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Showing results for "medication errors".
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  1. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
    July 01, 2023 - Safe Medication Administration: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Safe Medication Administration Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: Define high-alert medications. Identif…

  2. Noise: a distraction, interruption, and safety hazard. | PSNet

    psnet.ahrq.gov/issue/noise-distraction-interruption-and-safety-hazard
    February 01, 2014 - April 10, 2019 The sterile cockpit: an effective approach to reducing medication errors … September 27, 2016 Interruptions and medication errors: part I.

  3. Distractions, interruptions, and patient safety. | PSNet

    psnet.ahrq.gov/issue/distractions-interruptions-and-patient-safety
    February 01, 2014 - April 10, 2019 The sterile cockpit: an effective approach to reducing medication errors … September 27, 2016 Interruptions and medication errors: part I.

  4. Complying with the 2008 national patient safety goals. | PSNet

    psnet.ahrq.gov/issue/complying-2008-national-patient-safety-goals
    July 13, 2010 - December 17, 2008 Medication errors in the homes of children with chronic conditions. … July 19, 2023 Medication errors in the home: a multisite study of children with cancer

  5. Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey. | PSNet

    psnet.ahrq.gov/issue/call-shift-fatigue-and-use-countermeasures-and-avoidance-strategies-certified-registered
    March 15, 2023 - September 24, 2010 Moral distress, compassion fatigue, and perceptions about medication … errors in certified critical care nurses. … Related Resources WebM&M Cases Sleep Deprivation Leads to Medication … Error During Spinal Epidural Anesthesia August 30, 2023 The effects of three

  6. Preventing catheter/tubing misconnections: much needed help is on the way. | PSNet

    psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
    May 07, 2018 - Newspaper/Magazine Article Preventing catheter/tubing misconnections: much needed help is on the way. Citation Text: Preventing catheter/tubing misconnections: much needed help is on the way. ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2. Copy Citation …

  7. Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care. | PSNet

    psnet.ahrq.gov/issue/effectiveness-pharmacist-nurse-intervention-resolving-medication-discrepancies-patients
    December 03, 2014 - reconciliation intervention conducted by a pharmacist and nurse significantly reduced the number of medication … errors at hospital discharge, but did not affect readmission rates or the need for return physician

  8. Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. | PSNet

    psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-parts-i-and-ii
    March 15, 2022 - systemic barriers to the deployment of REMS as a strategy to decrease potential for drug-related harm and medication … error . … May 6, 2020 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

  9. Safety issues in combined gynecologic and plastic surgical procedures. | PSNet

    psnet.ahrq.gov/issue/safety-issues-combined-gynecologic-and-plastic-surgical-procedures
    January 06, 2018 - June 22, 2009 Medication errors related to computerized order entry for children. … May 27, 2011 Effect of computer order entry on prevention of serious medication errors

  10. The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations? | PSNet

    psnet.ahrq.gov/issue/importance-failing-forward-all-us-will-fail-and-make-mistakes-how-can-they-benefit-us-and-our
    July 27, 2016 - November 26, 2014 An investigation of the relationship between safety climate and medication … errors as well as other nurse and patient outcomes. … January 10, 2011 Effects of learning climate and registered nurse staffing on medication … errors.

  11. Strategies for improving patient safety: linking task type to error type. | PSNet

    psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-type-error-type
    August 22, 2012 - December 12, 2018 Making an infusion error: the second victims of infusion therapy-related medication … errors. … December 15, 2014 Medication errors in nursing—part 1 and part 2.

  12. The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units. | PSNet

    psnet.ahrq.gov/issue/safety-organizing-scale-development-and-validation-behavioral-measure-safety-culture-hospital
    December 16, 2011 - resulting instrument, dubbed the Safety Organizing Scale (SOS), were associated with fewer reported medication … errors and falls.  … s) The impact of safety organizing, trusted leadership, and care pathways on reported medication … errors in hospital nursing units.

  13. To err is human, but what happens when surgeons err? | PSNet

    psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err
    August 04, 2021 - September 2, 2020 Medication errors in anesthesiology: is it time to train by example … June 20, 2011 An evaluation of medication errors—the pediatric surgical service experience

  14. Near miss research in the healthcare system: a scoping review. | PSNet

    psnet.ahrq.gov/issue/near-miss-research-healthcare-system-scoping-review
    July 15, 2020 - April 7, 2021 Medication errors' causes analysis in home care setting: a systematic review … February 9, 2022 Medication errors in intensive care units: an umbrella review of control

  15. Medicine and the rise of the robots: a qualitative review of recent advances of artificial intelligence in health. | PSNet

    psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial-intelligence-health
    July 14, 2010 - 15, 2014 View More Related Resources Evolution of intravenous medication … errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. … February 22, 2011 Preventing medication errors in hospitals through a systems approach

  16. Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. | PSNet

    psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery
    March 20, 2013 - March 20, 2013 Prevention of medication errors in the pediatric inpatient setting. … Medication errors missed by risk management, clinical staff, and surveyors.

  17. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/engage/references.html
    May 01, 2023 - Characteristics of medication errors and adverse drug events in hospitals participating in the California … errors in general practice (PINCER trial). … A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster … Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability … Simple strategies to avoid medication errors. Fam Pract Manag 2007;14(2):41-7.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860721/psn-pdf
    January 17, 2024 - How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. January 17, 2024 Co Z, Classen DC, Cole JM, et al. How safe are outpatient electronic health records? An evaluation of medication-related decision s…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40221/psn-pdf
    July 21, 2011 - A past AHRQ WebM&M commentary discussed a near miss medication error in a busy ED. … association-between-prolonged-stay-emergency-department-and-adverse-events-older-patients https://psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41748/psn-pdf
    April 05, 2013 - A potentially preventable readmission due to a medication error is discussed in an AHRQ WebM&M commentary … effect-hospital-follow-appointment-clinical-event-outcomes-and-mortality https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
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