psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited https://psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate

  17. Leapfrog hospital safety scores 'depressing.' | PSNet

    psnet.ahrq.gov/issue/leapfrog-hospital-safety-scores-depressing
    November 13, 2013 - February 12, 2014 Reporting trends in a regional medication error data-sharing system

  18. Patients, beware: 731 nurses reveal what to watch out for in the hospital. | PSNet

    psnet.ahrq.gov/issue/patients-beware-731-nurses-reveal-what-watch-out-hospital
    November 24, 2021 - Newspaper/Magazine Article Patients, beware: 731 nurses reveal what to watch out for in the hospital. Citation Text: Patients, beware: 731 nurses reveal what to watch out for in the hospital. Consumer Reports. 2009 Sep;74(9):18-23. Copy Citation Save Save to y…

  19. Canada continues to lag behind other OECD countries on measures of patient safety | PSNet

    psnet.ahrq.gov/issue/canada-continues-lag-behind-other-oecd-countries-measures-patient-safety
    March 26, 2014 - Fact Sheet/FAQs Canada continues to lag behind other OECD countries on measures of patient safety Citation Text: Canada continues to lag behind other OECD countries on measures of patient safety Canadian Institute for Health Information. Ottawa, ON: Canadian Institute for Health Informat…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37528/psn-pdf
    February 13, 2008 - Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. February 13, 2008 Hayden RT, Patterson DJ, Jay DW, et al. Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a …
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