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Showing results for "medication errors".
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  1. Closing the gap and raising the bar: assessing board competency in quality and safety. | PSNet

    psnet.ahrq.gov/issue/closing-gap-and-raising-bar-assessing-board-competency-quality-and-safety
    July 20, 2022 - Study Closing the gap and raising the bar: assessing board competency in quality and safety. Citation Text: McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274. doi:10.10…

  2. Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. | PSNet

    psnet.ahrq.gov/issue/crowd-sourced-hospital-ratings-are-correlated-patient-satisfaction-not-surgical-safety
    November 18, 2020 - Study Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. Citation Text: Synan LT, Eid MA, Lamb CR, et al. Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. Surgery. 2021;170(3):764-768. doi:10.10…

  3. Bridging gaps in handoffs: a continuity of care based approach. | PSNet

    psnet.ahrq.gov/issue/bridging-gaps-handoffs-continuity-care-based-approach
    January 07, 2015 - Study Bridging gaps in handoffs: a continuity of care based approach. Citation Text: Abraham J, Kannampallil TG, Patel VL. Bridging gaps in handoffs: a continuity of care based approach. J Biomed Inform. 2012;45(2):240-54. doi:10.1016/j.jbi.2011.10.011. Copy Citation Format: …

  4. Reasons provided by prescribers when overriding drug–drug interaction alerts. | PSNet

    psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overriding-drug-drug-interaction-alerts
    April 27, 2010 - Study Reasons provided by prescribers when overriding drug–drug interaction alerts. Citation Text: Grizzle AJ, Mahmood MH, Ko Y, et al. Reasons provided by prescribers when overriding drug-drug interaction alerts. Am J Manag Care. 2007;13(10):573-578. Copy Citation Format: …

  5. Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review. | PSNet

    psnet.ahrq.gov/issue/perioperative-handoff-enhancement-opportunities-through-technology-and-artificial
    March 20, 2019 - Review Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review. Citation Text: Sparling J, Hong Mershon B, Abraham J. Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative rev…

  6. Lack of patient knowledge regarding hospital medications. | PSNet

    psnet.ahrq.gov/issue/lack-patient-knowledge-regarding-hospital-medications
    September 20, 2006 - Study Lack of patient knowledge regarding hospital medications. Citation Text: Lack of patient knowledge regarding hospital medications. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  7. Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. | PSNet

    psnet.ahrq.gov/issue/ten-years-after-iom-report-engaging-residents-quality-and-patient-safety-creating-house-staff
    December 27, 2014 - Commentary Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council. Citation Text: Fleischut PM, Evans AS, Nugent WC, et al. Ten years after the IOM report: Engaging residents in quality and patient safety by creating a …

  8. The work of nurses to provide good and safe services to children receiving hospital-at-home: a qualitative interview study from the perspectives of hospital nurses and physicians. | PSNet

    psnet.ahrq.gov/issue/work-nurses-provide-good-and-safe-services-children-receiving-hospital-home-qualitative
    March 08, 2023 - February 2, 2022 Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses. … January 25, 2023 Patient safety in home care: a multicenter cross-sectional study about medication … errors and medication management of nurses.

  9. Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial. | PSNet

    psnet.ahrq.gov/issue/family-conferences-facilitate-deprescribing-older-outpatients-frailty-and-polypharmacy
    July 29, 2020 - July 10, 2024 Risks and medication errors analysis to evaluate the impact of a chemotherapy … multimorbidity: observational, descriptive, cross-sectional study April 8, 2020 ISMP medication … error report analysis.

  10. Unintended patient safety risks due to wireless smart infusion pump library update delays. | PSNet

    psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library-update-delays
    September 25, 2019 - Analysis of an academic medical center’s corrective action plan in response to fatal medication … error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. … August 24, 2022 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … January 23, 2017 ISMP medication error report analysis.

  11. What are we doing when we double check? | PSNet

    psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check
    June 10, 2020 - Double checking is one strategy for detecting and preventing medication errors; however, its effectiveness

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60858/psn-pdf
    August 26, 2020 - 2017, the World Health Organization reported that about 1.3 million people annually are injured by medication … errors in the United States,7 and 80% of those errors occur during transitions of care.8 A similar … concern about the prevalence of medication errors after hospital discharge was reported in a recent … Prevalence and Nature of Medication Errors and Medication?

  13. CMS 30-minute rule for drug administration needs revision. | PSNet

    psnet.ahrq.gov/issue/cms-30-minute-rule-drug-administration-needs-revision
    October 21, 2021 - Newspaper/Magazine Article CMS 30-minute rule for drug administration needs revision. Citation Text: CMS 30-minute rule for drug administration needs revision. ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.  Copy Citation Save …

  14. Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. | PSNet

    psnet.ahrq.gov/issue/reduction-chemotherapy-order-errors-computerised-physician-order-entry-and-clinical-decision
    October 22, 2014 - chemotherapy orders within a computerized provider order entry system were associated with fewer medication … errors as well as improved dispensing efficiency compared with the older, paper-based order system.

  15. Final Progress Report: Patient Partnerships To Improve Safety in the Clinic Setting: Creating an accurate medication list through a patient-centered approach (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/leonhardt-report.pdf
    January 01, 2024 - The reported rate of medication errors and ADEs varies widely, depending on the care setting and the … better health outcomes.6 The process recommended for providers to utilize as a mean of preventing medication … errors is called medication reconciliation.6 The first step in medication reconciliation is verification … Preventing Medication Errors. Institute of Medicine; 2007. … Reconcilable differences: Correcting medication errors at hosptial admission and discharge.

  16. Automated detection of wrong-drug prescribing errors. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/automated
    January 01, 2023 - Automated detection of wrong-drug prescribing errors. Citation Lambert BL, Galanter W, Liu KL, Falck S, Schiff G, Rash-Foanio C, Schmidt K, Shrestha N, Vaida AJ, Gaunt MJ. Automated detection of wrong-drug prescribing errors. BMJ Qual Saf. 2019 Aug 7. pii: bmjqs-2019-009420. doi: 10.1136/bmjqs-2019-0…

  17. Assess Risk of Wrong-Patient Errors in an EMR That Allows Multiple Records Open | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/assess-risk-wrong-patient-errors-emr-allows-multiple-records-open
    January 01, 2023 - Assess Risk of Wrong-Patient Errors in an EMR That Allows Multiple Records Open Project Final Report ( PDF , 451.19 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily re…

  18. Associations between safety outcomes and communication practices among pediatric nurses in the United States. | PSNet

    psnet.ahrq.gov/issue/associations-between-safety-outcomes-and-communication-practices-among-pediatric-nurses
    November 03, 2021 - March 14, 2016 Nursing interventions to reduce medication errors in paediatrics and neonates … November 10, 2021 Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38619/psn-pdf
    May 07, 2018 - involuntary-manslaughter This article examines a case in which a health care professional faces criminal charges for a medication … error.

  20. Using Social Knowledge Networking (SKN) Technology To Enable Meaningful Use of EHR Technology | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/using-social-knowledge-networking-skn-technology-enable-meaningful-use-ehr
    January 01, 2023 - Medication Reconciliation Medication Safety Sociotechnical Aspects Transitions in Care Medication … errors are a major contributor to adverse patient outcomes and increased healthcare costs. … This process significantly reduces the risk of medication errors during care transitions, improves patient
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