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Showing results for "medication errors".
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  1. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. | PSNet

    psnet.ahrq.gov/innovation/improving-formal-incivility-reporting-ambulatory-oncology-implementing-civic-duty
    March 14, 2022 - EMERGING INNOVATIONS Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Citation Text: Gordon JN. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. Clin J Oncol Nurs. 2023;27(6):602-606. doi:10.1188/23…

  2. The role of cognitive bias in breast radiology diagnostic and judgment errors. | PSNet

    psnet.ahrq.gov/issue/role-cognitive-bias-breast-radiology-diagnostic-and-judgment-errors
    April 24, 2018 - Commentary The role of cognitive bias in breast radiology diagnostic and judgment errors. Citation Text: Loving VA, Valencia EM, Patel B, et al. The role of cognitive bias in breast radiology diagnostic and judgment errors. J Breast Imag. 2020. doi:10.1093/jbi/wbaa023. Copy Citation …

  3. Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. | PSNet

    psnet.ahrq.gov/issue/application-surgical-safety-standards-robotic-surgery-five-principles-ethics-nonmaleficence
    October 19, 2022 - Review Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. Citation Text: Larson JA, Johnson MH, Bhayani SB. Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. J Am Coll Surg. …

  4. No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS. | PSNet

    psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
    December 21, 2017 - Newspaper/Magazine Article No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS. Citation Text: Rajasekaran K, Fairbanks RJ, Shah M. No more blame & shame. Developing event-reporting systems may go a long way to reducing patie…

  5. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. | PSNet

    psnet.ahrq.gov/issue/hardwiring-patient-blood-management-harnessing-information-technology-optimize-transfusion
    September 20, 2012 - Review Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Citation Text: Dunbar NM, Szczepiorkowski ZM. Hardwiring patient blood management: harnessing information technology to optimize transfusion practice. Curr Opin Hematol. 2014;2…

  6. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. | PSNet

    psnet.ahrq.gov/issue/comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis
    March 30, 2022 - Study Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Citation Text: Abdel-Rahman SM, Jacobsen R, Watts JL, et al. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. Pediatr Emerg Care. 201…

  7. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. | PSNet

    psnet.ahrq.gov/issue/impact-clinical-decision-support-system-high-alert-medications-prevention-prescription-errors
    May 10, 2017 - This before-and-after study found that clinical decision support reduced medication errors (greater

  8. Patient-physician racial and ethnic concordance and perceived medical errors. | PSNet

    psnet.ahrq.gov/issue/patient-physician-racial-and-ethnic-concordance-and-perceived-medical-errors
    July 27, 2022 - July 24, 2019 ISMP medication error report analysis.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35957/psn-pdf
    August 02, 2010 - A practical approach to measure the quality of handwritten medication orders: a tool for improvement. August 2, 2010 Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000205738.45580.5a. https://ps…

  10. Inside Canada's secret world of medical error: 'There is a lot of lying, there's a lot of cover-up.' | PSNet

    psnet.ahrq.gov/issue/inside-canadas-secret-world-medical-error-there-lot-lying-theres-lot-cover
    September 23, 2009 - December 18, 2013 Scanning out medication errors: Ohio Valley Hospital's automated IV

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44298/psn-pdf
    July 08, 2015 - Preparing challenging medications for barcode scanning. July 8, 2015 Waxlax TJ. Preparing challenging medications for barcode scanning. Am J Health Syst Pharm. 2015;72(13):1089-90. doi:10.2146/ajhp140454. https://psnet.ahrq.gov/issue/preparing-challenging-medications-barcode-scanning Barcode scanning can reduce me…

  12. A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? | PSNet

    psnet.ahrq.gov/issue/realist-synthesis-pharmacist-conducted-medication-reviews-primary-care-after-leaving-hospital
    December 16, 2020 - Review A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: what works for whom and why? Citation Text: Luetsch K, Rowett D, Twigg MJ. A realist synthesis of pharmacist-conducted medication reviews in primary care after leaving hospital: …

  13. Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study. | PSNet

    psnet.ahrq.gov/issue/polypharmacy-and-potentially-inappropriate-medication-people-dementia-nationwide-study
    March 06, 2012 - Study Emerging Classic Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study. Citation Text: Kristensen RU, Nørgaard A, Jensen-Dahm C, et al. Polypharmacy and Potentially Inappropriate Medication in People with Dementi…

  14. CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. | PSNet

    psnet.ahrq.gov/issue/cdc-grand-rounds-preventing-unsafe-injection-practices-us-health-care-system
    February 27, 2019 - June 27, 2022 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … January 21, 2015 ISMP medication error report analysis.

  15. Costs and Benefits of Health Information Technology. | PSNet

    psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology
    July 27, 2018 - They conclude that HIT may reduce pediatric medication errors, have the potential to improve safety and

  16. The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
    May 20, 2020 - Study The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. Citation Text: Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patie…

  17. Preventing communication errors in telephone medicine. | PSNet

    psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine
    December 01, 2004 - Commentary Preventing communication errors in telephone medicine. Citation Text: Reisman AB, Brown KE. Preventing communication errors in telephone medicine. J Gen Intern Med. 2005;20(10):959-63. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  18. Fatal errors in nitrous oxide delivery. | PSNet

    psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery
    March 02, 2011 - Review Fatal errors in nitrous oxide delivery. Citation Text: Herff H, Paal P, Von Goedecke A, et al. Fatal errors in nitrous oxide delivery. Anaesthesia. 2007;62(12):1202-1206. doi:10.1111/j.1365-2044.2007.05193.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

  19. What if the doctor is wrong? | PSNet

    psnet.ahrq.gov/issue/what-if-doctor-wrong
    August 17, 2016 - September 11, 2024 Preventable harm because of outpatient medication errors among children

  20. MGH halts a pediatric program: Heart surgeries on hold after errors. | PSNet

    psnet.ahrq.gov/issue/mgh-halts-pediatric-program-heart-surgeries-hold-after-errors
    August 24, 2016 - August 24, 2016 Report faults Children's Hospital for medication errors.
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