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Showing results for "medication errors".
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  1. Gaps in ambulatory patient safety for immunosuppressive specialty medications. | PSNet

    psnet.ahrq.gov/issue/gaps-ambulatory-patient-safety-immunosuppressive-specialty-medications
    November 19, 2018 - Diuretics and Electrolyte Abnormalities July 2, 2019 ISMP medication … error report analysis.

  2. Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. | PSNet

    psnet.ahrq.gov/issue/do-physicians-know-when-their-diagnoses-are-correct-implications-decision-support-and-error
    May 18, 2022 - overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication … error-reporting program.

  3. Patient preferences for participation in patient care and safety activities in hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-preferences-participation-patient-care-and-safety-activities-hospitals
    July 17, 2024 - May 26, 2021 Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.

  4. Emergency lights and sirens on ambulances may do more harm than good. | PSNet

    psnet.ahrq.gov/issue/emergency-lights-and-sirens-ambulances-may-do-more-harm-good
    February 15, 2023 - WebM&M Cases Misplaced Vial: Medication Kit Variability Contributes to Medication … Error During Patient Transport July 31, 2024 Harm Caused by Delays in Transferring

  5. Aware in Care. | PSNet

    psnet.ahrq.gov/issue/aware-care
    April 15, 2020 - This Web site seeks to help hospitals and patients prevent medication errors in hospitalized patients

  6. Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/field2-report.pdf
    January 01, 2024 - Final Progress Report: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting Project Title: Proactive Risk Reduction in Medication Prescribing in the Ambulatory Setting Principal Investigator: Terry S. Field, DSc Principal Team Members: Lawrence Garber, MD; Jennifer Tjia, MD; Brooke Harrow,…

  7. Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety. | PSNet

    psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-implications-medication-safety
    August 01, 2012 - August 7, 2019 ISMP medication error report analysis.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44732/psn-pdf
    December 09, 2015 - https://psnet.ahrq.gov/issue/over-counter-medicines-benefits-and-dangers https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  9. Digital health and patient safety. | PSNet

    psnet.ahrq.gov/issue/digital-health-and-patient-safety
    September 01, 2016 - Commentary Digital health and patient safety. Citation Text: Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698. doi:10.1001/jama.2016.2402. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37777/psn-pdf
    May 04, 2014 - psnet.ahrq.gov/issue/iatrogenic-delirium-and-coma-near-miss This case report describes how diagnostic and medication … errors led to a temporary coma.

  11. Appendix E. Category Definitions | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/engage/appe.html
    March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Appendix E. Category Definitions Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction …

  12. US emergency department visits for outpatient adverse drug events, 2013–2014. | PSNet

    psnet.ahrq.gov/issue/us-emergency-department-visits-outpatient-adverse-drug-events-2013-2014
    February 23, 2018 - Study Classic US emergency department visits for outpatient adverse drug events, 2013–2014. Citation Text: Shehab N, Lovegrove MC, Geller AI, et al. US Emergency Department Visits for Outpatient Adverse Drug Events, 2013-2014. JAMA. 2016;316(20):2115-2125. doi:1…

  13. Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. | PSNet

    psnet.ahrq.gov/issue/electronic-diagnostic-support-emergency-physician-triage-qualitative-study-thematic-analysis
    October 27, 2021 - Study Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews. Citation Text: Sibbald M, Abdulla B, Keuhl A, et al. Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of intervi…

  14. The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. | PSNet

    psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects
    July 16, 2013 - Study The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. Citation Text: Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-p…

  15. Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them. | PSNet

    psnet.ahrq.gov/issue/clinical-dental-faculty-members-perceptions-diagnostic-errors-and-how-avoid-them
    November 01, 2023 - Study Clinical dental faculty members' perceptions of diagnostic errors and how to avoid them. Citation Text: Nikdel C, Nikdel K, Ibarra-Noriega A, et al. Clinical Dental Faculty Members' Perceptions of Diagnostic Errors and How to Avoid Them. J Dent Educ. 2018;82(4):340-348. doi:10.2181…

  16. Hospital-Acquired Diabetic Ketoacidosis. | PSNet

    psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
    October 28, 2020 - pharmacy technicians focus on performing medication reconciliation on patients with the highest risk of medication … errors. … medication reconciliation in the ED for high-risk patients on insulin to improve communication, avoid medication … errors, and increase provider awareness.

  17. The practice of medicine: understanding diagnostic error. | PSNet

    psnet.ahrq.gov/issue/practice-medicine-understanding-diagnostic-error
    July 22, 2020 - overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication … error-reporting program.

  18. A national survey of safe practice with epidural analgesia in obstetric units. | PSNet

    psnet.ahrq.gov/issue/national-survey-safe-practice-epidural-analgesia-obstetric-units
    July 28, 2021 - Related Resources WebM&M Cases Sleep Deprivation Leads to Medication … Error During Spinal Epidural Anesthesia August 30, 2023 WebM&M

  19. Diagnostic error in pediatrics: a narrative review. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-pediatrics-narrative-review
    June 08, 2022 - machine learning-based clinical decision support system to identify prescriptions with a high risk of medication … error.

  20. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests. | PSNet

    psnet.ahrq.gov/issue/delays-and-errors-cardiopulmonary-resuscitation-and-defibrillation-pediatric-residents-during
    January 02, 2017 - January 3, 2017 ISMP medication error report analysis.
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