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Showing results for "medication errors".
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  1. The Public's Views on Medical Error in Massachusetts. | PSNet

    psnet.ahrq.gov/issue/publics-views-medical-error-massachusetts
    January 30, 2019 - Book/Report The Public's Views on Medical Error in Massachusetts. Citation Text: The Public's Views on Medical Error in Massachusetts. Boston, MA: Harvard School of Public Health; December 2014. Copy Citation Save Save to your library Print Download PDF …

  2. Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study. | PSNet

    psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective-records-review-study
    December 01, 2021 - Study Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study. Citation Text: doi:http://doi.org/10.1136/bmjopen-2020-048316. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS D…

  3. What near misses tell us about risk and safety in mental health care. | PSNet

    psnet.ahrq.gov/issue/what-near-misses-tell-us-about-risk-and-safety-mental-health-care
    October 19, 2022 - Study What near misses tell us about risk and safety in mental health care. Citation Text: Jeffs L, Rose D, Macrae C, et al. What near misses tell us about risk and safety in mental health care. J Psychiatr Ment Health Nurs. 2012;19(5):430-7. doi:10.1111/j.1365-2850.2011.01812.x. Cop…

  4. "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. | PSNet

    psnet.ahrq.gov/issue/good-catch-kiddo-enhancing-patient-safety-pediatric-emergency-department-through-simulation
    January 03, 2017 - Study "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Citation Text: Shaikh U, Natale JAE, Till DA, et al. "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation. Pediatr Emerg Care. 2…

  5. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. | PSNet

    psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
    October 20, 2010 - Study Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Citation Text: Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8. …

  6. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. | PSNet

    psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient-safety
    April 26, 2023 - Commentary The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Citation Text: Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. Healthc Manage Forum…

  7. Digital health technology-specific risks for medical malpractice liability. | PSNet

    psnet.ahrq.gov/issue/digital-health-technology-specific-risks-medical-malpractice-liability
    January 18, 2023 - Commentary Digital health technology-specific risks for medical malpractice liability. Citation Text: Rowland SP, Fitzgerald JE, Lungren M, et al. Digital health technology-specific risks for medical malpractice liability. NPJ Digit Med. 2022;5(1):157. doi:10.1038/s41746-022-00698-3. C…

  8. Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review. | PSNet

    psnet.ahrq.gov/issue/challenges-and-opportunities-agency-healthcare-research-and-quality-ahrq-research-summit
    October 04, 2020 - Meeting/Conference Proceedings Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review. Citation Text: Henriksen K, Dymek C, Harrison MI, et al. Challenges and opportunities from the Agency for H…

  9. Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors. | PSNet

    psnet.ahrq.gov/issue/confidential-reporting-patient-safety-events-primary-care-results-multilevel-classification
    April 07, 2021 - Study Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors. Citation Text: Kostopoulou O, Delaney B. Confidential reporting of patient safety events in primary care: results from a multilevel classific…

  10. Quality improvement and safety in pediatric emergency medicine. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-and-safety-pediatric-emergency-medicine
    March 12, 2025 - Review Quality improvement and safety in pediatric emergency medicine. Citation Text: Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010. Copy Citation Format: …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41216/psn-pdf
    June 12, 2018 - Smart pump custom concentrations without hard "low concentration" alerts. June 12, 2018 ISMP Medication Safety Alert! Acute care edition. February 23, 2012;17:1,3-4. https://psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts This newsletter piece reviews smart infusion pump…

  12. Finding and fixing diagnosis errors: can triggers help? | PSNet

    psnet.ahrq.gov/issue/finding-and-fixing-diagnosis-errors-can-triggers-help
    January 31, 2024 - Commentary Finding and fixing diagnosis errors: can triggers help? Citation Text: Schiff GD. Finding and fixing diagnosis errors: can triggers help? BMJ Qual Saf. 2011;21(2):89-92. doi:10.1136/bmjqs-2011-000590. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

  13. Residents' suggestions for reducing errors in teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/residents-suggestions-reducing-errors-teaching-hospitals
    August 20, 2018 - Commentary Residents' suggestions for reducing errors in teaching hospitals. Citation Text: Volpp KGM, Grande D. Residents' suggestions for reducing errors in teaching hospitals. N Engl J Med. 2003;348(9):851-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  14. Surgical complications: disclosing adverse events and medical errors. | PSNet

    psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors
    September 23, 2020 - Commentary Surgical complications: disclosing adverse events and medical errors. Citation Text: Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008. Copy Citation Format: …

  15. Preventing medical errors: how to proceed with caution. | PSNet

    psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
    January 24, 2024 - Newspaper/Magazine Article Preventing medical errors: how to proceed with caution. Citation Text: Shaw G. Preventing Medical Errors. The Hearing Journal. 2014;67(7). doi:10.1097/01.hj.0000452244.07451.64. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNot…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45210/psn-pdf
    September 27, 2016 - Increased risk of burnout for physicians and nurses involved in a patient safety incident. September 27, 2016 Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943. doi:10.1097/MLR.0000000000000582. ht…

  17. Approach to Improving Patient Safety: Communication | PSNet

    psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
    August 31, 2020 - This type of inadequate communication at handoffs contributes to adverse events, including medication … errors.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42954/psn-pdf
    December 04, 2016 - "Please describe from your point of view a typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey study among palliative care professionals. December 4, 2016 Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a typical case of an error in pal…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866731/psn-pdf
    September 18, 2024 - Root cause analysis of cases involving diagnosis. September 18, 2024 Graber ML, Castro GM, Danforth M, et al. Root cause analysis of cases involving diagnosis. Diagnosis (Berl). 2024;11(4):353-368. doi:10.1515/dx-2024-0102. https://psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis Root cause analy…

  20. Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. | PSNet

    psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
    April 03, 2017 - February 5, 2020 ISMP medication error report analysis.
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