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Showing results for "medication errors".
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  1. Mentored Clinical Scientist Research Career Development Award (K08) | Digital Healthcare Research

    digital.ahrq.gov/funding-mechanism/mentored-clinical-scientist-research-career-development-award-k08
    January 01, 2023 - Project Name Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of … Project Name Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of

  2. Standardization as a mechanism to improve safety in health care. | PSNet

    psnet.ahrq.gov/issue/standardization-mechanism-improve-safety-health-care
    January 05, 2017 - June 23, 2015 View More Related Resources ISMP medication error … June 16, 2019 ISMP medication error report analysis.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43311/psn-pdf
    July 02, 2014 - Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. July 2, 2014 ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19:1-5. https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating- undue-risk This newsletter article …

  4. An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/etiology-medication-ordering-errors-computerized-provider-order-entry-systems/final-report
    January 01, 2023 - An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems - Final Report Citation Abraham J. An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems - Final Report. (Prepared by the University of Illinois at Chicago under Grant No. R21 HS02…

  5. Medication reconciliation in a community pharmacy setting. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-community-pharmacy-setting
    November 16, 2022 - August 7, 2019 ISMP medication error report analysis.

  6. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. | PSNet

    psnet.ahrq.gov/issue/radiologist-errors-modality-anatomic-region-and-pathology-16-million-exams-what-we-have
    October 18, 2023 - Study Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Citation Text: Lamoureux C, Hanna TN, Sprecher D, et al. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Emerg Rad…

  7. Voluntary Hospital Coalitions to Promote Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
    January 01, 2004 - error reduction and clinical quality improvement programs. … errors, and develops an improvement plan for at least one of those errors. … errors data to determine imminent and potential problems • Identifies and promotes safe medication … Among participating hospitals, 105 (73 percent) reported a decrease in the targeted medication error … Only 14 hospitals (7 percent) were unable to provide a measurable outcome from their medication error

  8. The Hazards of Distraction: Ticking All the EHR Boxes | PSNet

    psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
    April 09, 2014 - Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a … December 22, 2010 Checking it twice: an evaluation of checklists for detecting medication … errors at the bedside using a chemotherapy model. … Read September 1, 2017 WebM&M Cases Refused Medication … Error February 1, 2017 WebM&M Cases It's Sarah

  9. Healthcare system-wide implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/healthcare-system-wide-implementation-opioid-safety-guideline-recommendations-case-urine-drug
    August 11, 2021 - March 22, 2023 Detectability of medication errors with a STOPP/START-based medication … March 10, 2021 Prevalence and nature of medication errors and medication-related harm

  10. Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures. | PSNet

    psnet.ahrq.gov/issue/hospital-acquired-infections-surgical-patients-impact-covid-19-related-infection-prevention
    March 17, 2021 - June 15, 2022 Detectability of medication errors with a STOPP/START-based medication … Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication … errors: a systematic review.

  11. Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system. | PSNet

    psnet.ahrq.gov/issue/decrease-hospital-wide-mortality-rate-after-implementation-commercially-sold-computerized
    December 07, 2016 - Computerized provider order entry (CPOE) has been enthusiastically endorsed as a means of preventing medication … errors, and some studies have shown clinical benefits associated with its use. … December 17, 2009 Characteristics of medication errors and adverse drug events in hospitals

  12. Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. | PSNet

    psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure
    November 02, 2016 - November 28, 2012 Medication errors in hospitals: a literature review of disruptions … accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication … errors?

  13. Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system. | PSNet

    psnet.ahrq.gov/issue/improving-quality-and-safety-care-using-technovigilance-ethnographic-case-study-secondary-use
    March 05, 2014 - 2019 Does the implementation of an electronic prescribing system create unintended medication … errors? … 2012 Does the implementation of an electronic prescribing system create unintended medication … errors?

  14. Open for Better Care. | PSNet

    psnet.ahrq.gov/issue/open-better-care
    January 28, 2015 - collaborative programs across New Zealand to reduce falls , health care–associated infections , medication … errors , and harm related to surgery.

  15. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
    July 01, 2022 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis … Using Home Visits to Understand Medication Errors in Children (   PDF , 622 KB ) Kathleen E.

  16. Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. | PSNet

    psnet.ahrq.gov/issue/teaching-medication-reconciliation-through-simulation-patient-safety-initiative-second-year
    May 04, 2010 - Commentary Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students. Citation Text: Lindquist LA, Gleason KM, McDaniel MR, et al. Teaching medication reconciliation through simulation: a patient safety initiative for second yea…

  17. Appropriateness of use of medicines in elderly inpatients: qualitative study. | PSNet

    psnet.ahrq.gov/issue/appropriateness-use-medicines-elderly-inpatients-qualitative-study
    December 14, 2016 - Study Appropriateness of use of medicines in elderly inpatients: qualitative study. Citation Text: Spinewine A, Swine C, Dhillon S, et al. Appropriateness of use of medicines in elderly inpatients: qualitative study. BMJ. 2005;331(7522). doi:10.1136/bmj.38551.410012.06. Copy Citation…

  18. Medication reconciliation meets its MATCH. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-meets-its-match
    May 01, 2017 - Newspaper/Magazine Article Medication reconciliation meets its MATCH. Citation Text: Medication reconciliation meets its MATCH. Agency for Healthcare Research and Quality. Research Activities. May 2013:1, 3-4. Copy Citation Save Save to your library Print…

  19. Patient perceptions of deterioration and patient and family activated escalation systems—a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-deterioration-and-patient-and-family-activated-escalation-systems
    June 26, 2024 - July 7, 2021 Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.

  20. E-prescribing and adverse drug events: an observational study of the Medicare Part D population with diabetes. | PSNet

    psnet.ahrq.gov/issue/e-prescribing-and-adverse-drug-events-observational-study-medicare-part-d-population-diabetes
    September 30, 2015 - January 13, 2021 ISMP medication error report analysis.
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