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Showing results for "medication errors".
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  1. A simulation-based approach to training in heuristic clinical decision-making. | PSNet

    psnet.ahrq.gov/issue/simulation-based-approach-training-heuristic-clinical-decision-making
    January 31, 2024 - Study A simulation-based approach to training in heuristic clinical decision-making. Citation Text: Altabbaa G, Raven AD, Laberge J. A simulation-based approach to training in heuristic clinical decision-making. Diagnosis (Berl). 2019;6(2):91-99. doi:10.1515/dx-2018-0084. Copy Citation…

  2. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. | PSNet

    psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care
    June 15, 2011 - Study Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. Citation Text: Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care …

  3. Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. | PSNet

    psnet.ahrq.gov/issue/association-between-paediatric-intraoperative-anaesthesia-handover-and-adverse-postoperative
    July 21, 2021 - Study Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. Citation Text: Kannampallil TG, Lew D, Pfeifer EE, et al. Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. BMJ Qual Saf. 2021…

  4. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? | PSNet

    psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
    March 24, 2019 - Study Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Citation Text: Byrne C, Sierra H, Tolhurst R. Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions? Br J Nurs. 2017;26(8):464-467. doi:10.12968/bjon…

  5. Preventing blood transfusion failures: FMEA, an effective assessment method. | PSNet

    psnet.ahrq.gov/issue/preventing-blood-transfusion-failures-fmea-effective-assessment-method
    August 25, 2021 - Study Preventing blood transfusion failures: FMEA, an effective assessment method. Citation Text: Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3. C…

  6. The stories clinicians tell: achieving high reliability and improving patient safety. | PSNet

    psnet.ahrq.gov/issue/stories-clinicians-tell-achieving-high-reliability-and-improving-patient-safety
    April 24, 2018 - Commentary The stories clinicians tell: achieving high reliability and improving patient safety. Citation Text: Cohen DL, Stewart KO. The Stories Clinicians Tell: Achieving High Reliability and Improving Patient Safety. Perm J. 2016;20(1):85-90. doi:10.7812/TPP/15-039. Copy Citation …

  7. e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach. | PSNet

    psnet.ahrq.gov/issue/e-prescribing-characterisation-patient-safety-hazards-community-pharmacies-using
    January 07, 2015 - Study e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach. Citation Text: Odukoya OK, Chui MA. e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approac…

  8. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/do-eps-change-their-clinical-behaviour-hallway-or-when-companion-present-cross-sectional
    June 29, 2022 - Emergency department crowding is linked to medication errors and other preventable harm .

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43174/psn-pdf
    December 12, 2014 - adverse-drug-event-detection-pediatric-oncology-and-hematology-patients-using-medication https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  10. Medication reconciliation: a qualitative analysis of clinicians' perceptions. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-qualitative-analysis-clinicians-perceptions
    October 10, 2015 - Study Medication reconciliation: a qualitative analysis of clinicians' perceptions. Citation Text: Vogelsmeier A, Pepper GA, Oderda L, et al. Medication reconciliation: A qualitative analysis of clinicians' perceptions. Res Social Adm Pharm. 2013;9(4):419-30. doi:10.1016/j.sapharm.201…

  11. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. | PSNet

    psnet.ahrq.gov/issue/safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative
    October 07, 2020 - challenges included issues with monitoring, treatment, evaluation, and/or documentation, patient falls, medication … errors , and problems with transfers.

  12. The criminalization of mistakes in nursing. | PSNet

    psnet.ahrq.gov/issue/criminalization-mistakes-nursing
    June 13, 2011 - July 12, 2017 Implementing a systematic response to medication errors.

  13. 2009 Older Adults' Knowledge About Medications That Can Impact Driving. | PSNet

    psnet.ahrq.gov/issue/2009-older-adults-knowledge-about-medications-can-impact-driving
    July 12, 2016 - May 25, 2011 Out-of-hospital medication errors: a 6-year analysis of the national poison

  14. Using Six Sigma to improve patient safety in the perioperative process. | PSNet

    psnet.ahrq.gov/issue/using-six-sigma-improve-patient-safety-perioperative-process
    June 27, 2018 - June 27, 2018 Wrong-patient medication errors: an analysis of event reports in Pennsylvania

  15. Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain. | PSNet

    psnet.ahrq.gov/issue/organisational-failure-exploratory-study-steel-industry-and-medical-domain
    June 02, 2010 - July 3, 2013 Preventing Medication Errors: Quality Chasm Series.

  16. Distractions in the operating room. | PSNet

    psnet.ahrq.gov/issue/distractions-operating-room
    March 13, 2013 - November 28, 2018 Wrong-patient medication errors: an analysis of event reports in Pennsylvania

  17. Medication Error and Near Miss Classification Form | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/medication-error-and-near-miss
    January 01, 2023 - Medication Error and Near Miss Classification Form Description This is a near … Document Source Statewide Implementation of Electronic Health Records PDF Medication … Error and Near Miss Classification Form

  18. Role of artificial intelligence in patient safety outcomes: systematic literature review. | PSNet

    psnet.ahrq.gov/issue/role-artificial-intelligence-patient-safety-outcomes-systematic-literature-review
    September 20, 2011 - machine learning-based clinical decision support system to identify prescriptions with a high risk of medication … error. … 17, 2022 Identifying health information technology usability issues contributing to medication … errors across medication process stages.

  19. The ins and outs of change of shift handoffs between nurses: a communication challenge. | PSNet

    psnet.ahrq.gov/issue/ins-and-outs-change-shift-handoffs-between-nurses-communication-challenge
    October 19, 2022 - June 16, 2011 Health literacy-informed communication to reduce discharge medication errors … June 3, 2020 Field test results of a new ambulatory care Medication Error and Adverse

  20. Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior. | PSNet

    psnet.ahrq.gov/issue/determining-patients-comfort-inquiring-about-healthcare-providers-hand-washing-behavior
    September 03, 2011 - May 4, 2022 Effect of a pharmacist intervention on clinically important medication errors … January 7, 2015 ISMP medication error report analysis.
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