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

    psnet.ahrq.gov/node/37330/psn-pdf
    January 05, 2012 - psnet.ahrq.gov/issue/unreported-errors-intensive-care-unit-case-study-way-we-work This commentary uses two medication … error reporting failures to provide insight into the social and cultural factors that influence incident

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43808/psn-pdf
    April 22, 2015 - Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication … errors. … Preventing iatrogenic overdose: a review of in-emergency department opioid-related adverse drug events and medication … errors.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73216/psn-pdf
    May 05, 2021 - Opioid-related medication errors were more common in handwritten discharge prescriptions compared to … electronic prescriptions; electronic prescriptions were associated with a 69% lower risk of opioid-related medication … errors.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43488/psn-pdf
    September 10, 2014 - focused on the emergency department, where overcrowding and increased length of stay have been linked to medication … errors and other types of adverse events. … relationship-between-hospital-systems-load-and-patient-harm https://psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors

  5. The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring. | PSNet

    psnet.ahrq.gov/issue/definition-quality-and-approaches-its-assessment-vol-1-explorations-quality-assessment-and
    May 24, 2015 - January 27, 2021 Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.

  6. Development of patient safety measures to identify inappropriate diagnosis of common infections. | PSNet

    psnet.ahrq.gov/issue/development-patient-safety-measures-identify-inappropriate-diagnosis-common-infections
    April 10, 2024 - July 26, 2010 Utility of an online medication-error-reporting system.

  7. Hospital do-not-resuscitate orders: why they have failed and how to fix them. | PSNet

    psnet.ahrq.gov/issue/hospital-do-not-resuscitate-orders-why-they-have-failed-and-how-fix-them
    May 13, 2009 - Improving Diagnostic Safety and Quality April 26, 2023 ISMP medication … error report analysis.

  8. Missed diagnosis of critical congenital heart disease. | PSNet

    psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-disease
    September 09, 2020 - February 25, 2015 ISMP medication error report analysis.

  9. Assessing the impact of an educational program on decreasing prescribing errors at a university hospital. | PSNet

    psnet.ahrq.gov/issue/assessing-impact-educational-program-decreasing-prescribing-errors-university-hospital
    October 19, 2011 - May 6, 2009 Medication errors: the impact of prescribing and transcribing errors on preventable

  10. Incidence of speech recognition errors in the emergency department. | PSNet

    psnet.ahrq.gov/issue/incidence-speech-recognition-errors-emergency-department
    February 14, 2017 - Error Associated with Multiple Health System Vulnerabilities May 26, 2021 Medication … errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis

  11. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)

    www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - Diagnostic test errors appeared in 47% of reported events; medication errors appeared in 35.4%; and … Medication errors appeared in 35.4% of reports, and both a diagnostic testing and a medication error … errors. 12 Patient Reports of Medical Mistakes With the assistance of the High Plains Research … Communication errors (39.6%) and medication errors (39.6%) were frequently reported. … Errors” (http://www.iom.edu/ ?

  12. Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support. | PSNet

    psnet.ahrq.gov/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals
    November 26, 2014 - August 14, 2013 Reported medication errors after introducing an electronic medication

  13. Influence of opioid prescription policy on overdoses and related adverse effects in a primary care population. | PSNet

    psnet.ahrq.gov/issue/influence-opioid-prescription-policy-overdoses-and-related-adverse-effects-primary-care
    March 24, 2021 - Associations of person-related, environment-related and communication-related factors on medication … errors in public and private hospitals: a retrospective clinical audit.

  14. Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. | PSNet

    psnet.ahrq.gov/issue/critical-care-teamwork-future-role-teamstepps-covid-19-pandemic-and-implications-future
    December 14, 2022 - 2022 Use of complete medication history to identify and correct transitions-of-care medication … errors at psychiatric hospital admission.

  15. Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. | PSNet

    psnet.ahrq.gov/issue/too-many-too-few-or-too-unsafe-impact-inappropriate-prescribing-mortality-and-hospitalization
    December 02, 2020 - October 29, 2014 Anticoagulant medication errors in nursing homes: characteristics, causes

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41372/psn-pdf
    May 16, 2012 - emergency-department-crowding-and-risk-preventable-medical-errors https://psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42115/psn-pdf
    March 20, 2013 - systematic-review A major goal of medication reconciliation is to improve transitional care by preventing medication … errors after hospital discharge.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45335/psn-pdf
    August 10, 2016 - feasibility-determining-effectiveness-and-cost-effectiveness-medication-organisation-devices https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47608/psn-pdf
    March 20, 2019 - author advocates for use of a public health law framework to prevent certain types of perioperative medication … errors made by anesthesiologists.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46304/psn-pdf
    November 01, 2017 - assessing-frequency-and-risk-weight-entry-errors-pediatrics https://psnet.ahrq.gov/issue/elimination-emergency-department-medication-errors-due-estimated-weights
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