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Showing results for "medication errors".
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  1. PS Grantee | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/index.html?page=16
    January 01, 2024 - and Family Engagement Publication Date: September 2007 Improving Patient Safety by Reducing Medication … Errors ( application/pdf 343376 ) Principal Investigators: Strom, et al.

  2. Quality-related event learning in community pharmacies: manual versus computerized reporting processes. | PSNet

    psnet.ahrq.gov/issue/quality-related-event-learning-community-pharmacies-manual-versus-computerized-reporting
    November 09, 2016 - December 18, 2024 Identifying, understanding and overcoming barriers to medication error … September 4, 2019 ISMP medication error report analysis.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39128/psn-pdf
    December 01, 2009 - rapid-response-teams-and-continuous-quality-improvement This study discusses how analysis of rapid response team calls identified a recurrent pattern of medication … errors, and describes the steps taken to prevent such errors.

  4. 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…

  5. 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 …

  6. 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 …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43259/psn-pdf
    June 11, 2014 - https://psnet.ahrq.gov/issue/safety-considerations-container-labels-and-carton-labeling-design-minimize-medication-errors

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49477/psn-pdf
    April 01, 2005 - Unfortunately, the incidence of medication errors in EDs has been estimated to be 12.6% of elderly patients … Prospective observational study on the incidence of medication errors during simulated resuscitation

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46115/psn-pdf
    May 17, 2017 - impact-prescribing-safety-alerts-elderly-persons-electronic-medical-record-interrupted-time https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46830/psn-pdf
    May 30, 2018 - /psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-transitions https://psnet.ahrq.gov/issue/medication-errors-during-patient-transitions-nursing-homes-characteristics-and-association

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42992/psn-pdf
    July 03, 2014 - national-surveillance-emergency-department-visits-outpatient-adverse-drug-events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  12. Beyond the organisational accident: the need for "error wisdom" on the frontline. | PSNet

    psnet.ahrq.gov/issue/beyond-organisational-accident-need-error-wisdom-frontline
    November 18, 2015 - This commentary uses a case study involving a fatal medication error to illustrate the importance of

  13. Electronic Prescribing Using A Community Utility - The ePrescribing Gateway (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/Electronic%20Prescribing%20Using%20A%20Community%20Utility%20-%20The%20ePrescribing%20Gateway_0.pdf
    January 31, 2007 - Suspected medication errors (MEs) and adverse drug events (ADEs) were rated by physicians. … Medication errors are errors during ordering, transcribing, dispensing, administering, or monitoring … During this study, medication errors associated with transcribing and dispensing were most likely impacted … Not all medication errors have the potential to harm a patient. … A near miss or potential adverse drug event (PADE) is a medication error that has the potential to

  14. Medication Without Harm: WHO's Third Global Patient Safety Challenge. | PSNet

    psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
    July 14, 2021 - The Topic Hospitals Facility and Group Administrators Medicine Medication Safety Medication … Errors/Preventable Adverse Drug Events View More

  15. X-ray Flip | PSNet

    psnet.ahrq.gov/web-mm/x-ray-flip
    August 10, 2019 - recent implementation of bar code medication administration at Veterans hospitals was designed to reduce medication … errors. … July 13, 2016 Profiles in patient safety: medication errors in the emergency department

  16. Final Progress Report: Development of an Education Intervention for Triage Interruption Management (pdf file)

    www.ahrq.gov/sites/default/files/2024-05/johnson-ying-report.pdf
    January 01, 2024 - Preventing medication errors in community pharmacy: frequency and seriousness of medication errors. … Medication safety initiative in reducing medication errors.

  17. A Painful Medication Reconciliation Mishap | PSNet

    psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
    May 01, 2008 - seen in the general medicine clinic for follow-up 3 weeks after being discharged from the SNF, and the medication … error was quickly recognized. … patient was restarted on naltrexone while simultaneously on opioids for post-operative analgesia, a medication … error.

  18. The host hospital 24-hour underreferral rate: an automated measure of call-center safety. | PSNet

    psnet.ahrq.gov/issue/host-hospital-24-hour-underreferral-rate-automated-measure-call-center-safety
    September 23, 2020 - December 18, 2013 Medication errors in the management of anaphylaxis in a pediatric emergency

  19. Causes of adverse events in home mechanical ventilation: a nursing perspective. | PSNet

    psnet.ahrq.gov/issue/causes-adverse-events-home-mechanical-ventilation-nursing-perspective
    November 10, 2021 - March 9, 2022 Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication … errors during medication administration: a multicenter cluster randomized controlled trial.

  20. Pain as the neglected patient safety concern: five years on. | PSNet

    psnet.ahrq.gov/issue/pain-neglected-patient-safety-concern-five-years
    July 31, 2019 - March 3, 2021 Impact of pharmacist interventions on medication errors in hospitalized
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