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Showing results for "medication errors".
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  1. Hold the tPA | PSNet

    psnet.ahrq.gov/web-mm/hold-tpa
    July 29, 2020 - Unfortunately, the incidence of medication errors in EDs has been estimated to be 12.6% of elderly patients … Prospective observational study on the incidence of medication errors during simulated resuscitation

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840142/psn-pdf
    November 16, 2022 - The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. November 16, 2022 Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Age Ageing. 2022…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60842/psn-pdf
    August 26, 2020 - Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. August 26, 2020 Daliri S, Bouhnouf M, van de Meerendonk HWPC, et al. Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Res Social Adm Pharm. 2020;17(4):677-684. doi:10.1016/j.saphar…

  4. Safe Medication Administration: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-fac-guide.html
    July 01, 2023 - Safe Medication Administration: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Safe Medication Administration Say: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and delivery (L&D) units, and discusses the importance of …

  5. A practical tool to learn from defects in patient care. | PSNet

    psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care
    September 28, 2010 - May 24, 2012 View More Related Resources ISMP medication error

  6. The art of apology: when and how to seek forgiveness. | PSNet

    psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness
    May 17, 2023 - October 19, 2022 ISMP medication error report analysis.

  7. One Bronchoscopy, Two Errors | PSNet

    psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
    December 09, 2020 - One Bronchoscopy, Two Errors Citation Text: Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

  8. Workarounds in the use of IS in healthcare: a case study of an electronic medication administration system. | PSNet

    psnet.ahrq.gov/issue/workarounds-use-healthcare-case-study-electronic-medication-administration-system
    June 29, 2011 - January 15, 2014 Telemedicine consultations and medication errors in rural emergency

  9. Reconciling medications at admission: safe practice recommendations and implementation strategies. | PSNet

    psnet.ahrq.gov/issue/reconciling-medications-admission-safe-practice-recommendations-and-implementation-strategies
    January 02, 2017 - April 29, 2018 Reconciliation failures lead to medication errors.

  10. SAFE CARE Patient Safety Education Program. | PSNet

    psnet.ahrq.gov/issue/safe-care-patient-safety-education-program
    May 13, 2021 - resources, including posters and videos with information on hand hygiene, infection prevention, and medication … errors.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45400/psn-pdf
    August 10, 2016 - ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. August 10, 2016 ISMP Medication Safety Alert! Acute Care Edition. July 28, 2016;21:1-6. https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors- associated-a…

  12. Missing clinical information during primary care visits. | PSNet

    psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits
    March 28, 2011 - September 27, 2010 Field test results of a new ambulatory care Medication Error and Adverse … Improving Diagnostic Safety and Quality April 26, 2023 ISMP medication … error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

  13. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
    May 06, 2008 - This group routinely analyzes the types of medication errors that have occurred, the phases in the administration … In addition to the work related to medication errors, PEERs data also have been used to add urgency … In: Cohen MR, ed, Medication errors.

  14. Wrong-patient orders in obstetrics. | PSNet

    psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics
    September 23, 2020 - Medication errors were the largest source of order errors and commonly involved antibiotics and opioid

  15. Disclosing adverse events: you said it, now write it. | PSNet

    psnet.ahrq.gov/issue/disclosing-adverse-events-you-said-it-now-write-it
    July 14, 2010 - Commentary Disclosing adverse events: you said it, now write it. Citation Text: Monson MS. Disclosing adverse events: you said it, now write it. Nurs Manage. 2006;37(8):16-7, 55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  16. Prescription drug overload: critics fighting to curb an epidemic of medication side effects. | PSNet

    psnet.ahrq.gov/issue/prescription-drug-overload-critics-fighting-curb-epidemic-medication-side-effects
    January 24, 2024 - March 24, 2016 Report faults Children's Hospital for medication errors.

  17. Unverified patient-reported error: a false alarm can have real consequences. | PSNet

    psnet.ahrq.gov/issue/unverified-patient-reported-error-false-alarm-can-have-real-consequences
    June 05, 2018 - Chemotherapy in home care: one team's performance improvement journey toward reducing medication … errors.

  18. Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. | PSNet

    psnet.ahrq.gov/issue/changes-prescription-and-over-counter-medication-and-dietary-supplement-use-among-older
    May 06, 2020 - Study Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. Citation Text: Qato DM, Wilder J, Schumm P, et al. Changes in Prescription and Over-the-Counter Medication and Dietary Supplement Use Among Olde…

  19. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
    January 01, 2024 - Investigator: Hall, Kendall K. 7P20HS017111-02 Aim 3 – Healthcare Failure Mode and Effect Analysis (HFMEATM) Medication … errors are among the most frequent medical errors identified in healthcare and have the potential to

  20. Meaningful use's benefits and burdens for US family physicians. | PSNet

    psnet.ahrq.gov/issue/meaningful-uses-benefits-and-burdens-us-family-physicians
    November 30, 2011 - Study Meaningful use's benefits and burdens for US family physicians. Citation Text: Holman T, Waldren SE, Beasley JW, et al. Meaningful use's benefits and burdens for US family physicians. J Am Med Inform Assoc. 2018;25(6):694-701. doi:10.1093/jamia/ocx158. Copy Citation Format: …
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