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Showing results for "medication errors".
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  1. Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. | PSNet

    psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional
    December 02, 2020 - brain injury, or stroke) are particularly vulnerable to patient safety events, such as falls and medication … errors . … March 2, 2011 Iatrogenic disease management: moderating medication errors and risks in … June 5, 2019 Prospective pilot intervention study to prevent medication errors in drugs

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33771/psn-pdf
    August 22, 2014 - Another estimate is 3 preventable adverse drug events per 100 outpatients per year.(9) And that is just medication … errors. … This is not to mention the effects of time on non-diagnostic errors in medicine, including medication … errors.

  3. The Top Five: A Review of Post-Pandemic Patient Safety Priorities. | PSNet

    psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities
    July 10, 2024 - July 10, 2024 Prescription for Improving Patient Safety: Addressing Medication Errors … 2020 Use of complete medication history to identify and correct transitions-of-care medication … errors at psychiatric hospital admission.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39251/psn-pdf
    September 24, 2016 - No interruptions please: impact of a no interruption zone on medication safety in intensive care units. September 24, 2016 Anthony K, Wiencek C, Bauer C, et al. No interruptions please: impact of a No Interruption Zone on medication safety in intensive care units. Crit Care Nurse. 2010;30(3):21-9. doi:10.4037/ccn20…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38498/psn-pdf
    September 27, 2016 - Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. September 27, 2016 Thomson MS, Gruneir A, Lee M, et al. Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. J Am Geriatr Soc. 2009;57(2):266…

  6. The costs of adverse drug events in community hospitals. | PSNet

    psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
    February 18, 2011 - Study The costs of adverse drug events in community hospitals. Citation Text: Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  7. The nature and causes of unintended events reported at ten emergency departments. | PSNet

    psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-ten-emergency-departments
    February 20, 2013 - Incidents included poor communication and teamwork, particularly with other departments, but medication … errors and diagnostic errors were also noted. 

  8. Role of cognition in generating and mitigating clinical errors. | PSNet

    psnet.ahrq.gov/issue/role-cognition-generating-and-mitigating-clinical-errors
    January 07, 2015 - Review Role of cognition in generating and mitigating clinical errors. Citation Text: Patel VL, Kannampallil TG, Shortliffe EH. Role of cognition in generating and mitigating clinical errors. BMJ Qual Saf. 2015;24(7):468-474. doi:10.1136/bmjqs-2014-003482. Copy Citation Format: …

  9. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. | PSNet

    psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k
    April 13, 2022 - May 18, 2022 Analysis of iatrogenic and in-hospital medication errors reported to United

  10. Association of nurse workload with missed nursing care in the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/association-nurse-workload-missed-nursing-care-neonatal-intensive-care-unit
    September 27, 2017 - March 14, 2022 Preventable harm because of outpatient medication errors among children

  11. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. | PSNet

    psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia
    January 11, 2023 - April 7, 2021 Medication errors in anesthesiology: is it time to train by example?

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43710/psn-pdf
    October 06, 2016 - Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes. October 6, 2016 Donaldson N, Aydin C, Fridman M, et al. Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865679/psn-pdf
    October 10, 2015 - Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. October 10, 2015 Vogelsmeier A, Anbari A, Ganong L, et al. Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. J Nurs Reg. 2015;6(3):48-56. doi:10.1016/s2155-8256(15)30785-7. https://psnet.ahrq.gov/i…

  14. Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. | PSNet

    psnet.ahrq.gov/issue/untangling-infusion-confusion-comparative-evaluation-interventions-simulated-intensive-care
    September 01, 2021 - Study Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. Citation Text: Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of Interventions in a Simulated Intensive Care Setting. Crit …

  15. Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. | PSNet

    psnet.ahrq.gov/issue/testing-process-errors-and-their-harms-and-consequences-reported-family-medicine-practices
    June 11, 2008 - April 7, 2011 Medication errors reported by US family physicians and their office staff

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48065/psn-pdf
    June 15, 2019 - Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. June 15, 2019 Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Anaesthesia. 2019;74(7):904-914. doi:10.1111/anae.14662. https://psnet.ahrq.gov/iss…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47824/psn-pdf
    May 20, 2019 - Exploring the human factors of prescribing errors in paediatric intensive care units. May 20, 2019 Sutherland A, Ashcroft DM, Phipps D. Exploring the human factors of prescribing errors in paediatric intensive care units. Arch Dis Child. 2019;104(6):588-595. doi:10.1136/archdischild-2018-315981. https://psnet.ahrq…

  18. Computerized Provider Order Entry System | Digital Healthcare Research

    digital.ahrq.gov/technology/computerized-provider-order-entry-system
    January 01, 2023 - Computerized Provider Order Entry System Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report Citation Ratwani R., Hettinger A. Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report. (Prepared by …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60836/psn-pdf
    August 26, 2020 - Factors associated with workarounds in barcode-assisted medication administration in hospitals. August 26, 2020 Veen W, Taxis K, Wouters H, et al. Factors associated with workarounds in barcode?assisted medication administration in hospitals. J Clin Nurs. 2020;29(13-14):2239-2250. doi:10.1111/jocn.15217. https://p…

  20. Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit and general ward. | PSNet

    psnet.ahrq.gov/issue/evaluation-automated-surveillance-system-using-trigger-alerts-prevent-adverse-drug-events
    August 30, 2017 - involving clinicians and information technologists and were tailored to identify clinically significant medication … errors. … , 2014 Impact of a clinical pharmacy admission medication reconciliation program on medication … errors in "high-risk" patients.
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