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Showing results for "medication errors".
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  1. Tulare District Hospital Rural Health Electronic Medical Record Consortium - 2008 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/tulare-district-hospital-rural-health-electronic-medical-record-consortium/annual-summary/2008
    January 01, 2008 - Quantitative data and methods were used to understand the impact of the IT system on medication errors … and local clinic physicians the opportunity to use computerized provider order entry (CPOE) to reduce medication … errors. ( Achieved, ) Provide private physicians and clinics in the hospital’s service area the opportunity

  2. Hospital discharge: it's one of the most dangerous periods for patients. | PSNet

    psnet.ahrq.gov/issue/hospital-discharge-its-one-most-dangerous-periods-patients
    June 01, 2016 - Reporting on a fatal medication error that was missed by a patient's pharmacist and home health nurses … April 8, 2020 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.

  3. Improving EHR Design Increases Patient Safety—Especially for Children | Digital Healthcare Research

    digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
    January 01, 2018 - Improving EHR Design Increases Patient Safety—Especially for Children Poor EHR design can harm patients. Dr. Raj Ratwani and his research team identified pervasive problems with EHR systems that regularly lead to patient safety errors and other issues, regardless of vendor. “If we don’t focus on EHR technolog…

  4. Health-care providers want patients to read medical records, spot errors. | PSNet

    psnet.ahrq.gov/issue/health-care-providers-want-patients-read-medical-records-spot-errors
    August 17, 2016 - Newspaper/Magazine Article Health-care providers want patients to read medical records, spot errors. Citation Text: Health-care providers want patients to read medical records, spot errors. Landro L. Wall Street Journal. June 9, 2014. Copy Citation Save Save to …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851353/psn-pdf
    July 12, 2023 - Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. July 12, 2023 Carroll AR, Schlundt D, Bonnet K, et al. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Hosp Pediatr. 2023;13(4):325-342. doi:10.1542/hpeds.2022-006937. https:/…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73221/psn-pdf
    May 05, 2021 - Learning Management System. May 5, 2021 Patient Safety Authority. https://psnet.ahrq.gov/issue/learning-management-system This collection of educational modules covers both care delivery and administrative topics to enhance the safety of healthcare delivery. https://psnet.ahrq.gov/issue/learning-management-system…

  7. Questions to ask about radiation safety. | PSNet

    psnet.ahrq.gov/issue/questions-ask-about-radiation-safety
    June 01, 2015 - November 2, 2010 Medication errors in chemotherapy: incidence, types and involvement

  8. Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. | PSNet

    psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration-2014
    September 25, 2008 - Safety Health Plan Patient Safety Initiatives July 10, 2024 Medication … errors in community pharmacies: evaluation of a standardized safety program. … Topic Hospitals Health Care Executives and Administrators Policy Makers Medicine Medication … Errors/Preventable Adverse Drug Events View More

  9. A model for improving health care quality for transgender and gender nonconforming patients. | PSNet

    psnet.ahrq.gov/issue/model-improving-health-care-quality-transgender-and-gender-nonconforming-patients
    August 12, 2020 - June 30, 2021 Medication errors in overweight and obese pediatric patients: a systematic … February 12, 2020 Advanced medication reconciliation: a systematic review of the impact on medication … errors and adverse drug events associated with transitions of care.

  10. Nurses' perceptions of safety culture in long-term care settings. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-safety-culture-long-term-care-settings
    April 06, 2011 - Residents of long-term care facilities are particularly vulnerable to patient safety problems such as medication … errors and falls . … February 1, 2012 Nurses' responses to medication errors: suggestions for the development

  11. Making a Case for Organizational Change in Patient Safety Initiatives (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Ramanujam.pdf
    January 01, 2003 - across silos to resolve problems related to medication errors in a collaborative fashion. … errors and nosocomial infections. … To encourage health care workers to report medication errors, hospitals implement a few narrowly focused … errors. … errors they uncovered were not corrected.

  12. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. | PSNet

    psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
    February 02, 2022 - February 2, 2022 Prevalence and nature of medication errors and medication-related harm … December 31, 2018 Effectiveness of pharmacist intervention to reduce medication errors

  13. Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care-systematic-review-and
    September 21, 2022 - October 28, 2020 Impact of pharmacist interventions on medication errors in hospitalized … See More About The Topic Researchers Hospitals Children's Hospitals Pediatrics Medication … Errors/Preventable Adverse Drug Events View More

  14. Toward the eradication of medical diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/toward-eradication-medical-diagnostic-errors
    May 13, 2020 - Newspaper/Magazine Article Toward the eradication of medical diagnostic errors. Citation Text: Topol EJ. Toward the eradication of medical diagnostic errors. Science. 2024;383(6681):eadn9602. doi:10.1126/science.adn9602. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  15. Recognizing and managing errors of cognitive underspecification. | PSNet

    psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
    November 14, 2018 - Commentary Recognizing and managing errors of cognitive underspecification. Citation Text: Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1. Copy Citation Format: DOI Google Scholar …

  16. Safety Information for Patients and Families. | PSNet

    psnet.ahrq.gov/issue/safety-information-patients-and-families
    February 05, 2014 - Multi-use Website Safety Information for Patients and Families. Citation Text: Safety Information for Patients and Families. Massachusetts Coalition for the Prevention of Medical Errors; Massachusetts Medical Society Copy Citation Save Save to your library …

  17. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. | PSNet

    psnet.ahrq.gov/issue/discontinuity-and-disaster-gaps-and-negotiation-culpability-medication-delivery
    June 24, 2020 - The author analyzes one Swedish medication error incident that resulted in criminal charges against the

  18. Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. | PSNet

    psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based
    October 19, 2022 - Bar coding systems have been shown to decrease medication errors. 

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34721/psn-pdf
    November 19, 2015 - types of preventable events are technical errors, errors in diagnosis, failures of prevention, and medication … errors.

  20. Approaches to improving patient safety in integrated care: a scoping review. | PSNet

    psnet.ahrq.gov/issue/approaches-improving-patient-safety-integrated-care-scoping-review
    May 18, 2022 - Most of the studies focused on decreasing risk of falls and/or medication errors, mostly in the home
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