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Showing results for "medication errors".
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  1. Experience of learning from everyday work in daily safety huddles: a multi-method study. | PSNet

    psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study
    June 23, 2021 - December 16, 2009 Educational strategy to reduce medication errors in a neonatal intensive

  2. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-physician-responsiveness-nurse-initiated-communication-qualitative-study
    October 13, 2021 - August 5, 2020 Differences between methods of detecting medication errors: a secondary

  3. Perioperative safety: learning, not taking, from aviation. | PSNet

    psnet.ahrq.gov/issue/perioperative-safety-learning-not-taking-aviation
    June 26, 2019 - December 20, 2023 An investigation of the relationship between safety climate and medication … errors as well as other nurse and patient outcomes.

  4. Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. | PSNet

    psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events-hospitalized-patients-across-two-time-periods
    December 14, 2011 - July 5, 2017 Characteristics associated with postdischarge medication errors.

  5. When do supervising physicians decide to entrust residents with unsupervised tasks? | PSNet

    psnet.ahrq.gov/issue/when-do-supervising-physicians-decide-entrust-residents-unsupervised-tasks
    October 03, 2012 - September 2, 2020 Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication … errors during medication administration: a multicenter cluster randomized controlled trial.

  6. Effect of hospital follow-up appointment on clinical event outcomes and mortality. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-follow-appointment-clinical-event-outcomes-and-mortality
    April 24, 2018 - readmissions due to adverse events after discharge are relatively common, and may be precipitated by medication … errors and failure to follow up on pending test results —problems that could, in theory, be averted

  7. Communication of preclinical emergency teams in critical situations: a nationwide study. | PSNet

    psnet.ahrq.gov/issue/communication-preclinical-emergency-teams-critical-situations-nationwide-study
    January 23, 2019 - Pharmacist-led educational interventions provided to healthcare providers to reduce medication … errors: a systematic review and meta-analysis.

  8. Clinician perspectives on the management of abnormal subcritical tests in an urban academic safety-net health care system. | PSNet

    psnet.ahrq.gov/issue/clinician-perspectives-management-abnormal-subcritical-tests-urban-academic-safety-net-health
    February 22, 2011 - December 21, 2011 Determinants of patient-reported medication errors: a comparison among

  9. Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-reporting-adverse-medical-device-events-qualitative-interviews-physicians
    May 17, 2017 - October 16, 2012 Checking it twice: an evaluation of checklists for detecting medication … errors at the bedside using a chemotherapy model.

  10. Safety requires a state of mindfulness. | PSNet

    psnet.ahrq.gov/issue/safety-requires-state-mindfulness
    May 02, 2018 - Newspaper/Magazine Article Safety requires a state of mindfulness. Citation Text: Safety requires a state of mindfulness. ISMP Medication Safety Alert! Acute care edition. July 31, 2014. Copy Citation Save Save to your library Print Download PDF …

  11. Medication Safety: A Guide for Health Care Facilities. | PSNet

    psnet.ahrq.gov/issue/medication-safety-guide-health-care-facilities
    December 22, 2008 - Book/Report Medication Safety: A Guide for Health Care Facilities. Citation Text: Medication Safety: A Guide for Health Care Facilities. Manasse HR Jr, Thompson KK. Bethesda, MD: American Society of Health-System Pharmacists; 2005. ISBN 9781585280896. Copy Citation Sa…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858325/psn-pdf
    December 13, 2023 - Patients with low health literacy make more errors interpreting instructions and warnings. December 13, 2023 ISMP Medication Safety Alert! Acute Care. 2023;28(24):1-3. https://psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and- warnings The inability to understand hea…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73992/psn-pdf
    October 20, 2021 - Mix-ups between the influenza (Flu) vaccine and COVID- 19 vaccines. October 20, 2021 ISMP Medication Safety Alert! Acute care edition. October 7, 2021;26(20):1-4. https://psnet.ahrq.gov/issue/mix-ups-between-influenza-flu-vaccine-and-covid-19-vaccines Production pressure and low staff coverage can result in medica…

  14. System planning for modern-day Just Culture to mitigate worker distress and second victim response. | PSNet

    psnet.ahrq.gov/issue/system-planning-modern-day-just-culture-mitigate-worker-distress-and-second-victim-response
    July 19, 2023 - November 12, 2014 Preventable harm because of outpatient medication errors among children … June 5, 2024 A review of medication errors and the second victim in pediatric pharmacy

  15. Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. | PSNet

    psnet.ahrq.gov/issue/patient-safety-vulnerabilities-children-intellectual-disability-hospital-systematic-review
    March 16, 2022 - September 4, 2024 Analysis of Australian newspaper coverage of medication errors. … Associations of person-related, environment-related and communication-related factors on medication … errors in public and private hospitals: a retrospective clinical audit.

  16. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
    February 18, 2011 - February 18, 2011 Impact of pharmacist interventions on medication errors in hospitalized … Pharmacist-led educational interventions provided to healthcare providers to reduce medication … errors: a systematic review and meta-analysis.

  17. Patient and visitor aggression in healthcare: a survey exploring organisational safety culture and team efficacy. | PSNet

    psnet.ahrq.gov/issue/patient-and-visitor-aggression-healthcare-survey-exploring-organisational-safety-culture-and
    September 20, 2011 - September 20, 2011 The influence that electronic prescribing has on medication errors … July 31, 2008 Comparison of potential risk factors for medication errors with and without

  18. 'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors. | PSNet

    psnet.ahrq.gov/issue/it-depends-complexity-allowing-residents-fail-perspective-clinical-supervisors
    December 14, 2022 - September 2, 2020 Medication errors in anesthesiology: is it time to train by example … Pharmacist-led educational interventions provided to healthcare providers to reduce medication … errors: a systematic review and meta-analysis.

  19. Simulation of in-hospital pediatric medical emergencies and cardiopulmonary arrests: highlighting the importance of the first 5 minutes. | PSNet

    psnet.ahrq.gov/issue/simulation-hospital-pediatric-medical-emergencies-and-cardiopulmonary-arrests-highlighting
    October 14, 2009 - September 9, 2008 Medication errors in paediatric care: a systematic review of epidemiology … April 24, 2018 Analysis of medication errors in simulated pediatric resuscitation by

  20. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. | PSNet

    psnet.ahrq.gov/issue/surgeon-specific-mortality-data-disguise-wider-failings-delivery-safe-surgical-services
    March 09, 2022 - January 30, 2013 Determining medication errors in an adult intensive care unit. … August 16, 2023 Harm prevalence due to medication errors involving high-alert medications
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