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Showing results for "medication errors".
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9601. Theorizing about systems: an ecological task for patient safety research. | PSNet
      psnet.ahrq.gov/issue/theorizing-about-systems-ecological-task-patient-safety-research
      August 20, 2008 - Medication-related hospital readmissions within 30 days of discharge: prevalence, preventability, type of medication … errors and risk factors.

9602. Wireless technologies and patient safety in hospitals. | PSNet
      psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
      August 30, 2023 - October 21, 2015 Interventions to reduce medication errors in pediatric intensive care

9603. Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. | PSNet
      psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-1
      October 17, 2018 - January 9, 2008 Medication errors at hospital admission and discharge: risk factors and

9604. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43673/psn-pdf
      November 19, 2014 - Work-arounds observed by fourth-year nursing students. November 19, 2014 Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707. https://psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students Accordi…

9605. In Conversation With...Donald A. Norman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
      November 01, 2006 - Nicole Werner, PhD November 16, 2022 Systemic defenses to prevent intravenous medication … errors in hospitals: a systematic review.

9606. Discharge missteps can send seniors back to hospital. | PSNet
      psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
      March 28, 2012 - September 13, 2023 ISMP medication error report analysis.

9607. Health Services Safety Investigations Body. | PSNet
      psnet.ahrq.gov/issue/health-services-safety-investigations-body
      February 04, 2015 - August 7, 2019 Medication error prevention by clinical pharmacists in two children's

9608. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-308
      September 29, 2021 - September 8, 2021 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, repor…

9609. Reducing Errors in Health Care: Translating Research Into Practice. | PSNet
      psnet.ahrq.gov/issue/reducing-errors-health-care-translating-research-practice
      October 23, 2019 - Fact Sheet/FAQs Reducing Errors in Health Care: Translating Research Into Practice. Citation Text: Reducing Errors in Health Care: Translating Research Into Practice. Rockville, MD: Agency of Healthcare Research and Quality; AHRQ Publication No. 00-PO58. Copy Citation S…

9610. Special Issue: Patient Safety. | PSNet
      psnet.ahrq.gov/issue/special-issue-patient-safety
      August 22, 2007 - May 6, 2020 Systemic causes of in-hospital intravenous medication errors: a systematic

9611. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845360/psn-pdf
      March 29, 2023 - traumatic brain injury, or stroke) are particularly vulnerable to patient safety events, such as falls and medication … errors.

9612. ISMP Survey on High-Alert Medications in Acute Care Settings. | PSNet
      psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings
      January 26, 2023 - Measurement Tool/Indicator ISMP Survey on High-Alert Medications in Acute Care Settings. Citation Text: ISMP Survey on High-Alert Medications in Acute Care Settings. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023. Copy Citation Save Save to yo…

9613. Fentora (fentanyl buccal tablet). | PSNet
      psnet.ahrq.gov/issue/fentora-fentanyl-buccal-tablet
      October 28, 2020 - Government Resource Fentora (fentanyl buccal tablet). Save Print Share Facebook Twitter Linkedin Copy URL September 26, 2007 This announcement provides specific instructions on safe prescribing of a cancer pain…

9614. 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…

9615. 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…

9616. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37251/psn-pdf
      February 28, 2018 - Drug labeling and packaging — looking beyond what meets the eye. February 28, 2018 PA-PSRS Patient Safety Advisory. https://psnet.ahrq.gov/issue/drug-labeling-and-packaging-looking-beyond-what-meets-eye Drawing from data submitted to the Patient Safety Authority reporting system, this article documents factors in…

9617. The impact of sleep deprivation on product quality and procedure effectiveness in a laparoscopic physical simulator: a randomized controlled trial.   | PSNet
      psnet.ahrq.gov/issue/impact-sleep-deprivation-product-quality-and-procedure-effectiveness-laparoscopic-physical
      June 03, 2020 - Study The impact of sleep deprivation on product quality and procedure effectiveness in a laparoscopic physical simulator: a randomized controlled trial.   Citation Text: Uchal M, Tjugum J, Martinsen E, et al. The impact of sleep deprivation on product quality and procedure effectivene…

9618. Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/nurses-perceptions-electronic-patient-record-patient-safety-perspective-qualitative-study
      October 09, 2013 - Study Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study. Citation Text: Stevenson JE, Nilsson G. Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study. J Adv Nurs. 2012;68(3):6…

9619. Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information. | PSNet
      psnet.ahrq.gov/issue/improving-safety-during-transitions-care-through-use-electronic-referral-loops-receive-and
      October 19, 2022 - Study Improving safety during transitions of care through the use of electronic referral loops to receive and reconcile health information. Citation Text: Allen G, Setzer J, Jones R, et al. Improving safety during transitions of care through the use of electronic referral loops to receiv…

9620. Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. | PSNet
      psnet.ahrq.gov/issue/detection-adverse-events-acute-geriatric-hospital-over-6-year-period-using-global-trigger
      March 09, 2022 - Study Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. Citation Text: Suarez C, Menendez MD, Alonso J, et al. Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. J Am …