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Showing results for "medication errors".
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  1. Risk mitigation in large scale systems: lessons from high reliability organizations. | PSNet

    psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
    January 30, 2019 - December 19, 2009 Perioperative medication errors: uncovering risk from behind the drapes

  2. Obstetric medical emergency teams are a step forward in maternal safety! | PSNet

    psnet.ahrq.gov/issue/obstetric-medical-emergency-teams-are-step-forward-maternal-safety
    November 04, 2020 - November 4, 2020 Prevalence, contributory factors and severity of medication errors associated

  3. The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. | PSNet

    psnet.ahrq.gov/issue/effect-opioid-prescribing-guidelines-prescriptions-emergency-physicians-ohio
    April 24, 2018 - Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication … errors.

  4. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. | PSNet

    psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
    August 23, 2017 - August 23, 2017 Intervention study for the reduction of medication errors in elderly

  5. Simulation to enhance patient safety: why aren't we there yet? | PSNet

    psnet.ahrq.gov/issue/simulation-enhance-patient-safety-why-arent-we-there-yet
    June 17, 2015 - February 28, 2011 Why nurses make medication errors: a simulation study.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46009/psn-pdf
    September 13, 2017 - issue/preventing-falls-and-fall-related-injuries-health-care-facilities https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845301/psn-pdf
    March 01, 2023 - health-outcomes-deprescribing-interventions-among-older-residents-nursing-homes-systematic https://psnet.ahrq.gov/issue/medication-errors-and-processes-reduce-them-care-homes-united-kingdom-scoping-review

  8. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
    December 01, 2004 - Spotlight Case [MONTH] 2003 Spotlight Case December 2004 Discharge Fumbles Source and Credits This presentation is based on the Dec. 2004 AHRQ WebM&M Spotlight Case in Hospital Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Alan Forster, M…

  9. Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study. | PSNet

    psnet.ahrq.gov/issue/evaluation-and-comparison-errors-nursing-notes-created-online-and-offline-speech-recognition
    April 13, 2022 - Study Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study. Citation Text: Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes created by o…

  10. Final Progress Report: Auditory Perception of Drug Names: Neighborhood Effects (pdf file)

    www.ahrq.gov/sites/default/files/2024-03/lambert3-report.pdf
    January 01, 2024 - Key Words: drug name confusion, nomenclature, patient safety, auditory perception, medication errors … One in six medication errors involves name confusion. … An evaluation of the quality of the USP/ISMP Medication Error Reporting Program. … Medication errors. Washington, DC: American Pharmaceutical Association; 1999. 5. … Preventing medication errors. Washington, DC: The National Academies Press; 2007. 6. Davis NM.

  11. Technology, Education and Safety | PSNet

    psnet.ahrq.gov/issue/technology-education-and-safety-2
    December 02, 2020 - WebM&M Cases Syringe Swap During Regional Block: A Case of Medication … Error and Recovery January 31, 2024 Facilitators and barriers to the implementation

  12. As doctors use more devices, potential for distraction grows. | PSNet

    psnet.ahrq.gov/issue/doctors-use-more-devices-potential-distraction-grows
    March 06, 2005 - October 24, 2012 ISMP medication error report analysis.

  13. Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults. | PSNet

    psnet.ahrq.gov/issue/tackling-communication-barriers-between-long-term-care-facility-and-emergency-department
    August 02, 2017 - July 17, 2019 A prospective, multicenter study of pharmacist activities resulting in medication … error interception in the emergency department.

  14. Patient perceptions of mistakes in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
    July 29, 2015 - Study Patient perceptions of mistakes in ambulatory care. Citation Text: Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288. Copy Citation Format: DOI Google …

  15. Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help? | PSNet

    psnet.ahrq.gov/issue/improving-medical-residents-self-assessment-their-diagnostic-accuracy-does-feedback-help
    September 14, 2022 - Study Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help? Citation Text: Kuhn J, van den Berg P, Mamede S, et al. Improving medical residents’ self-assessment of their diagnostic accuracy: does feedback help? Adv Health Sci Edu. 2022;27(1):189-2…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39428/psn-pdf
    April 07, 2010 - failure, resuscitation equipment not available, physical environment, insufficient monitoring, and medication … error. 

  17. Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS) (pdf file)

    www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
    January 01, 2024 - Administrative Screening Form Outcome Assessment Form Human Factors Form Operative Error Form Medication … Error Form Missed/Delayed Diagnosis Form Obstetric Error Form END if no detectable adverse

  18. Medication Error and Near Miss Classification Form | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/medication-error-and-near-miss
    January 01, 2023 - Medication Error and Near Miss Classification Form Description This is a near … Document Source Statewide Implementation of Electronic Health Records PDF Medication … Error and Near Miss Classification Form

  19. Pharmacy Safety and Service—What You Should Expect. | PSNet

    psnet.ahrq.gov/issue/pharmacy-safety-and-service-what-you-should-expect
    November 23, 2016 - November 2, 2014 Preventing Medication Errors: Quality Chasm Series.

  20. World Sepsis Day. | PSNet

    psnet.ahrq.gov/issue/world-sepsis-day
    May 12, 2021 - July 8, 2020 Differences between methods of detecting medication errors: a secondary
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