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Showing results for "medication errors".
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  1. VA hospitals flooded with complaints about care. | PSNet

    psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care
    August 09, 2017 - March 24, 2016 Report faults Children's Hospital for medication errors.

  2. Teamwork and quality during neonatal care in the delivery room. | PSNet

    psnet.ahrq.gov/issue/teamwork-and-quality-during-neonatal-care-delivery-room
    July 20, 2016 - July 20, 2016 Medication safety: reducing anesthesia medication errors and adverse drug

  3. Ebola case raises concern about everyday hospital safety. | PSNet

    psnet.ahrq.gov/issue/ebola-case-raises-concern-about-everyday-hospital-safety
    June 21, 2017 - June 14, 2011 Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance

  4. Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit. | PSNet

    psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit
    December 16, 2020 - October 14, 2020 Perioperative medication errors: uncovering risk from behind the drapes

  5. TeamSTEPPS: the patient safety tool that needs to be implemented. | PSNet

    psnet.ahrq.gov/issue/teamstepps-patient-safety-tool-needs-be-implemented
    February 14, 2024 - June 22, 2011 Why nurses make medication errors: a simulation study.

  6. Rapid response systems. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-0
    April 07, 2010 - April 7, 2010 USP drug safety review: medication errors involving NMBAs.   

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43617/psn-pdf
    September 24, 2016 - Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? September 24, 2016 Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.acra.2014.08.001. https://psne…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40189/psn-pdf
    February 02, 2011 - Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. February 2, 2011 Moniz TT, Seger AC, Keohane CA, et al. Addition of electronic prescription transmission to computerized prescriber order entry: Effect on dispensing errors …

  9. Safety and risk management interventions in hospitals: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature
    April 01, 2010 - error analysis, and systems to mitigate and reduce specific errors (such as diagnostic errors and medication … errors).

  10. Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review. | PSNet

    psnet.ahrq.gov/issue/strategies-identify-patient-risks-prescription-opioid-addiction-when-initiating-opioids-pain
    November 16, 2022 - December 14, 2016 Quantifying the burden of opioid medication errors in adult oncology

  11. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. | PSNet

    psnet.ahrq.gov/issue/what-contributes-diagnostic-error-or-delay-qualitative-exploration-across-diverse-acute-care
    March 16, 2022 - 16, 2022 Identifying health information technology usability issues contributing to medication … errors across medication process stages.

  12. Multifaceted intervention to improve patient safety incident reporting in intensive care units. | PSNet

    psnet.ahrq.gov/issue/multifaceted-intervention-improve-patient-safety-incident-reporting-intensive-care-units
    January 18, 2023 - November 8, 2023 Determining medication errors in an adult intensive care unit.

  13. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. | PSNet

    psnet.ahrq.gov/issue/usability-and-feasibility-consumer-facing-technology-reduce-unsafe-medication-use-older
    February 17, 2011 - August 21, 2024 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.

  14. PS Grantee | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/index.html?page=13
    January 01, 2024 - Safety Publication Date: September 2009 Pediatric Medication Safety: Analyses from the MEDMARX Medication … Error Reporting System ( application/pdf 293152 ) Principal Investigators: Bundy, et al.

  15. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. | PSNet

    psnet.ahrq.gov/issue/dropping-baton-during-handoff-emergency-department-primary-care-pediatric-asthma-continuity
    March 14, 2022 - Study Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Citation Text: Hsiao AL, Shiffman RN. Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors. Jt Comm J …

  16. Nurse Vaught sentenced for deadly medical error. | PSNet

    psnet.ahrq.gov/issue/nurse-vaught-sentenced-deadly-medical-error
    January 25, 2023 - This article summarizes reaction to the sentencing of a nurse in a high-profile medication error case

  17. 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

  18. 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.

  19. 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.

  20. Clinical data sharing improves quality measurement and patient safety. | PSNet

    psnet.ahrq.gov/issue/clinical-data-sharing-improves-quality-measurement-and-patient-safety
    April 21, 2021 - June 23, 2021 How effective are electronic medication systems in reducing medication … error rates and associated harm among hospital inpatients?
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