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

    psnet.ahrq.gov/node/33689/psn-pdf
    October 01, 2009 - broad, analytical pieces that tackle the general problem of safety (or large safety issues such as medication … errors or hospital- acquired infections), providing data and analysis that help readers or viewers … errors occur every year. … errors, role of ambiguity in prescriptions, and possible role of computerized prescribing and decision … errors and role of bar coding Adapted and updated from references 6 and 12, with permission.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49508/psn-pdf
    January 01, 2007 - and bilingual staff are available, a few simple steps may help clinicians and interpreters reduce medication … errors for LEP patients.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33568/psn-pdf
    June 15, 2024 - getting-good-report-card-unintended-consequences-public-reporting-hospital-quality Type of Factor Example Organizational/ management A nurse detected a medication … error, but the physician discouraged her from reporting it.   … https://psnet.ahrq.gov/web-mm/failure-report https://psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia

  4. ASPEN parenteral nutrition safety consensus recommendations: translation into practice. | PSNet

    psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations-translation-practice
    February 17, 2015 - June 30, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … December 23, 2016 ISMP medication error report analysis.

  5. Safe handover in psychiatry: is it time to set standards? | PSNet

    psnet.ahrq.gov/issue/safe-handover-psychiatry-it-time-set-standards
    October 08, 2014 - May 18, 2005 Lean Six Sigma reduces medication errors.

  6. A hazard of impatient medicine. | PSNet

    psnet.ahrq.gov/issue/hazard-impatient-medicine
    June 26, 2013 - June 22, 2011 8 ways to prevent medication errors in kids.

  7. Handoff Communication. | PSNet

    psnet.ahrq.gov/issue/handoff-communication
    October 16, 2019 - April 12, 2019 Perioperative medication errors: uncovering risk from behind the drapes

  8. A framework for classifying factors that contribute to error in the emergency department. | PSNet

    psnet.ahrq.gov/issue/framework-classifying-factors-contribute-error-emergency-department
    February 14, 2024 - , 2014 Effect of barcode-assisted medication administration on emergency department medication … errors.

  9. Ding-a-ling-a-ling: ambulances can be dangerous places. | PSNet

    psnet.ahrq.gov/issue/ding-ling-ling-ambulances-can-be-dangerous-places
    September 20, 2017 - April 19, 2011 Paramedic self-reported medication errors.

  10. Error detection and recovery in dialysis nursing. | PSNet

    psnet.ahrq.gov/issue/error-detection-and-recovery-dialysis-nursing
    November 16, 2022 - May 27, 2015 Medication errors, routines, and differences between perioperative and non-perioperative

  11. Variations in nursing care quality across hospitals. | PSNet

    psnet.ahrq.gov/issue/variations-nursing-care-quality-across-hospitals
    September 28, 2016 - February 8, 2012 Nurses relate the contributing factors involved in medication errors

  12. Aging stigma and the health of US adults over 65: what do we know? | PSNet

    psnet.ahrq.gov/issue/aging-stigma-and-health-us-adults-over-65-what-do-we-know
    December 23, 2020 - September 28, 2022 Medication errors and processes to reduce them in care homes in the

  13. John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-research-david-w-bates-md-msc-brigham-and-womens
    July 25, 2018 - Commentary John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. Citation Text: Bates DW. John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. Interview by Steven Berman. Jt Comm J Q…

  14. Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. | PSNet

    psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency
    April 06, 2022 - December 1, 2011 Are temporary staff associated with more severe emergency department medication … errors? … September 7, 2011 A "back to basics" approach to reduce ED medication errors.

  15. Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-patients-excess-length-stay-extra-costs-and-attributable
    February 10, 2011 - 2018 A randomized controlled trial on the effect of a double check on the detection of medication … errors. … View More See More About The Topic Hospitals Health Care Providers Medication … Errors/Preventable Adverse Drug Events Error Analysis

  16. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
    March 11, 2005 - error that led to an unanticipated intensive care unit [ICU] stay but ultimate recovery).10–12 After … We recognized early that too many cases focusing on medication errors, or “systems thinking,” would … Among the published cases, the most common were diagnostic errors (27 percent), medication errors ( … It is worth noting that the comparable percentages for diagnostic and medication errors reflect editorial … decisions: we have received roughly twice as many medication error submissions, but many described

  17. Evaluating the medication process in the context of CPOE use: the significance of working around the system. | PSNet

    psnet.ahrq.gov/issue/evaluating-medication-process-context-cpoe-use-significance-working-around-system
    February 23, 2009 - Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication … error reductions. … 2014 Does the implementation of an electronic prescribing system create unintended medication … errors?

  18. Medication safety systems and the important role of pharmacists. | PSNet

    psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
    July 19, 2023 - April 10, 2019 Impact of an antiretroviral stewardship strategy on medication error rates … About The Topic Hospitals Pharmacists Quality and Safety Professionals Pharmacy Medication … Errors/Preventable Adverse Drug Events View More

  19. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. | PSNet

    psnet.ahrq.gov/issue/point-care-testing-error-sources-and-amplifiers-taxonomy-prevention-strategies-and-detection
    January 08, 2016 - April 26, 2023 Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.

  20. Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership. | PSNet

    psnet.ahrq.gov/issue/patient-safety-climate-psc-perceptions-frontline-staff-acute-care-hospitals-examining-role
    March 28, 2012 - October 31, 2012 Identifying, understanding and overcoming barriers to medication error
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