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Showing results for "medication errors".
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9201. Patients put at risk by NHS computer fault. | PSNet
      psnet.ahrq.gov/issue/patients-put-risk-nhs-computer-fault
      November 04, 2012 - Providers Health Care Executives and Administrators Information Professionals Patients Medication … Errors/Preventable Adverse Drug Events View More

9202. Managing the risks of direct oral anticoagulants. | PSNet
      psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
      December 23, 2016 - September 23, 2020 Direct oral anticoagulants: a review of common medication errors.

9203. Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases. | PSNet
      psnet.ahrq.gov/issue/forgive-and-forget-recognition-error-and-use-apology-preemptive-steps-adr-or-litigation
      July 24, 2018 - December 16, 2020 Analysis of iatrogenic and in-hospital medication errors reported to

9204. Stop the silent misdiagnosis: patients' preferences matter. | PSNet
      psnet.ahrq.gov/issue/stop-silent-misdiagnosis-patients-preferences-matter
      February 02, 2020 - August 5, 2020 Medication errors associated with transition from insulin pens to insulin

9205. AI can't replace doctors. But it can make them better. | PSNet
      psnet.ahrq.gov/issue/ai-cant-replace-doctors-it-can-make-them-better
      September 03, 2014 - June 14, 2019 Evaluation of an electronic dosing calculator to reduce pediatric medication … errors.

9206. 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

9207. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
      November 01, 2011 - Spotlight Case July 2008 Spotlight Case Near Miss with Bedside Medications * * Source and Credits This presentation is based on the November 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Albert W. Wu, MD, MPH, Johns Hopkins Bloomberg S…

9208. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. | PSNet
      psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve
      March 01, 2011 - Study Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. Citation Text: Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurs…

9209. 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.

9210. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. | PSNet
      psnet.ahrq.gov/issue/surgeon-second-victim-results-boston-intraoperative-adverse-events-surgeons-attitude-bisa
      January 23, 2017 - July 25, 2018 Making an infusion error: the second victims of infusion therapy-related medication … errors.

9211. The effect of emergency department boarding on order completion. | PSNet
      psnet.ahrq.gov/issue/effect-emergency-department-boarding-order-completion
      January 29, 2018 - (s) A randomized controlled trial on the effect of a double check on the detection of medication … errors.

9212. Defining, estimating, and communicating overdiagnosis in cancer screening. | PSNet
      psnet.ahrq.gov/issue/defining-estimating-and-communicating-overdiagnosis-cancer-screening
      October 13, 2018 - , 2022 View More Related Resources Clinicians' perceptions of medication … errors with opioids in cancer and palliative care services: a priority setting report.

9213. Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-alarm-fatigue-work-nurses-intensive-care-environment-systematic-review
      August 31, 2022 - November 7, 2018 Moral distress, compassion fatigue, and perceptions about medication … errors in certified critical care nurses.

9214. Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems. | PSNet
      psnet.ahrq.gov/issue/scoping-review-second-victim-syndrome-among-surgeons-understanding-impact-responses-and
      March 24, 2019 - March 5, 2025 A review of medication errors and the second victim in pediatric pharmacy

9215. Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality. | PSNet
      psnet.ahrq.gov/issue/ambulance-diversion-associated-reduced-access-cardiac-technology-and-increased-one-year
      October 27, 2016 - May 9, 2012 Factors influencing medication errors in the prehospital paramedic environment

9216. Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. | PSNet
      psnet.ahrq.gov/issue/uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
      March 17, 2021 - October 28, 2020 Impact of pharmacist interventions on medication errors in hospitalized

9217. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. | PSNet
      psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
      September 15, 2021 - Related Resources From the Same Author(s) Effect of a mobile app on prehospital medication … errors during simulated pediatric resuscitation: a randomized clinical trial.

9218. Association of sleep and fatigue with decision regret among critical care nurses. | PSNet
      psnet.ahrq.gov/issue/association-sleep-and-fatigue-decision-regret-among-critical-care-nurses
      July 14, 2021 - December 22, 2008 Exploring organizational context and structure as predictors of medication … errors and patient falls.

9219. Unanticipated death after discharge home from the emergency department. | PSNet
      psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
      November 16, 2022 - September 30, 2020 Medication errors in injured patients.

9220. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. | PSNet
      psnet.ahrq.gov/issue/reduction-incorrect-record-accessing-and-charting-patient-electronic-medical-records
      September 29, 2017 - Associations of person-related, environment-related and communication-related factors on medication … errors in public and private hospitals: a retrospective clinical audit.