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Showing results for "medication errors".
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  1. Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. | PSNet

    psnet.ahrq.gov/issue/designing-and-implementing-comprehensive-quality-and-patient-safety-management-model-paradigm
    March 01, 2011 - Medication errors missed by risk management, clinical staff, and surveyors.

  2. Implementing an error disclosure coaching model: a multicenter case study. | PSNet

    psnet.ahrq.gov/issue/implementing-error-disclosure-coaching-model-multicenter-case-study
    May 11, 2016 - September 28, 2016 Medication errors and response bias: the tip of the iceberg.

  3. Improving communication with patients with limited English proficiency. | PSNet

    psnet.ahrq.gov/issue/improving-communication-patients-limited-english-proficiency
    January 06, 2018 - January 5, 2011 Incidence of adverse drug events and medication errors in intensive care

  4. Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy. | PSNet

    psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event
    January 24, 2018 - July 25, 2018 Facilitated self-reported anaesthetic medication errors before and after

  5. 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%.

  6. 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…

  7. 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.

  8. Disclosure of medical errors: the right thing to do. | PSNet

    psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do
    September 13, 2010 - Commentary Disclosure of medical errors: the right thing to do. Citation Text: Schuer KM, AAPA QCC of the. Disclosure of medical errors: the right thing to do. JAAPA. 2010;23(8):27-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  9. More hospitals move to confront medical errors head on. | PSNet

    psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
    June 21, 2023 - Audiovisual More hospitals move to confront medical errors head on. Citation Text: More hospitals move to confront medical errors head on. Gorenstein D. Tradeoffs. November 16, 2023. Copy Citation Save Save to your library Print Download PDF Shar…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61127/psn-pdf
    November 11, 2020 - Drug error at Eskenazi Hospital killed prominent cancer researcher. Here's how it happened. November 11, 2020 Evans T. Indianapolis Star. October 30, 2020. https://psnet.ahrq.gov/issue/drug-error-eskenazi-hospital-killed-prominent-cancer-researcher-heres-how-it- happened Fentanyl is a high-alert medication that c…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41652/psn-pdf
    September 30, 2012 - Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? September 30, 2012 Lovig KO, Horwitz LI, Lipska K, et al. Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error? Jt Comm J Qual Patient Sa…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44991/psn-pdf
    April 20, 2016 - Does an insulin double-checking procedure improve patient safety? April 20, 2016 Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. https://psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864386/psn-pdf
    March 13, 2024 - Time for prefilled syringes - everywhere. March 13, 2024 Whitaker DK, Lomas JP. Time for prefilled syringes – everywhere. Anaesthesia. 2024;79(2):119-122. doi:10.1111/anae.16181. https://psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere Simplifying complex processes is a strategy to engineer safety into heal…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46877/psn-pdf
    March 14, 2018 - /origin-adverse-drug-events-us-hospitals-2011 https://psnet.ahrq.gov/issue/non-health-care-facility-medication-errors-resulting-serious-medical-outcomes

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43154/psn-pdf
    August 22, 2016 - root-cause-analysis-ambulatory-adverse-drug-events-present-emergency-department https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852753/psn-pdf
    August 23, 2023 - status-patient-safety-culture-community-pharmacy-settings-systematic-review Community pharmacists are perhaps the last line of defense in preventing medication … errors in the outpatient setting; therefore, ensuring a strong safety culture is critical.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40179/psn-pdf
    February 02, 2011 - For instance, medication errors may be predicted by task-level workload, whereas dissatisfaction may

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837331/psn-pdf
    June 08, 2022 - error-management-lessons-aviation https://psnet.ahrq.gov/issue/sterile-cockpit-effective-approach-reducing-medication-errors

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43854/psn-pdf
    February 11, 2015 - accreditation-and-regulation-can-they-help-improve-patient-safety https://psnet.ahrq.gov/issue/what-measure-safe-hospital-medication-errors-missed-risk-management-clinical-staff-and

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50738/psn-pdf
    January 01, 2020 - effectiveness-interventions-improve-adverse-drug-reaction-reporting-healthcare-professionals https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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