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6761. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. | PSNet
      psnet.ahrq.gov/issue/optimizing-therapy-prevent-avoidable-hospital-admissions-multimorbid-older-adults-operam
      December 21, 2022 - Download Citation Related Resources From the Same Author(s) Detectability of medication … errors with a STOPP/START-based medication review in older people prior to a potentially preventable

6762. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49840/psn-pdf
      September 01, 2018 - Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care September 1, 2018 Lucier DJ, Greenwald JL. Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adver…

6763. "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. | PSNet
      psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
      February 15, 2011 - Study "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. Citation Text: Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary ca…

6764. Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients. | PSNet
      psnet.ahrq.gov/issue/electronic-medical-record-alert-associated-reduced-opioid-and-benzodiazepine-coprescribing
      May 08, 2017 - Study Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients. Citation Text: Malte CA, Berger D, Saxon AJ, et al. Electronic Medical Record Alert Associated With Reduced Opioid and Benzodiazepine Coprescribing in High…

6765. Exploration of prescribing error reporting across primary care: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/exploration-prescribing-error-reporting-across-primary-care-qualitative-study
      June 01, 2022 - Study Exploration of prescribing error reporting across primary care: a qualitative study. Citation Text: Hall N, Bullen K, Sherwood J, et al. Exploration of prescribing error reporting across primary care: a qualitative study. BMJ Open. 2022;12(1):e050283. doi:10.1136/bmjopen-2021-05028…

6766. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. | PSNet
      psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
      February 18, 2015 - failure, resuscitation equipment not available, physical environment, insufficient monitoring, and medication … error. 

6767. A review of verbal order policies in acute care hospitals. | PSNet
      psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals
      January 03, 2017 - August 31, 2022 ISMP medication error report analysis.

6768. Safety risks associated with the lack of integration and interfacing of hospital health information technologies: a qualitative study of hospital electronic prescribing systems in England. | PSNet
      psnet.ahrq.gov/issue/safety-risks-associated-lack-integration-and-interfacing-hospital-health-information
      December 21, 2022 - January 7, 2015 A pharmacist-led information technology intervention for medication errors

6769. Describing the evidence linking interprofessional education interventions to improving the delivery of safe and effective patient care: a scoping review. | PSNet
      psnet.ahrq.gov/issue/describing-evidence-linking-interprofessional-education-interventions-improving-delivery-safe
      June 12, 2013 - this scoping review, 94 articles that linked IPE to at least one of ten CMS quality measures (e.g., medication … errors , readmission rates) were identified. … March 20, 2019 Preventable harm because of outpatient medication errors among children

6770. Engineering a foundation for partnership to improve medication safety during care transitions. | PSNet
      psnet.ahrq.gov/issue/engineering-foundation-partnership-improve-medication-safety-during-care-transitions
      July 20, 2022 - June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

6771. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72584/psn-pdf
      December 16, 2020 - Hidden medication loss when using a primary administration set for small-volume intermittent infusions. December 16, 2020 ISMP Medication Safety Alert! Acute care edition. December 3, 2020;25(24). https://psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume- intermittent …

6772. Patient safety concerns arising from test results that return after hospital discharge. | PSNet
      psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge
      January 17, 2012 - Study Classic Patient safety concerns arising from test results that return after hospital discharge. Citation Text: Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;…

6773. Analysis of critical incident reports using natural language processing. | PSNet
      psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
      June 14, 2023 - View More See More About The Topic Hospitals Hospital Medicine Nurse Care Medication … Errors/Preventable Adverse Drug Events Medical Complications View More

6774. Communication relating to family members' involvement and understandings about patients' medication management in hospital. | PSNet
      psnet.ahrq.gov/issue/communication-relating-family-members-involvement-and-understandings-about-patients
      June 16, 2021 - The Topic Hospitals Health Care Providers Family Members and Caregivers Medicine Medication … Errors/Preventable Adverse Drug Events View More

6775. Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program | PSNet
      psnet.ahrq.gov/issue/identifying-potential-patient-safety-issues-federal-electronic-health-record-surveillance
      May 12, 2021 - 31, 2022 Identifying health information technology usability issues contributing to medication … errors across medication process stages.

6776. Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative. | PSNet
      psnet.ahrq.gov/issue/inappropriate-preinjury-warfarin-use-trauma-patients-call-safety-initiative
      August 04, 2021 - May 10, 2023 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … May 24, 2015 Anticoagulant medication errors in nursing homes: characteristics, causes

6777. In Conversation With… Richard Kronick, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
      February 01, 2014 - They concluded that each interruption results in a 12.7% increased risk of a medication error and that … individually and collectively, to ensure that they actually do reduce the frequency and severity of medication … errors without negative unanticipated consequences.( 5 ) Certain clinical environments such as the … errors ( 14 ) or interruptions.( 2 ) The adoption of this strategy appears somewhat limited perhaps … Keep away: Kaiser South San Francisco RNs don yellow sashes to reduce interruptions and medication errors

6778. Vital signs are still vital: instability on discharge and the risk of post-discharge adverse outcomes. | PSNet
      psnet.ahrq.gov/issue/vital-signs-are-still-vital-instability-discharge-and-risk-post-discharge-adverse-outcomes
      September 23, 2020 - September 23, 2020 Medication errors in emergency departments: a systematic review and … March 11, 2013 Medication errors in intravenous drug preparation and administration:

6779. What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/what-stage-are-low-income-and-middle-income-countries-lmics-patient-safety-curriculum
      October 23, 2019 - Pharmacist-led educational interventions provided to healthcare providers to reduce medication … errors: a systematic review and meta-analysis. … August 4, 2021 Do No Harm: Are We Preventing Medication Errors in Children with Medical

6780. Detecting and assessing suicide ideation during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/improvement-brief-detecting-and-assessing-suicide-ideation-during-covid-19-pandemic
      October 13, 2021 - October 13, 2021 Medication errors in anesthesiology: is it time to train by example? … April 1, 2024 Advanced medication reconciliation: a systematic review of the impact on medication … errors and adverse drug events associated with transitions of care.