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Showing results for "medication errors".
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  1. 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

  2. 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.

  3. Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. | PSNet

    psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
    October 27, 2021 - March 24, 2021 Prevalence and nature of medication errors and medication-related harm

  4. Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error, Improve Outcomes, and Reduce Misuse, Overuse, and Underuse of Outpatient Primary Care - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs025374-weiner-final-report-2022.pdf
    January 01, 2022 - Indication-based prescribing prevents wrong-patient medication errors in computerized provider order

  5. Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation. | PSNet

    psnet.ahrq.gov/issue/practicing-medicine-difficult-times-protecting-physicians-malpractice-litigation
    August 03, 2005 - Book/Report Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation. Citation Text: Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation. Thomas MO, Quinn CJ, Donohue GM. Sudbury, MA: Jones Bartlett; 2009. ISBN: 1…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49781/psn-pdf
    January 01, 2017 - data necessary to calculate patient-specific loading doses.(8) Since transitions of care are prone to medication … errors, proper medication reconciliation procedures and handoffs are important strategies to reduce

  7. The AHRQ Health IT Value Grant Initiative: A Programmatic Review of the Peer-Reviewed Literature (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
    June 01, 2010 - errors. … Medication/E-Prescribing Issues E-prescribing has been offered as one means to reduce medication errors … Measurement Factors Three articles address a classification of medication errors, a quantification … Impact of a patient-centered technology on medication errors during pediatric emergency care. … Medication errors in the outpatient setting; Classification and root cause analysis.

  8. Ten ways to improve medication safety in community pharmacies. | PSNet

    psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies
    May 08, 2017 - Commentary Ten ways to improve medication safety in community pharmacies. Citation Text: Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003). 2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018. Copy Citation Format: DOI Google Scho…

  9. A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. | PSNet

    psnet.ahrq.gov/issue/national-survey-assessing-number-records-allowed-open-electronic-health-records-hospitals-and
    May 29, 2019 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … errors.

  10. Implicit bias and patient care: mitigating bias, preventing harm. | PSNet

    psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
    September 22, 2021 - Color coded medication safety system reduces community pediatric emergency nursing medication … errors.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44268/psn-pdf
    November 23, 2016 - diagnostic-errors https://psnet.ahrq.gov/primer/health-care-associated-infections https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44715/psn-pdf
    May 19, 2019 - Cases involving medication errors, diagnostic errors, or treatment complications were almost equally

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836744/psn-pdf
    March 17, 2022 - psnet.ahrq.gov/issue/drug-related-deaths-among-inpatients-meta-analysis https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45756/psn-pdf
    December 21, 2016 - recurrent-wrong-route-drug-error-professional-shame https://psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45881/psn-pdf
    March 15, 2017 - https://psnet.ahrq.gov/issue/ce-nursings-evolving-role-patient-safety https://psnet.ahrq.gov/issue/medication-errors-nursing-experience

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43683/psn-pdf
    April 22, 2015 - randomized-trial-improve-prescribing-safety-ambulatory-elderly-patients https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  17. Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022. | PSNet

    psnet.ahrq.gov/issue/transfusion-related-errors-and-associated-adverse-reactions-and-blood-product-wastage
    September 23, 2020 - Study Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022. Citation Text: Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion‐related errors and associated adve…

  18. Prescription for error: process defects in a community retail pharmacy. | PSNet

    psnet.ahrq.gov/issue/prescription-error-process-defects-community-retail-pharmacy
    October 19, 2022 - Study Prescription for error: process defects in a community retail pharmacy. Citation Text: Witte D, Dundes L. Prescription for Error. J Patient Saf. 2008;3(4). doi:10.1097/pts.0b013e31815a613e. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

  19. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. | PSNet

    psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons
    July 02, 2014 - January 18, 2012 Medication safety initiative in reducing medication errors.

  20. 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.
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