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Showing results for "medication errors".
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  1. Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. | PSNet

    psnet.ahrq.gov/issue/communication-gaps-and-readmissions-hospital-patients-aged-75-years-and-older-observational
    July 19, 2023 - May 26, 2021 ISMP medication error report analysis. … June 24, 2010 Risk of medication errors at hospital discharge and barriers to problem

  2. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. | PSNet

    psnet.ahrq.gov/issue/implementing-electronic-medical-record-computerized-prescriber-order-entry-critical-access
    August 21, 2024 - December 13, 2023 Preventable harm because of outpatient medication errors among children … May 9, 2012 Medication-error reporting and pharmacy resident experience during implementation

  3. Leveraging Health IT to Test Solutions That Are Replicable, Scalable, and Improve Patient Safety | Digital Healthcare Research

    digital.ahrq.gov/2018-year-review/research-spotlights/leveraging-health-it-test-solutions-are-replicable-scalable-and
    January 01, 2018 - Leveraging Health IT to Test Solutions That Are Replicable, Scalable, and Improve Patient Safety Impact “Studies like that by Adelman and colleagues point the way to the creation of a digital learning health care system, in which the results of the interactions between clinicians (and, increasingly, patients …

  4. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. | PSNet

    psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
    August 03, 2017 - Study Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. Citation Text: Schulz CM, Krautheim V, Hackemann A, et al. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting syste…

  5. Studies on medical errors warrant a second opinion. | PSNet

    psnet.ahrq.gov/issue/studies-medical-errors-warrant-second-opinion
    December 13, 2006 - October 4, 2023 Sick children face potentially deadly danger: medication errors.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49584/psn-pdf
    April 01, 2009 - Ross Koppel, PhD Principal Investigator Study of Hospital Workplace Culture and Medication Errors Center … Role of computerized physician order entry systems in facilitating medication errors.

  7. SynergyHealth - St. Joseph's Hospital: Designing a safe hospital (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/2006Reiling_052411comp.pdf
    January 01, 2005 - Recommendations, con’t • Active Failures – Operative/Post-Op Complications/Infections – Events Relating to Medication … Errors – Deaths of Patients in Restraints – Inpatient Suicides – Transfusion Related Events – Correct

  8. 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.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73868/psn-pdf
    September 22, 2021 - medication-use-and-cognitive-impairment-among-residents-aged-care-facilities https://psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing

  10. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
    January 01, 2024 - errors. … In this study, we focused on procedural and diagnostic errors in addition to medication errors. … Error A serious medical error related to the ordering or administration of pharmaceuticals, blood … Intern serious medication errors were 20.8% more frequent on the traditional schedule than on the intervention … Serious medication errors occurred 17.1% more frequently on the traditional schedule than on the intervention

  11. Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety. | PSNet

    psnet.ahrq.gov/issue/impact-medical-errors-and-malpractice-health-economics-quality-and-patient-safety
    November 28, 2018 - Book/Report Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety. Citation Text: Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety. Riga M, ed. Hershey, PA: IGI Global; 2017. ISBN: 9781522523376. Copy Citation…

  12. Inpatient Computerized Provider Order Entry (CPOE) (pdf file)

    digital.ahrq.gov/sites/default/files/docs/lesson/09-0031-ef-inpatient-cpoe.pdf
    January 01, 2009 - Process-related medication errors and adverse drug events (ADEs) are still too common, often preventable … Preventing Medication Errors: Quality Chasm Series. New York: Institute of Medicine. 2007. 2. … Preventing medication errors. … Committee on Identifying and Preventing Medication Errors, Institute of Medicine. … The impact of computerized physician order entry on medication error prevention.

  13. Layout 1 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/09-0031-EF_cpoe.pdf
    January 01, 2009 - Process-related medication errors and adverse drug events (ADEs) are still too common, often preventable … Preventing Medication Errors: Quality Chasm Series. New York: Institute of Medicine. 2007. 2. … Preventing medication errors. … Committee on Identifying and Preventing Medication Errors, Institute of Medicine. … The impact of computerized physician order entry on medication error prevention.

  14. Inpatient Computerized Provider Order Entry (CPOE) | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
    January 01, 2023 - Process-related medication errors and adverse drug events (ADEs) are still too common, often preventable … Preventing Medication Errors: Quality Chasm Series. New York: Institute of Medicine. 2007. 2. … Preventing medication errors. … Committee on Identifying and Preventing Medication Errors, Institute of Medicine. … The impact of computerized physician order entry on medication error prevention.

  15. 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 …

  16. 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…

  17. Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. | PSNet

    psnet.ahrq.gov/issue/translating-electronic-health-record-based-patient-safety-algorithms-research-clinical
    October 27, 2021 - Study Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. Citation Text: Translating electronic health record-based patient safety algorithms from research to clinical practice at multiple sites. Zimolzak AJ, Singh H,…

  18. Patient safety at the crossroads. | PSNet

    psnet.ahrq.gov/issue/patient-safety-crossroads
    March 18, 2019 - Commentary Patient safety at the crossroads. Citation Text: Gandhi TK, Berwick DM, Shojania KG. Patient Safety at the Crossroads. JAMA. 2016;315(17):1829-30. doi:10.1001/jama.2016.1759. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

  19. Communication factors in the follow-up of abnormal mammograms. | PSNet

    psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
    March 02, 2011 - Study Communication factors in the follow-up of abnormal mammograms. Citation Text: Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x. Copy Citation Forma…

  20. Themes from HCBS Expert Call Discussions (pdf file)

    qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
    January 01, 2012 -  Another panelist worried specifically that the medication error indicator could provide a disincentive … Medication Errors  Several experts asked who is really accountable for this indicator. …  However, other panelists noted that support services can help prevent medication errors. … A resulting hospitalization may not be recognized as resulting from a medication error. …  One panelist worried that the medication error indicator could provide a disincentive for reporting
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