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Showing results for "medication errors".
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  1. Optimal Resources for Surgical Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
    September 29, 2017 - Book/Report Optimal Resources for Surgical Quality and Safety. Citation Text: Optimal Resources for Surgical Quality and Safety. Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242. Copy Citation Save Save to your library …

  2. Negligence and AI's human users. | PSNet

    psnet.ahrq.gov/issue/negligence-and-ais-human-users
    November 16, 2022 - Commentary Negligence and AI's human users. Citation Text: Negligence and AI's human users. Selbst AD. Boston U Law Rev. 2020;100:1315-1376. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Link…

  3. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet

    psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
    February 01, 2014 - They concluded that each interruption results in a 12.7% increased risk of a medication error and that … individually and collectively, to ensure that they actually do reduce the frequency and severity of medication … errors without negative unanticipated consequences.( 5 ) Certain clinical environments such as the … errors ( 14 ) or interruptions.( 2 ) The adoption of this strategy appears somewhat limited perhaps … Keep away: Kaiser South San Francisco RNs don yellow sashes to reduce interruptions and medication errors

  4. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
    January 01, 2020 - Review of nationally reported opioid-related sentinel events found that 75% were attributable to medication … error and improper monitoring 12 Opioid-Induced Respiratory Depression (3) 13 • Majority of PCA … Medication errors involving patient-controlled analgesia.

  5. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. | PSNet

    psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer
    February 01, 2011 - Safer Patients Initiative is a large-scale effort to reduce preventable harm in hospitals, including medication … errors, health care–associated infections , and cardiopulmonary arrests.

  6. ISQua Fellowship Programme. | PSNet

    psnet.ahrq.gov/issue/isqua-fellowship-programme
    January 29, 2021 - October 21, 2015 Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication … errors resulting from name confusion.

  7. Ambulatory Care Patient Safety 2017–2018. | PSNet

    psnet.ahrq.gov/issue/ambulatory-care-patient-safety-2017-2018
    April 15, 2005 - September 7, 2022 Preventing Medication Errors: A $21 Billion Opportunity.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46553/psn-pdf
    October 25, 2017 - https://psnet.ahrq.gov/issue/telehealth https://psnet.ahrq.gov/issue/telemedicine-consultations-and-medication-errors-rural-emergency-departments

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37755/psn-pdf
    April 14, 2011 - Such systems may serve as a method to prevent medication errors, particularly at the prescribing stage

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39863/psn-pdf
    January 04, 2011 - /psnet.ahrq.gov/issue/improving-quality-drug-error-reporting This analysis of voluntarily reported medication … errors found that the reports often did not yield useful data.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33952/psn-pdf
    July 16, 2009 - The rule aims to reduce the number of medication errors by allowing health care professionals to use

  12. A systematic review of interventions to follow-up test results pending at discharge. | PSNet

    psnet.ahrq.gov/issue/systematic-review-interventions-follow-test-results-pending-discharge
    November 16, 2022 - Review A systematic review of interventions to follow-up test results pending at discharge. Citation Text: Darragh PJ, Bodley T, Orchanian-Cheff A, et al. A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge. J Gen Intern Med. 2018;33(5):750-758. doi:10.100…

  13. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. | PSNet

    psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im-afraid-thats
    August 16, 2023 - Commentary A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. Citation Text: Maskell G. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly …

  14. Tolerance of uncertainty and fears of making mistakes among fifth-year medical students. | PSNet

    psnet.ahrq.gov/issue/tolerance-uncertainty-and-fears-making-mistakes-among-fifth-year-medical-students
    December 09, 2020 - Study Tolerance of uncertainty and fears of making mistakes among fifth-year medical students. Citation Text: Nevalainen M, Kuikka L, Sjoberg L, et al. Tolerance of uncertainty and fears of making mistakes among fifth-year medical students. Fam Med. 2012;44(4):240-6. Copy Citation …

  15. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. | PSNet

    psnet.ahrq.gov/issue/realist-synthesis-interprofessional-patient-safety-activities-and-healthcare-student
    July 01, 2019 - Review A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. Citation Text: Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes…

  16. Patients' views of adverse events in primary and ambulatory care: a systematic review to assess methods and the content of what patients consider to be adverse events. | PSNet

    psnet.ahrq.gov/issue/patients-views-adverse-events-primary-and-ambulatory-care-systematic-review-assess-methods
    December 18, 2017 - Review Patients' views of adverse events in primary and ambulatory care: a systematic review to assess methods and the content of what patients consider to be adverse events. Citation Text: Lang S, Garrido MV, Heintze C. Patients' views of adverse events in primary and ambulatory care: a…

  17. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. | PSNet

    psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting
    March 09, 2022 - Study An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. Citation Text: Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.…

  18. Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. | PSNet

    psnet.ahrq.gov/issue/implicit-bias-and-caring-diverse-populations-pediatric-trainee-attitudes-and-gaps-training
    April 22, 2020 - Study Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. Citation Text: Barber Doucet H, Ward VL, Johnson TJ, et al. Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training. Clin Pediatr (Phila). …

  19. Hospital workload and adverse events. | PSNet

    psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
    August 31, 2011 - Study Classic Hospital workload and adverse events. Citation Text: Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

  20. Incidence and types of adverse events and negligent care in Utah and Colorado. | PSNet

    psnet.ahrq.gov/issue/incidence-and-types-adverse-events-and-negligent-care-utah-and-colorado
    December 24, 2008 - Study Classic Incidence and types of adverse events and negligent care in Utah and Colorado. Citation Text: Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000;38(3):261-71. C…
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