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Showing results for "medication errors".
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  1. Agent of change. | PSNet

    psnet.ahrq.gov/issue/agent-change
    September 01, 2021 - Newspaper/Magazine Article Agent of change. Citation Text: Agent of change. Gale SF. Chief Learning Officer. July/August 2018;17:22-25. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  2. Nurse accidentally kills premature son of swine flu victim in Spain. | PSNet

    psnet.ahrq.gov/issue/nurse-accidentally-kills-premature-son-swine-flu-victim-spain
    July 17, 2013 - Newspaper/Magazine Article Nurse accidentally kills premature son of swine flu victim in Spain. Citation Text: Nurse accidentally kills premature son of swine flu victim in Spain. Tremlett G. Guardian.co.uk; July 13, 2009. Copy Citation Save Save to your lib…

  3. Uncovering the shocking dangers of misdiagnosis. | PSNet

    psnet.ahrq.gov/issue/uncovering-shocking-dangers-misdiagnosis
    May 13, 2020 - Audiovisual Uncovering the shocking dangers of misdiagnosis. Citation Text: Uncovering the shocking dangers of misdiagnosis. Graedon T. People’s Pharmacy.  Show 1355. September 8, 2023. Copy Citation Save Save to your library Print Download PDF …

  4. Medical error reduction: the effect of employee satisfaction with organizational support. | PSNet

    psnet.ahrq.gov/issue/medical-error-reduction-effect-employee-satisfaction-organizational-support
    November 06, 2024 - Study Medical error reduction: the effect of employee satisfaction with organizational support. Citation Text: Medical error reduction: the effect of employee satisfaction with organizational support. Lee D; Lee SM; Schniederjans MJ. Copy Citation Save Save to…

  5. Diagnostic Safety Supplemental Item Set for Medical Office SOPS. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-supplemental-item-set-medical-office-sops
    December 24, 2008 - Multi-use Website Diagnostic Safety Supplemental Item Set for Medical Office SOPS. Citation Text: Diagnostic Safety Supplemental Item Set for Medical Office SOPS. Agency for Healthcare Research and Quality.  Copy Citation Save Save to your library Pri…

  6. Nurse-to-physician communications: connecting for safety. | PSNet

    psnet.ahrq.gov/issue/nurse-physician-communications-connecting-safety
    July 29, 2009 - Newspaper/Magazine Article Nurse-to-physician communications: connecting for safety. Citation Text: Nurse-to-physician communications: connecting for safety. Shannon DW; Myers LA. Copy Citation Save Save to your library Print Download PDF Share …

  7. Preventing wrong-site surgery in Minnesota: a 5-year journey. | PSNet

    psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey
    December 19, 2007 - Newspaper/Magazine Article Preventing wrong-site surgery in Minnesota: a 5-year journey. Citation Text: Preventing wrong-site surgery in Minnesota: a 5-year journey. Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34. Copy Citation …

  8. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment | PSNet

    psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
    June 01, 2018 - WebM&M Cases Febrile Neutropenia and an Almost Fatal Medication … Error June 1, 2018 Perspective Balancing Supervision

  9. Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. | PSNet

    psnet.ahrq.gov/issue/pharmacists-reducing-medication-risk-medical-outpatient-clinics-retrospective-study-18
    June 16, 2021 - Study Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. Citation Text: Snoswell CL, De Guzman KR, Barras M. Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics. Intern Med J. 2023;5…

  10. Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/diagnosis-physical-and-mental-health-conditions-primary-care-during-covid-19-pandemic
    June 30, 2021 - September 15, 2021 Frequency and nature of medication errors and adverse drug events

  11. Some hospitals call 911 to save their patients. | PSNet

    psnet.ahrq.gov/issue/some-hospitals-call-911-save-their-patients
    January 18, 2023 - Newspaper/Magazine Article Some hospitals call 911 to save their patients. Citation Text: Some hospitals call 911 to save their patients. Abelson R. New York Times. April 2, 2007. Copy Citation Save Save to your library Print Download PDF Sha…

  12. Risky business: James Bagian—NASA astronaut turned patient safety expert—on being wrong. | PSNet

    psnet.ahrq.gov/issue/risky-business-james-bagian-nasa-astronaut-turned-patient-safety-expert-being-wrong
    March 17, 2010 - Newspaper/Magazine Article Risky business: James Bagian—NASA astronaut turned patient safety expert—on being wrong. Citation Text: Risky business: James Bagian—NASA astronaut turned patient safety expert—on being wrong. Schulz K. Slate.com. June 28, 2010. Copy Citation …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33739/psn-pdf
    October 01, 2012 - Comprehensive Critical Care unit at Clarian Methodist Hospital, patient transfers decreased by 90% and medication … errors by 70%.

  14. 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

  15. 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

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43391/psn-pdf
    July 30, 2014 - Special Issue on Patient Safety. July 30, 2014 West J Nurs Res. 2014;36(7):851-946. https://psnet.ahrq.gov/issue/special-issue-patient-safety-0 Articles in this special issue discuss errors of omission in nursing, the importance of situational awareness during medication administration, how complexity of health ca…

  17. A Room Without Orders | PSNet

    psnet.ahrq.gov/web-mm/room-without-orders
    September 01, 2011 - SPOTLIGHT CASE A Room Without Orders Citation Text: Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3…

  18. Hyperglycemia and Switching to Subcutaneous Insulin | PSNet

    psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
    May 19, 2021 - March 15, 2017 EHR-related medication errors in two ICUs.

  19. The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care. | PSNet

    psnet.ahrq.gov/issue/design-and-conduct-project-redde-cluster-randomized-trial-reduce-diagnostic-errors-pediatric
    April 08, 2018 - Study The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care. Citation Text: Bundy DG, Singh H, Stein RE, et al. The design and conduct of Project RedDE: A cluster-randomized trial to reduce diagnostic errors in pediatric…

  20. Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. | PSNet

    psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
    April 12, 2011 - August 14, 2019 Impact of a drug shortage on medication errors and clinical outcomes
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