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Showing results for "medication errors".
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  1. Mistakes We Make in Dialysis. | PSNet

    psnet.ahrq.gov/issue/mistakes-we-make-dialysis
    April 04, 2018 - November 18, 2011 Prevalence and Economic Burden of Medication Errors in the NHS England

  2. The STEP-up programme: engaging all staff in patient safety. | PSNet

    psnet.ahrq.gov/issue/step-programme-engaging-all-staff-patient-safety
    April 02, 2014 - April 2, 2014 Medication errors: the year in review.

  3. Digital Health and Patient Safety. | PSNet

    psnet.ahrq.gov/issue/digital-health-and-patient-safety-technology-not-magic-wand
    July 22, 2020 - October 6, 2021 Medication errors.

  4. Ensuring patient safety in wireless medical device networks. | PSNet

    psnet.ahrq.gov/issue/ensuring-patient-safety-wireless-medical-device-networks
    May 03, 2006 - June 16, 2010 Medication errors: the year in review.

  5. Exploring Patient Engagement in Reducing Health-Care-Related Safety Risks. | PSNet

    psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks
    June 24, 2015 - May 1, 2013 Prescription for Improving Patient Safety: Addressing Medication Errors.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44648/psn-pdf
    February 14, 2017 - rising-drug-allergy-alert-overrides-electronic-health-records-observational-retrospective https://psnet.ahrq.gov/primer/alert-fatigue https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41370/psn-pdf
    September 01, 2016 - are being applied widely in patient safety, most frequently to provide alerts intended to prevent medication … errors.

  8. 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…

  9. The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! | PSNet

    psnet.ahrq.gov/issue/dirty-dozen-12-persistent-safety-gaffes-we-need-resolve
    November 05, 2014 - Newspaper/Magazine Article The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! Citation Text: The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5. Copy Citation …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37981/psn-pdf
    June 16, 2011 - An AHRQ WebM&M commentary discusses a case where a nurse was discouraged from reporting a medication … error.

  11. Teaching but not learning: how medical residency programs handle errors. | PSNet

    psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-programs-handle-errors
    December 18, 2008 - Study Teaching but not learning: how medical residency programs handle errors. Citation Text: Hoff T, Pohl H, Bartfield J. Teaching but not learning: how medical residency programs handle errors. J Organ Behav. 2006;27(7). doi:10.1002/job.395. Copy Citation Format: DOI Go…

  12. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. | PSNet

    psnet.ahrq.gov/issue/cancelrx-health-it-tool-reduce-medication-discrepancies-outpatient-setting
    March 23, 2022 - October 5, 2022 How effective are electronic medication systems in reducing medication … error rates and associated harm among hospital inpatients?

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842415/psn-pdf
    January 11, 2023 - Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. January 11, 2023 Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097/pts.0000000000001061. https://…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60600/psn-pdf
    June 17, 2020 - Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study. June 17, 2020 Lampert A, Haefeli WE, Seidling HM. Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qu…

  15. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. | PSNet

    psnet.ahrq.gov/issue/implementation-and-sustainability-medication-reconciliation-toolkit-mixed-methods-evaluation
    May 19, 2021 - Study Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Citation Text: Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Ph…

  16. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
    December 01, 2017 - breakdowns are a significant, if not leading, cause of many undesirable outcomes, including sentinel events, medication … errors, delays in treatment, ventilator events, and healthcare-associated infections. … you would not want to happen again—an unsafe condition, a patient fall, a venous thromboembolism, a medication … error, a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from

  17. A multiple-drawer medication layout problem in automated dispensing cabinets. | PSNet

    psnet.ahrq.gov/issue/multiple-drawer-medication-layout-problem-automated-dispensing-cabinets
    December 21, 2017 - Study A multiple-drawer medication layout problem in automated dispensing cabinets. Citation Text: Pazour JA, Meller RD. A multiple-drawer medication layout problem in automated dispensing cabinets. Health Care Manag Sci. 2012;15(4). doi:10.1007/s10729-012-9197-8. Copy Citation Fo…

  18. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. | PSNet

    psnet.ahrq.gov/issue/ensuring-medication-safety-consumers-ethnic-minority-backgrounds-need-address-unconscious
    July 29, 2020 - Commentary Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. Citation Text: Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscio…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49490/psn-pdf
    September 01, 2005 - Insights from the sharp end of intravenous medication errors: implications for infusion pump technology … Causes of intravenous medication errors: an ethnographic study.

  20. The robot will see you now. | PSNet

    psnet.ahrq.gov/issue/robot-will-see-you-now
    June 02, 2010 - June 14, 2011 Use of dimensional analysis to reduce medication errors.
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