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Showing results for "medication errors".
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  1. Dual Therapy Debacle | PSNet

    psnet.ahrq.gov/web-mm/dual-therapy-debacle
    February 01, 2007 - 2024 Multicomponent pharmacist intervention did not reduce clinically important medication … errors for ambulatory patients initiating direct oral anticoagulants. … Improving Diagnostic Safety and Quality April 26, 2023 ISMP medication … error report analysis.

  2. System-related and cognitive errors in laboratory medicine. | PSNet

    psnet.ahrq.gov/issue/system-related-and-cognitive-errors-laboratory-medicine
    December 21, 2016 - Commentary System-related and cognitive errors in laboratory medicine. Citation Text: Plebani M. System-related and cognitive errors in laboratory medicine. Diagnosis (Berl). 2018;5(4):191-196. doi:10.1515/dx-2018-0085. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  3. Errors in clinical reasoning: causes and remedial strategies. | PSNet

    psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies
    August 25, 2021 - Commentary Errors in clinical reasoning: causes and remedial strategies. Citation Text: Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;338:b1860. doi:10.1136/bmj.b1860. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  4. Reduction in pediatric identification band errors: a quality collaborative. | PSNet

    psnet.ahrq.gov/issue/reduction-pediatric-identification-band-errors-quality-collaborative
    March 14, 2022 - Study Reduction in pediatric identification band errors: a quality collaborative. Citation Text: Phillips SC, Saysana M, Worley S, et al. Reduction in pediatric identification band errors: a quality collaborative. Pediatrics. 2012;129(6):e1587-93. doi:10.1542/peds.2011-1911. Copy Cit…

  5. Impact of computerized prescriber order entry (CPOE) on clinical pharmacy practice: a hypothesis-generating study. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-cpoe-clinical-pharmacy-practice-hypothesis
    November 16, 2022 - November 20, 2013 Medication-error reporting and pharmacy resident experience during

  6. Preventable closed claims in the AANA Foundation closed malpractice claims database. | PSNet

    psnet.ahrq.gov/issue/preventable-closed-claims-aana-foundation-closed-malpractice-claims-database
    March 11, 2020 - July 13, 2022 Nonpunitive medication error reporting: 3-year findings from one hospital's

  7. Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-and-family-involvement-interventions-promoting-patient-safety-systematic
    February 02, 2022 - February 10, 2021 How effective are electronic medication systems in reducing medication … error rates and associated harm among hospital inpatients?

  8. Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. | PSNet

    psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety-incidents-descriptive
    November 10, 2021 - May 22, 2024 Enhanced free-text search for aggregated medication error report analysis

  9. The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-electronic-health-record-adoption-nurse-assessed-quality-care-and-patient
    March 28, 2012 - Related Resources How effective are electronic medication systems in reducing medication … error rates and associated harm among hospital inpatients?

  10. Listen to me, I really am sick! Patient and family narratives of clinical deterioration before and during rapid response system intervention. | PSNet

    psnet.ahrq.gov/issue/listen-me-i-really-am-sick-patient-and-family-narratives-clinical-deterioration-and-during
    June 25, 2018 - January 4, 2012 Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.

  11. An empirical investigation of the channels that facilitate a total quality culture. | PSNet

    psnet.ahrq.gov/issue/empirical-investigation-channels-facilitate-total-quality-culture
    December 21, 2022 - Study An empirical investigation of the channels that facilitate a total quality culture. Citation Text: Gallear D, Ghobadian A. An Empirical Investigation of the Channels that Facilitate a Total Quality Culture. Total Quality Management & Business Excellence. 2004;15(8). doi:10.1080/14…

  12. Emotional stability of nurses: impact on patient safety. | PSNet

    psnet.ahrq.gov/issue/emotional-stability-nurses-impact-patient-safety
    May 09, 2012 - Study Emotional stability of nurses: impact on patient safety. Citation Text: Teng C-I, Chang S-S, Hsu K-H. Emotional stability of nurses: impact on patient safety. J Adv Nurs. 2009;65(10):2088-96. doi:10.1111/j.1365-2648.2009.05072.x. Copy Citation Format: DOI Google Sch…

  13. The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety. | PSNet

    psnet.ahrq.gov/issue/veterans-affairs-national-quality-scholars-program-model-interprofessional-education-quality
    May 02, 2012 - Commentary The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety. Citation Text: Patrician PA, Dolansky MA, Pair V, et al. The Veterans Affairs National Quality Scholars program: a model for interprofessional education in …

  14. The 100,000 Lives Campaign: crystallizing standards of care for hospitals. | PSNet

    psnet.ahrq.gov/issue/100000-lives-campaign-crystallizing-standards-care-hospitals
    August 20, 2018 - Commentary The 100,000 Lives Campaign: crystallizing standards of care for hospitals. Citation Text: Gosfield AG, Reinertsen JL. The 100,000 lives campaign: crystallizing standards of care for hospitals. Health Aff (Millwood). 2005;24(6):1560-70. Copy Citation Format: Goo…

  15. Always having to say you're sorry: an ethical response to making mistakes in professional practice. | PSNet

    psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-professional-practice
    September 09, 2011 - Review Always having to say you're sorry: an ethical response to making mistakes in professional practice. Citation Text: Crigger NJ. Always having to say you're sorry: an ethical response to making mistakes in professional practice. Nurs Ethics. 2004;11(6):568-76. Copy Citation …

  16. Impact of electronic prescribing in a hospital setting: a process-focused evaluation.  | PSNet

    psnet.ahrq.gov/issue/impact-electronic-prescribing-hospital-setting-process-focused-evaluation
    August 04, 2021 - Study Impact of electronic prescribing in a hospital setting: a process-focused evaluation.  Citation Text: Cunningham TR, Geller S, Clarke SW. Impact of electronic prescribing in a hospital setting: a process-focused evaluation. Int J Med Inform. 2008;77(8):546-54. Copy Citation …

  17. Prioritizing threats to patient safety in rural primary care. | PSNet

    psnet.ahrq.gov/issue/prioritizing-threats-patient-safety-rural-primary-care
    April 23, 2014 - Study Prioritizing threats to patient safety in rural primary care. Citation Text: Singh R, Singh A, Servoss TJ, et al. Prioritizing threats to patient safety in rural primary care. J Rural Health. 2007;23(2):173-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  18. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. | PSNet

    psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
    December 16, 2020 - Study Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Citation Text: Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75. C…

  19. Introducing the patient safety professional: why, what, who, how, and where? | PSNet

    psnet.ahrq.gov/issue/introducing-patient-safety-professional-why-what-who-how-and-where
    July 03, 2014 - Commentary Introducing the patient safety professional: why, what, who, how, and where? Citation Text: Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e58…

  20. Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-orthopaedics-learning-and-teaching-same-time-aoa-critical-issues
    July 16, 2015 - Review Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. Citation Text: Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(…
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