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Showing results for "medication errors".
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  1. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/active-surveillance-using-electronic-triggers-detect-adverse-events-hospitalized-patients
    October 03, 2017 - Study Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Citation Text: Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15(3…

  2. High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? | PSNet

    psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
    May 18, 2022 - Study High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? Citation Text: Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65…

  3. Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational components. | PSNet

    psnet.ahrq.gov/issue/exploring-safety-systems-dispensing-community-pharmacies-focusing-how-staff-relate
    February 17, 2021 - Study Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational components. Citation Text: Harvey J, Avery A, Ashcroft DM, et al. Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organiz…

  4. Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. | PSNet

    psnet.ahrq.gov/issue/recommendations-no-action-improving-effectiveness-quality-and-safety-recommendations
    January 16, 2025 - August 19, 2020 Differences between methods of detecting medication errors: a secondary

  5. Minnesota Alliance for Patient Safety (MAPS). | PSNet

    psnet.ahrq.gov/issue/minnesota-alliance-patient-safety-maps
    October 31, 2023 - December 16, 2020 Medication errors at hospital admission and discharge: risk factors

  6. Root causes of errors in a simulated prehospital pediatric emergency. | PSNet

    psnet.ahrq.gov/issue/root-causes-errors-simulated-prehospital-pediatric-emergency
    June 11, 2014 - Study Root causes of errors in a simulated prehospital pediatric emergency. Citation Text: Lammers RL, Byrwa M, Fales W. Root causes of errors in a simulated prehospital pediatric emergency. Acad Emerg Med. 2012;19(1):37-47. doi:10.1111/j.1553-2712.2011.01252.x. Copy Citation For…

  7. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
    January 01, 2024 - Medication management Accurate medication lists reduce medication errors and adverse drug events18 but … Reconcilable differences: correcting medication errors at hospital admission and discharge. … Adverse drug events and medication errors in Australia. … Medication errors in elderly people: contributing factors and future perspectives. … Effect of a pharmacist intervention on clinically important medication errors after hospital discharge

  8. Patient Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
    May 01, 2024 - health care. 55 Threats to patient safety in primary care settings include diagnostic errors or delays; medication … errors, including inappropriate or overprescribing; breakdowns in communication between clinicians and … The care transition intervention will have the potential to prevent DOAC-related medication errors, improve

  9. Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit. | PSNet

    psnet.ahrq.gov/issue/effects-rounding-patient-satisfaction-and-patient-safety-medical-surgical-unit
    February 22, 2023 - Study Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit. Citation Text: WOODARD JENNIFERL. Effects of Rounding on Patient Satisfaction and Patient Safety on a Medical-Surgical Unit. Clin Nurs Specialist. 2009;23(4):200-206. doi:10.1097/nur.0b013e…

  10. Decision support for sensible dosing in electronic prescribing systems. | PSNet

    psnet.ahrq.gov/issue/decision-support-sensible-dosing-electronic-prescribing-systems
    February 23, 2011 - Study Decision support for sensible dosing in electronic prescribing systems. Citation Text: Coleman JJ, Nwulu U, Ferner RE. Decision support for sensible dosing in electronic prescribing systems. J Clin Pharm Ther. 2012;37(4):415-9. doi:10.1111/j.1365-2710.2011.01310.x. Copy Citatio…

  11. Development of the pharmacy safety climate questionnaire: a principal components analysis. | PSNet

    psnet.ahrq.gov/issue/development-pharmacy-safety-climate-questionnaire-principal-components-analysis
    April 06, 2011 - Study Development of the pharmacy safety climate questionnaire: a principal components analysis. Citation Text: Ashcroft DM, Parker D. Development of the pharmacy safety climate questionnaire: a principal components analysis. Qual Saf Health Care. 2009;18(1):28-31. doi:10.1136/qshc.200…

  12. Physicians' practice of dispensing medicines: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/physicians-practice-dispensing-medicines-qualitative-study
    November 16, 2022 - Study Physicians' practice of dispensing medicines: a qualitative study. Citation Text: Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122. Copy Citation Format:…

  13. Using the ABCs of situational awareness for patient safety. | PSNet

    psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety
    November 16, 2022 - Commentary Using the ABCs of situational awareness for patient safety. Citation Text: Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82. Copy Citation Format: DOI Google Scholar…

  14. Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. | PSNet

    psnet.ahrq.gov/issue/potential-unintended-consequences-due-medicares-no-pay-errors-rule-randomized-controlled
    July 02, 2014 - December 15, 2011 A July spike in fatal medication errors: a possible effect of new medical

  15. Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet

    psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
    June 07, 2017 - 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.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44653/psn-pdf
    November 18, 2015 - data-quality-associated-handwritten-laboratory-test-requests-classification-and-frequency https://psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47162/psn-pdf
    August 15, 2018 - dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  18. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. | PSNet

    psnet.ahrq.gov/issue/facilitating-patient-understanding-discharge-instructions-workshop-summary
    October 08, 2014 - July 8, 2016 Preventing Medication Errors: Quality Chasm Series.

  19. Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. | PSNet

    psnet.ahrq.gov/issue/saving-lives-saving-money-imperative-computerized-physician-order-entry-massachusetts
    November 18, 2011 - December 22, 2010 Medication errors associated with documented allergies.

  20. On the scene at Children's Hospitals and Clinics of Minnesota. | PSNet

    psnet.ahrq.gov/issue/scene-childrens-hospitals-and-clinics-minnesota
    September 24, 2010 - January 6, 2016 Nearing zero...reducing grade C medication errors.
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