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Showing results for "medication errors".
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  1. Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. | PSNet

    psnet.ahrq.gov/issue/continuous-monitoring-adverse-events-influence-quality-care-and-incidence-errors-general
    March 09, 2022 - Study Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. Citation Text: Rebasa P, Mora L, Luna A, et al. Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in gener…

  2. Quality of handoffs in community pharmacies. | PSNet

    psnet.ahrq.gov/issue/quality-handoffs-community-pharmacies
    May 11, 2016 - Study Quality of handoffs in community pharmacies. Citation Text: Abebe E, Stone JA, Lester CA, et al. Quality of Handoffs in Community Pharmacies. J Patient Saf. 2021;17(6):405-411. doi:10.1097/PTS.0000000000000382. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37752/psn-pdf
    May 07, 2019 - guidance-safe-use-automated-dispensing-cabinets Drug dispensing systems have been adopted in hospitals to prevent medication … errors, but accidents associated with their use still occur.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44478/psn-pdf
    September 09, 2015 - psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836788/psn-pdf
    March 23, 2022 - classifying-adverse-events-dental-office https://psnet.ahrq.gov/issue/medication-safety-reducing-anesthesia-medication-errors-and-adverse-drug-events-dentistry

  6. The architecture of safety: an emerging priority for improving patient safety. | PSNet

    psnet.ahrq.gov/issue/architecture-safety-emerging-priority-improving-patient-safety
    June 09, 2011 - review examines how care facility design can reduce health care–associated infections , falls , and medication … errors. … Topic Hospitals Facility and Group Administrators Quality and Safety Professionals Medication … Errors/Preventable Adverse Drug Events Nosocomial Infections View More

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50623/psn-pdf
    November 06, 2019 - Researchers found that both active errors, such as medication errors or inattention, and latent errors

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39408/psn-pdf
    March 31, 2010 - patient-safety-numerical-skills-and-drug-calculation-abilities-nursing-students-and https://psnet.ahrq.gov/issue/do-calculation-errors-nurses-cause-medication-errors-clinical-practice-literature-review

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43912/psn-pdf
    February 25, 2015 - issue/achieving-dialysis-safety-critical-role-higher-functioning-teams https://psnet.ahrq.gov/issue/medication-errors-and-patient-complications-continuous-renal-replacement-therapy

  10. Investigating the impact of a pharmacist intervention on inappropriate prescribing practices at hospital admission and discharge in older patients: a secondary outcome analysis from a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/investigating-impact-pharmacist-intervention-inappropriate-prescribing-practices-hospital
    November 30, 2022 - August 2, 2023 Detectability of medication errors with a STOPP/START-based medication

  11. Kuperman GJ et al. 2007 "Medication-related clinical decision support in computerized provider order entry systems: a review." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2007
    January 01, 2007 - medications can improve patients' health, the process of prescribing them is complex and error prone, and medication … errors cause many preventable injuries.

  12. WebM&M: Case Studies | PSNet

    psnet.ahrq.gov/webmm-case-studies
    March 25, 2025 - Venous Thrombosis and Thromboembolism (10) Medication Safety (212) Medication … Errors/Preventable Adverse Drug Events (157) Administration Errors (64) Dispensing … Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport

  13. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
    July 18, 2008 - Extensive work has been done in the area of medication errors, including a recent comprehensive evaluation … errors. … Preventing medication errors: Quality chasm series. … Strategies to reduce medication errors in ambulatory practice. … EPITOME program educates patient to help reduce medication errors.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837744/psn-pdf
    July 27, 2022 - Medication orders with future start dates: how far away is too far? July 27, 2022 ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4. https://psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far Human errors that occur while interacting with electronic health recor…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42896/psn-pdf
    February 23, 2015 - Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. February 23, 2015 Gilbar P, Chambers C, Larizza M. Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists. J Oncol Pharm Pract. 2015;21(1):10-…

  16. Multiple accountabilities in incident reporting and management. | PSNet

    psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
    August 28, 2024 - Related Resources From the Same Author(s) Developing a process to measure actual harm from medication … errors in paediatric inpatients: from design to implementation.

  17. Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. | PSNet

    psnet.ahrq.gov/issue/ensuring-effective-care-transition-communication-implementation-electronic-medical-record
    July 12, 2023 - improve the handoff between oncology clinic and infusion nurses was associated with a reduction in medication … errors, shorter average patient waiting time, and better communication between nurses.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47122/psn-pdf
    June 13, 2018 - Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. June 13, 2018 Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:10.1200/JOP.17.00007. https://psne…

  19. Effects of work shift or shift length on radiation safety perception. | PSNet

    psnet.ahrq.gov/issue/effects-work-shift-or-shift-length-radiation-safety-perception
    August 23, 2023 - Related Resources Examining the relationship between nurse fatigue, alertness, and medication … errors.

  20. The role for leaders of health care organizations in patient safety. | PSNet

    psnet.ahrq.gov/issue/role-leaders-health-care-organizations-patient-safety
    September 27, 2010 - November 30, 2012 Harmful medication errors involving unfractionated and low-molecular-weight
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