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Showing results for "medication errors".
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  1. High-reliability organizations (HROs): what they know that we don't (Part I). | PSNet

    psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-i
    July 27, 2022 - Newspaper/Magazine Article High-reliability organizations (HROs): what they know that we don't (Part I). Citation Text: High-reliability organizations (HROs): what they know that we don't (Part I). ISMP Medication Safety Alert! Acute care edition. July 14, 2005. Copy Citation …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39013/psn-pdf
    October 14, 2009 - Incidents included poor communication and teamwork, particularly with other departments, but medication … errors and diagnostic errors were also noted. 

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39857/psn-pdf
    October 13, 2010 - rate-undesirable-events-beginning-academic-year-retrospective-cohort-study https://psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47721/psn-pdf
    April 24, 2019 - unintended-effects-computerized-physician-order-entry-nearly-hard-stop-alert-prevent-drug https://psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43438/psn-pdf
    February 23, 2018 - safety-i-and-safety-ii-past-and-future-safety-management https://psnet.ahrq.gov/issue/reactive-proactive-safety-approach-analysis-medication-errors-chemotherapy-using-general

  6. Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. | PSNet

    psnet.ahrq.gov/issue/leaders-and-followers-individual-experiences-during-early-phase-simulation-based-team
    January 18, 2011 - September 30, 2011 Developing a process to measure actual harm from medication errors … October 7, 2020 Human-simulation-based learning to prevent medication error: a systematic

  7. "Use as directed" can cause confusion for both patients and practitioners. | PSNet

    psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
    August 24, 2016 - Newspaper/Magazine Article "Use as directed" can cause confusion for both patients and practitioners. Citation Text: "Use as directed" can cause confusion for both patients and practitioners. ISMP Medication Safety Alert! Acute Care Edition. August 25, 2016;21:1-3. Copy Citation …

  8. Improving Patient Safety Using ATHENA-Decision Support System Technology: The Opioid Therapy for Chronic Pain Experience (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Michel_92.pdf
    April 30, 2008 - We relied on a “Less is more” paradigm, focusing first on highlighting risks to prevent medication error

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73953/psn-pdf
    October 27, 2021 - primer/deprescribing-patient-safety-strategy https://psnet.ahrq.gov//#1 https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events … Deprescribing is one intervention that can be applied to reduce the risk for ADEs or medication errors … https://psnet.ahrq.gov/web-mm/pill-organizing-plight https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors

  10. Discharge Planning and Transitions of Care | PSNet

    psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
    June 15, 2024 - October 26, 2022 Review of medication error sources associated with inpatient subcutaneous

  11. Application of electronic health records to The Joint Commission's 2011 National Patient Safety Goals. | PSNet

    psnet.ahrq.gov/issue/application-electronic-health-records-joint-commissions-2011-national-patient-safety-goals
    May 20, 2019 - May 8, 2017 Factors contributing to medication errors made when using computerized order

  12. Evaluating a handheld decision support device in pediatric intensive care settings. | PSNet

    psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings
    January 18, 2023 - January 4, 2010 Lessons learned: basic evidence-based advice for preventing medication … errors in children.

  13. Getting doctors to clean their hands: lead the followers. | PSNet

    psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers
    June 12, 2013 - November 29, 2017 A "back to basics" approach to reduce ED medication errors.

  14. Association between organisational and workplace cultures, and patient outcomes: systematic review. | PSNet

    psnet.ahrq.gov/issue/association-between-organisational-and-workplace-cultures-and-patient-outcomes-systematic
    February 03, 2011 - January 27, 2019 Medication errors and patient complications with continuous renal replacement

  15. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. | PSNet

    psnet.ahrq.gov/issue/communication-techniques-patients-low-health-literacy-survey-physicians-nurses-and
    February 27, 2019 - May 31, 2017 Liquid medication errors and dosing tools: a randomized controlled experiment

  16. Consumer perceptions of safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/consumer-perceptions-safety-hospitals
    June 15, 2011 - October 14, 2020 Interventions to reduce medication errors in adult intensive care: a

  17. Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. | PSNet

    psnet.ahrq.gov/issue/quality-outpatient-clinical-notes-stakeholder-definition-derived-through-qualitative-research
    September 09, 2013 - December 4, 2019 Characteristics associated with postdischarge medication errors.

  18. State-of-the-art usage of simulation in anesthesia: skills and teamwork. | PSNet

    psnet.ahrq.gov/issue/state-art-usage-simulation-anesthesia-skills-and-teamwork
    June 18, 2014 - November 29, 2023 Patient safety in home care: a multicenter cross-sectional study about medication … errors and medication management of nurses.

  19. Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. | PSNet

    psnet.ahrq.gov/issue/opioids-chronic-noncancer-pain-position-paper-american-academy-neurology
    November 19, 2018 - February 1, 2012 Medication errors in acute cardiovascular and stroke patients.

  20. Surgical site signing and "time out": issues of compliance or complacence. | PSNet

    psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
    January 07, 2011 - April 10, 2024 Medicines management, medication errors and adverse medication events
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