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Showing results for "medication errors".
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  1. High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - error. … Beyond particular patient safety incidents like medication error or patient misidentification, an academic … errors and patient falls across multiple studies of hospital nursing units . 8 For example, one … errors and 37% fewer patient falls. 9 Prior research has found that the widespread use of care pathways … The impact of safety organizing, trusted leadership, and care pathways on reported medication errors

  2. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
    February 26, 2025 - error. … Beyond particular patient safety incidents like medication error or patient misidentification, an academic … errors and patient falls across multiple studies of hospital nursing units . 8 For example, one … errors and 37% fewer patient falls. 9 Prior research has found that the widespread use of care pathways … The impact of safety organizing, trusted leadership, and care pathways on reported medication errors

  3. Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients. | PSNet

    psnet.ahrq.gov/issue/impact-pharmacist-provided-medication-therapy-management-healthcare-quality-and-utilization
    November 16, 2022 - Study Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients. Citation Text: Haag JD, Davis AZ, Hoel RW, et al. Impact of Pharmacist-Provided Medication Therapy Management on Healthcare Quality and Utiliza…

  4. Patient perceptions of hospital experiences: implications for innovations in patient safety. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-hospital-experiences-implications-innovations-patient-safety
    May 04, 2022 - Study Patient perceptions of hospital experiences: implications for innovations in patient safety. Citation Text: Butler JM, Gibson B, Schnock KO, et al. Patient perceptions of hospital experiences: implications for innovations in patient safety. J Patient Saf. 2022;18(2):e563-e567. doi:…

  5. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. | PSNet

    psnet.ahrq.gov/issue/global-patient-outcomes-after-elective-surgery-prospective-cohort-study-27-low-middle-and
    January 23, 2019 - Study Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Citation Text: group ISOS. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Br J Anaesth. 2…

  6. Adverse events are common on the intensive care unit: results from a structured record review. | PSNet

    psnet.ahrq.gov/issue/adverse-events-are-common-intensive-care-unit-results-structured-record-review
    January 28, 2010 - Study Adverse events are common on the intensive care unit: results from a structured record review. Citation Text: Nilsson L, Pihl A, Tågsjö M, et al. Adverse events are common on the intensive care unit: results from a structured record review. Acta Anaesthesiol Scand. 2012;56(8):959…

  7. The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. | PSNet

    psnet.ahrq.gov/issue/armstrong-institute-residentfellow-scholars-multispecialty-curriculum-train-future-leaders
    October 19, 2022 - Commentary The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. Citation Text: Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum t…

  8. Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys. | PSNet

    psnet.ahrq.gov/issue/evaluating-ambulatory-practice-safety-promises-project-administrators-and-practice-staff
    August 14, 2017 - Study Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys. Citation Text: Singer SJ, Nieva HR, Brede N, et al. Evaluating ambulatory practice safety: the PROMISES project administrators and practice staff surveys. Med Care. 2015;53(2):141…

  9. Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport. | PSNet

    psnet.ahrq.gov/issue/pediatric-transport-safety-collaborative-adverse-events-parental-presence-during-pediatric
    December 09, 2020 - Study Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport. Citation Text: Ali A, Miller MR, Cameron S, et al. Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical car…

  10. A comparative review of patient safety initiatives for national health information technology. | PSNet

    psnet.ahrq.gov/issue/comparative-review-patient-safety-initiatives-national-health-information-technology
    November 03, 2015 - Review A comparative review of patient safety initiatives for national health information technology. Citation Text: Magrabi F, Aarts J, Nohr C, et al. A comparative review of patient safety initiatives for national health information technology. Int J Med Inform. 2013;82(5):e139-48. d…

  11. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-nurses-perceptions-safety-after-highly-specific-safety-intervention
    June 16, 2011 - Study Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Citation Text: Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Qual Saf Health Care. 2008;17(1):25-3…

  12. A survey of outpatient internal medicine clinician perceptions of diagnostic error. | PSNet

    psnet.ahrq.gov/issue/survey-outpatient-internal-medicine-clinician-perceptions-diagnostic-error
    February 12, 2020 - Study A survey of outpatient internal medicine clinician perceptions of diagnostic error. Citation Text: Matulis JC, Kok SN, Dankbar EC, et al. A survey of outpatient Internal Medicine clinician perceptions of diagnostic error. Diagnosis. 2020;7(2):107-114. doi:10.1515/dx-2019-0070. Co…

  13. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. | PSNet

    psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring-practices
    October 11, 2023 - Study Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Citation Text: Rivich J, McCauliff J, Schroeder A. Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. Addict Behav. 2018;86:40-43. doi:10.1016/j.ad…

  14. Survey of the national drug shortage effect on anesthesia and patient safety: a patient perspective. | PSNet

    psnet.ahrq.gov/issue/survey-national-drug-shortage-effect-anesthesia-and-patient-safety-patient-perspective
    May 23, 2018 - Study Survey of the national drug shortage effect on anesthesia and patient safety: a patient perspective. Citation Text: Hsia IK-H, Dexter F, Logvinov I, et al. Survey of the National Drug Shortage Effect on Anesthesia and Patient Safety: A Patient Perspective. Anesth Analg. 2015;121(2)…

  15. Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. | PSNet

    psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement
    July 26, 2023 - Commentary Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. Citation Text: Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. …

  16. Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. | PSNet

    psnet.ahrq.gov/issue/controversies-surrounding-use-order-sets-clinical-decision-support-computerized-provider
    May 27, 2011 - Commentary Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. Citation Text: Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order ent…

  17. Improving patient safety in handover from intensive care unit to general ward: a systematic review. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-handover-intensive-care-unit-general-ward-systematic-review
    June 12, 2008 - Review Improving patient safety in handover from intensive care unit to general ward: a systematic review. Citation Text: Wibrandt I, Lippert A. Improving Patient Safety in Handover From Intensive Care Unit to General Ward: A Systematic Review. J Patient Saf. 2020;16(3):199-210. doi:10.1…

  18. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. | PSNet

    psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting
    March 09, 2022 - Study Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. Citation Text: Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeo…

  19. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. | PSNet

    psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error
    March 11, 2013 - Study A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. Citation Text: Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…

  20. Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. | PSNet

    psnet.ahrq.gov/issue/unfinished-nursing-care-missed-care-and-implicitly-rationed-care-state-science-review
    May 08, 2024 - Review Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. Citation Text: Jones TL, Hamilton P, Murry N. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. Int J Nurs Stud. 2015;52(6):1121-1137. do…
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