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Showing results for "medication errors".
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  1. Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition. | PSNet

    psnet.ahrq.gov/issue/implicit-bias-patient-descriptor-homeless-and-its-association-emergency-department-opioid
    December 15, 2021 - Download Citation Related Resources From the Same Author(s) Reducing medication … errors for adults in hospital settings.

  2. Closing the loop with ambulatory staff on safety reports. | PSNet

    psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-reports
    April 22, 2016 - January 8, 2020 Characteristics associated with postdischarge medication errors.

  3. Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review. | PSNet

    psnet.ahrq.gov/issue/why-do-acute-healthcare-staff-behave-unprofessionally-towards-each-other-and-how-can-these
    July 24, 2024 - May 15, 2024 A review of medication errors and the second victim in pediatric pharmacy

  4. Development of a professionalism committee approach to address unprofessional medical staff behavior at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/development-professionalism-committee-approach-address-unprofessional-medical-staff-behavior
    October 19, 2022 - July 28, 2014 Implementing a systematic response to medication errors.

  5. The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. | PSNet

    psnet.ahrq.gov/issue/safe-patient-flow-initiative-collaborative-quality-improvement-journey-yale-new-haven
    June 07, 2023 - January 26, 2022 Exploring organizational context and structure as predictors of medication … errors and patient falls.

  6. The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks and specific measures for improvement. | PSNet

    psnet.ahrq.gov/issue/clinical-safety-disabled-patients-proposal-methodology-analysis-health-care-risks-and
    January 17, 2012 - 2012 Perceptions and attitudes of pediatricians and families with regard to pediatric medication … errors at home.

  7. Root cause analysis for hospital-acquired pressure injury. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
    July 07, 2021 - April 29, 2015 Nursing student medication errors: a case study using root cause analysis

  8. Self-reported patient safety competence among new graduates in medicine, nursing and pharmacy. | PSNet

    psnet.ahrq.gov/issue/self-reported-patient-safety-competence-among-new-graduates-medicine-nursing-and-pharmacy
    February 14, 2015 - Resources Pharmacist-led educational interventions provided to healthcare providers to reduce medication … errors: a systematic review and meta-analysis.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37578/psn-pdf
    May 02, 2018 - Keeping patients safe from iatrogenic methadone overdoses. May 2, 2018 ISMP Medication Safety Alert! Acute care edition. February 14, 2008. https://psnet.ahrq.gov/issue/keeping-patients-safe-iatrogenic-methadone-overdoses This article describes errors that can occur when methadone is prescribed for pain and offers…

  10. Submit Case | PSNet

    psnet.ahrq.gov/submit-case-landing
    March 25, 2025 - is looking for interesting, provocative cases that illustrate key issues in patient safety such as medication … errors, diagnostic errors, and adverse events that either had the potential for, or resulted in, patient

  11. Do medical inpatients who report poor service quality experience more adverse events and medical errors? | PSNet

    psnet.ahrq.gov/issue/do-medical-inpatients-who-report-poor-service-quality-experience-more-adverse-events-and
    July 14, 2021 - March 27, 2013 Physician patient communication failure facilitates medication errors

  12. Electronic health record–related events in medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/electronic-health-record-related-events-medical-malpractice-claims
    April 03, 2018 - Cases involving medication errors, diagnostic errors , or treatment complications were almost equally

  13. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. | PSNet

    psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures
    February 02, 2011 - 2024 Relationships between medications used in a mental health hospital and types of medication … errors: a cross-sectional study over an 8-year period.

  14. Medicare's policy not to pay for treating hospital-acquired conditions: the impact. | PSNet

    psnet.ahrq.gov/issue/medicares-policy-not-pay-treating-hospital-acquired-conditions-impact
    December 04, 2024 - September 23, 2020 The importance of establishing regimen concordance in preventing medication … errors in anticoagulant care.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46965/psn-pdf
    March 28, 2018 - The other opioid crisis: hospital shortages lead to patient pain, medical errors. March 28, 2018 Bartolone P. Kaiser Health News. March 16, 2018. https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors Drug shortages may require clinicians, pharmacists, and hospitals to…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44883/psn-pdf
    February 17, 2016 - Comparison of barcode scanning by pharmacy technicians and pharmacists' visual checks for final product verification. February 17, 2016 Wang BN-T, Brummond P, Stevenson JG. Comparison of barcode scanning by pharmacy technicians and pharmacists' visual checks for final product verification. Am J Health Syst Pharm. …

  17. 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

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33653/psn-pdf
    June 01, 2007 - In response to "Failure to Report" (March 2007) June 1, 2007 Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/response-failure-report-march-2007 In response to "Failure to Report" (March 2007) Letter To the editors: Dr. Sp…

  19. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-319
    November 30, 2021 - Review Pediatric medication errors and reduction strategies in the perioperative period … Pediatric medication errors during anesthesia can lead to significant harm and are largely preventable … This review identifies several themes around medication errors including dosing and incorrect medication

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72516/psn-pdf
    November 25, 2020 - psnet.ahrq.gov//#9 https://psnet.ahrq.gov//#10 https://psnet.ahrq.gov//#11 https://psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three
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