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Showing results for "medication errors".
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  1. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. | PSNet

    psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac
    June 01, 2022 - May 16, 2022 ISMP medication error report analysis.

  2. Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis. | PSNet

    psnet.ahrq.gov/issue/association-between-concurrent-use-prescription-opioids-and-benzodiazepines-and-overdose
    November 16, 2022 - April 19, 2023 ISMP medication error report analysis.

  3. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? | PSNet

    psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything
    November 03, 2021 - March 4, 2015 Field test results of a new ambulatory care Medication Error and Adverse

  4. 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…

  5. Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution. | PSNet

    psnet.ahrq.gov/issue/evaluation-implementation-alert-issued-uk-national-patient-safety-agency-storage-and-handling
    September 04, 2013 - June 13, 2011 View More Related Resources ISMP medication error … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

  6. The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/association-between-prolonged-stay-emergency-department-and-adverse-events-older-patients
    March 13, 2015 - A past AHRQ WebM&M commentary discussed a near miss medication error in a busy ED. … January 19, 2011 ED overcrowding is associated with an increased frequency of medication … errors.

  7. Educating medical trainees on medication reconciliation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review
    October 16, 2019 - Review Educating medical trainees on medication reconciliation: a systematic review. Citation Text: Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. Copy C…

  8. Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues. | PSNet

    psnet.ahrq.gov/issue/physicians-perceptions-preparedness-reporting-and-experiences-related-impaired-and
    February 10, 2015 - Improving Diagnostic Safety and Quality April 26, 2023 ISMP medication … error report analysis.

  9. Using human factors methods to mitigate bias in artificial intelligence-based clinical decision support. | PSNet

    psnet.ahrq.gov/issue/using-human-factors-methods-mitigate-bias-artificial-intelligence-based-clinical-decision
    July 10, 2019 - July 16, 2019 ISMP medication error report analysis.

  10. Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. | PSNet

    psnet.ahrq.gov/issue/use-safety-climate-questionnaire-uk-health-care-factor-structure-reliability-and-usability
    June 15, 2011 - A prospective hazard and improvement analytic approach to predicting the effectiveness of medication … error interventions.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836997/psn-pdf
    April 27, 2022 - https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  12. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil2.html
    April 01, 2018 - Institute of Medicine, Preventing Medication Errors, Quality Chasm Series .

  13. Challenges with requiring five characters during ADC drug searches via override. | PSNet

    psnet.ahrq.gov/issue/challenges-requiring-five-characters-during-adc-drug-searches-override
    October 20, 2021 - Newspaper/Magazine Article Challenges with requiring five characters during ADC drug searches via override. Citation Text: Challenges with requiring five characters during ADC drug searches via override. ISMP Medication Safety Alert! Acute care edition. October 21, 2021;26(21):1-3. Cop…

  14. Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/unintended-discontinuation-medication-following-hospitalisation-retrospective-cohort-study
    September 05, 2018 - September 28, 2016 Potential costs and consequences associated with medication error

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60611/psn-pdf
    June 24, 2020 - periods represent critical points at which patients are placed at higher risk of adverse events due to medication … errors, with over half of all hospital medication errors occurring at discharge or transfer to the

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41822/psn-pdf
    November 07, 2012 - case-adverse-drug-reaction-induced-dispensing-error https://psnet.ahrq.gov/issue/physician-patient-communication-failure-facilitates-medication-errors-older-polymedicated

  17. Ability of practitioners to identify solid oral dosage tablets. | PSNet

    psnet.ahrq.gov/issue/ability-practitioners-identify-solid-oral-dosage-tablets
    January 02, 2017 - March 29, 2023 View More Related Resources ISMP medication error

  18. Nurses' experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities. | PSNet

    psnet.ahrq.gov/issue/nurses-experience-presenteeism-and-potential-consequences-patient-safety-qualitative-study
    October 20, 2021 - May 20, 2015 Medication errors from over-the-counter cough and cold medications in children … June 12, 2024 Examining the relationship between nurse fatigue, alertness, and medication … errors.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40842/psn-pdf
    September 24, 2016 - A case of an interruption leading to a medication error is discussed in this AHRQ WebM&M commentary.

  20. 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
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