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Showing results for "medication errors".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38171/psn-pdf
    June 29, 2009 - An educational and audit tool to reduce prescribing error in intensive care. June 29, 2009 Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242. https://psnet.ahrq.gov/issue/educationa…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44337/psn-pdf
    July 22, 2015 - Patient Safety Supplement. July 22, 2015 Middleton J, ed. Nursing Times and Health Service Journal. July 2015:s1-s20. https://psnet.ahrq.gov/issue/patient-safety-supplement Drawing from presentations at an annual conference in the United Kingdom, articles in this supplement discuss barcode technologies, the Sign u…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43238/psn-pdf
    June 04, 2014 - Administering just the diluent or one of two vaccine components leaves patients unprotected. June 4, 2014 ISMP Medication Safety Alert! Acute care edition. May 22, 2014;19:1-2. https://psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients- unprotected Errors occur frequentl…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44566/psn-pdf
    October 14, 2015 - FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. October 14, 2015 ISMP Medication Safety Alert! Acute Care Edition. September 24, 2015;20:1,4-5. https://psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa Describing incidents involving abbreviation confusion for ACTIVASE (alt…

  5. Are parents who feel the need to watch over their children's care better patient safety partners? | PSNet

    psnet.ahrq.gov/issue/are-parents-who-feel-need-watch-over-their-childrens-care-better-patient-safety-partners
    July 22, 2013 - Study Are parents who feel the need to watch over their children's care better patient safety partners? Citation Text: Cox E, Hansen K, Rajamanickam VP, et al. Are Parents Who Feel the Need to Watch Over Their Children's Care Better Patient Safety Partners? Hosp Pediatr. 2017;7(12):716-7…

  6. An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. | PSNet

    psnet.ahrq.gov/issue/asset-based-quality-improvement-tool-health-care-organizations-cultivating-organization-wide
    September 16, 2020 - Commentary An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. Citation Text: Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations:…

  7. Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and
    September 19, 2016 - Study Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. Citation Text: Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…

  8. Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. | PSNet

    psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
    August 05, 2020 - Study Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare. Citation Text: Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and no-harm incidents that affect p…

  9. The safety of Australian healthcare: 10 years after QAHCS. | PSNet

    psnet.ahrq.gov/issue/safety-australian-healthcare-10-years-after-qahcs
    January 12, 2022 - Commentary The safety of Australian healthcare: 10 years after QAHCS. Citation Text: Wilson RML, Van Der Weyden MB. The safety of Australian healthcare: 10 years after QAHCS. Med J Aust. 2005;182(6):260-1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  10. A new, evidence-based estimate of patient harms associated with hospital care. | PSNet

    psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care
    October 19, 2022 - Review A new, evidence-based estimate of patient harms associated with hospital care. Citation Text: James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. Copy Citation Format: …

  11. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
    December 12, 2014 - Review Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis. Citation Text: Coussement J, De Paepe L, Schwendimann R, et al. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-a…

  12. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. | PSNet

    psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest
    April 12, 2023 - Study Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. Citation Text: McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…

  13. Impact of staff turnover during cardiac surgical procedures. | PSNet

    psnet.ahrq.gov/issue/impact-staff-turnover-during-cardiac-surgical-procedures
    November 06, 2019 - Study Impact of staff turnover during cardiac surgical procedures. Citation Text: Bloom JP, Moonsamy P, Gartland RM, et al. Impact of staff turnover during cardiac surgical procedures. J Thorac Cardiovasc Surg. 2019. doi:10.1016/j.jtcvs.2019.11.051. Copy Citation Format: DO…

  14. Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. | PSNet

    psnet.ahrq.gov/issue/patients-experiences-and-perspectives-patient-reported-outcome-measures-clinical-care
    October 27, 2021 - Review Patients' experiences and perspectives of patient-reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. Citation Text: Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported outcome measures i…

  15. Associations between internet-based patient ratings and conventional surveys of patient experience in the English NHS: an observational study. | PSNet

    psnet.ahrq.gov/issue/associations-between-internet-based-patient-ratings-and-conventional-surveys-patient
    August 26, 2020 - Study Associations between internet-based patient ratings and conventional surveys of patient experience in the English NHS: an observational study. Citation Text: Greaves F, Pape UJ, King D, et al. Associations between Internet-based patient ratings and conventional surveys of patient…

  16. Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. | PSNet

    psnet.ahrq.gov/issue/technical-evaluation-testing-and-validation-usability-electronic-health-records-empirically
    March 01, 2017 - Book/Report Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records: Empirically Based Use Cases for Validating Safety-Enhanced Usability and Guidelines for Standardization. Citation Text: Technical Evaluation, Testing, and Validation of the Usability …

  17. The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. | PSNet

    psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm
    October 12, 2022 - Book/Report The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Citation Text: The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-011…

  18. Patients managing medications and reading their visit notes: a survey of OpenNotes participants. | PSNet

    psnet.ahrq.gov/issue/patients-managing-medications-and-reading-their-visit-notes-survey-opennotes-participants
    July 01, 2020 - Study Patients managing medications and reading their visit notes: a survey of OpenNotes participants. Citation Text: DesRoches CM, Bell SK, Dong Z, et al. Patients Managing Medications and Reading Their Visit Notes: A Survey of OpenNotes Participants. Ann Intern Med. 2019;171(1):69-71. …

  19. Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study. | PSNet

    psnet.ahrq.gov/issue/introduction-novel-patient-safety-advisory-evaluation-perceived-information-modified-qpp
    April 05, 2023 - Study Introduction of a novel patient safety advisory: evaluation of perceived information with a modified QPP questionnaire-a case-control study. Citation Text: Tubic B, Bånnsgård M, Gustavsson S, et al. Introduction of a novel patient safety advisory: evaluation of perceived informatio…

  20. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. | PSNet

    psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-requiring-intensive-care-admission-systematic
    May 16, 2018 - Review Incidence and preventability of adverse events requiring intensive care admission: a systematic review. Citation Text: Vlayen A, Verelst S, Bekkering GE, et al. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. J Eval Clin Pr…
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