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

    psnet.ahrq.gov/node/37138/psn-pdf
    October 04, 2011 - drug-administration-errors-institution-individuals-intellectual-disability- observational This descriptive study characterizes the incidence of medication … errors at a long-term care facility for patients with intellectual disabilities.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38936/psn-pdf
    September 09, 2009 - therapeutic-errors-involving-adults-community-setting-nature-causes-and- outcomes This study evaluated the prevalence of medication … errors in community-dwelling elders and nursing home residents in Victoria, Australia.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41106/psn-pdf
    February 01, 2012 - and-extra-costs This observational study, conducted at a French hospital, found that most chemotherapy medication … errors resulted in near misses and did not cause harm to patients.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38982/psn-pdf
    February 03, 2011 - association-resident-fatigue-and-distress-perceived-medical-errors https://psnet.ahrq.gov/issue/rates-medication-errors-among-depressed-and-burnt-out-residents-prospective-cohort-study

  5. Wrong site surgery in otolaryngology–head and neck surgery. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-otolaryngology-head-and-neck-surgery
    March 03, 2021 - August 4, 2021 Role of computerized physician order entry systems in facilitating medication … errors. … February 3, 2011 Medication errors and adverse drug events in an intensive care unit: … March 28, 2012 Direct observation approach for detecting medication errors and adverse

  6. Unintentional discontinuation of chronic medications for seniors in nursing homes: evaluation of a national medication reconciliation accreditation requirement using a population-based cohort study. | PSNet

    psnet.ahrq.gov/issue/unintentional-discontinuation-chronic-medications-seniors-nursing-homes-evaluation-national
    October 16, 2012 - , 2011 Care homes' use of medicines study: prevalence, causes and potential harm of medication … errors in care homes for older people.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74093/psn-pdf
    November 17, 2021 - Prevent errors during emergency use of hypertonic sodium chloride solutions. November 17, 2021 ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4. https://psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions Delays in diagnosis and treatment duri…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73366/psn-pdf
    June 09, 2021 - Medicine self-administration errors in the older adult population: a systematic review. June 9, 2021 Aldila F, Walpola RL. Medicine self-administration errors in the older adult population: a systematic review. Res Social Adm Pharm. 2021;17(11):1877-1886. doi:10.1016/j.sapharm.2021.03.008. https://psnet.ahrq.gov/i…

  9. Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. | PSNet

    psnet.ahrq.gov/issue/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically
    February 01, 2023 - Study Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. Citation Text: Vanneman MW, Balakrishna A, Lang AL, et al. Impro…

  10. Developing the Tools to Administer a Comprehensive Hospital Discharge Program: The ReEngineered Discharge (RED) Program (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Jack_28.pdf
    February 21, 2008 - Urgency for Interventions Related to Medication Errors Nearly one in every five medication doses in … Medication error rates depend on how these rates are measured. … errors also add to costs. … Medication errors observed in 36 health care facilities. … Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities

  11. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. | PSNet

    psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing
    April 23, 2014 - September 28, 2010 Field test results of a new ambulatory care Medication Error and Adverse

  12. Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. | PSNet

    psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve-handoff
    September 14, 2011 - November 28, 2012 Identifying, understanding and overcoming barriers to medication error

  13. Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals. | PSNet

    psnet.ahrq.gov/issue/pharmacist-staffing-technology-use-and-implementation-medication-safety-practices-rural
    September 27, 2010 - February 12, 2020 ISMP medication error report analysis. … , 2016 Impact of a clinical pharmacy admission medication reconciliation program on medication … errors in "high-risk" patients.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43256/psn-pdf
    June 11, 2014 - Most notably, medication errors related to the correct weight-based dosing of epinephrine were common

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39207/psn-pdf
    May 24, 2015 - prescribing errors in the National Health Service and found that educational level had little impact on medication … errors and that many were intercepted before reaching patients.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47697/psn-pdf
    April 03, 2019 - issue/human-factors-systems-approach-healthcare-quality-and-patient-safety https://psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association

  17. Nurse leader attitudes and beliefs regarding medical errors. | PSNet

    psnet.ahrq.gov/issue/nurse-leader-attitudes-and-beliefs-regarding-medical-errors
    March 12, 2025 - June 5, 2024 A review of medication errors and the second victim in pediatric pharmacy

  18. Errors in nurse-led triage: an observational study. | PSNet

    psnet.ahrq.gov/issue/errors-nurse-led-triage-observational-study
    August 20, 2018 - November 18, 2020 Hospital medication errors: a cross sectional study.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842416/psn-pdf
    January 11, 2023 - A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. January 11, 2023 Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10…

  20. Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors. | PSNet

    psnet.ahrq.gov/issue/why-worry-worry-risk-perceptions-and-willingness-act-reduce-medical-errors
    September 10, 2009 - November 11, 2020 Health literacy, medication errors, and health outcomes: is there a … May 11, 2014 Medication errors resulting from confusion between risperidone (Risperdal
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