-
digital.ahrq.gov/principal-investigator/ornstein-steven
January 01, 2023 - Ornstein, Steven
Learning From Primary Care EHR Exemplars About Health IT Safety - Final Report
Citation
Ornstein S. Learning From Primary Care EHR Exemplars About Health IT Safety - Final Report. (Prepared by Medical University of South Carolina under Grant No. R21 HS024327).…
-
psnet.ahrq.gov/node/44533/psn-pdf
April 25, 2016 - A medical resident–pharmacist collaboration improves
the rate of medication reconciliation verification at
discharge.
April 25, 2016
Caroff DA, Bittermann T, Leonard CE, et al. A Medical Resident-Pharmacist Collaboration Improves the
Rate of Medication Reconciliation Verification at Discharge. Jt Comm J Qual Patie…
-
psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
November 10, 2011 - WebM&M Cases
Syringe Swap During Regional Block: A Case of Medication … Error and Recovery
January 31, 2024
Patient Safety Primers
-
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
-
psnet.ahrq.gov/node/50927/psn-pdf
February 21, 2020 - Patient Safety in Primary Care
February 21, 2020
Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/patient-safety-primary-care
Introduction
A strong primary care system is foundational to achieving high-quality, accessible, efficient healthcare …
-
psnet.ahrq.gov/web-mm/new-oral-anticoagulants
July 01, 2011 - SPOTLIGHT CASE
New Oral Anticoagulants
Citation Text:
Fang MC. New Oral Anticoagulants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote …
-
psnet.ahrq.gov/node/60848/psn-pdf
January 01, 2022 - adverse-events-related-accidental-unintentional-ingestions-cough-and-cold-medications
https://psnet.ahrq.gov/issue/medication-errors-over-counter-cough-and-cold-medications-children
-
psnet.ahrq.gov/node/45500/psn-pdf
September 28, 2016 - use-beers-criteria-predict-adverse-drug-reactions-among-first-visit-elderly-outpatients
https://psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients
-
psnet.ahrq.gov/node/838633/psn-pdf
October 19, 2022 - perspective/role-community-pharmacists-patient-safety
https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals
-
psnet.ahrq.gov/node/45290/psn-pdf
July 27, 2016 - interventions-address-potentially-inappropriate-prescribing-community-dwelling-older-adults
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
-
psnet.ahrq.gov/node/46690/psn-pdf
December 20, 2017 - psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors
https://psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative
-
psnet.ahrq.gov/node/47844/psn-pdf
March 06, 2019 - pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
-
psnet.ahrq.gov/node/72656/psn-pdf
January 20, 2021 - indications that are not approved by the Food and Drug Administration (FDA)
is common but poses a risk for medication … errors.
-
psnet.ahrq.gov/node/60637/psn-pdf
July 01, 2020 - impact-pharmacist-administered-deprescribing-intervention-nursing-home-
residents-randomized
Polypharmacy is one risk factor for medication … errors in older adults.
-
www.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
December 29, 2022 - associated
Received September 8, 2022
Accepted December 29, 2022
with a significant increase in medication … errors.2 Prior re-
search has found individuals fail to return to the original task
13–18% of the time
-
www.ahrq.gov/sites/default/files/2024-01/grahamlear-report.pdf
January 01, 2024 - administration practices of school nurses and found that 314 (48.5%) of the
respondents “report that a medication … error occurred in the past year in their school(s),”
with the most frequent error being missed doses … For example, although
medical errors, particularly medication errors, have been recognized as a potential
-
psnet.ahrq.gov/issue/performance-evaluation-chatgpt-detecting-diagnostic-errors-and-their-contributing-factors
September 13, 2023 - February 3, 2021
Reduction of medication errors related to sliding scale insulin by the
-
digital.ahrq.gov/ahrq-funded-projects/cancelrx-health-it-tool-decrease-medication-discrepancies-outpatient-setting
January 01, 2023 - Physician
Type of Care
Ambulatory Care
Health Care Theme
Adverse Events
Medication … Errors
Medication Safety
While the implementation and enhancement of digital healthcare
-
psnet.ahrq.gov/node/837506/psn-pdf
June 22, 2022 - Reducing pediatric emergency department prescription
errors.
June 22, 2022
Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors.
Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696.
https://psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-…
-
psnet.ahrq.gov/issue/patient-participation-current-knowledge-and-applicability-patient-safety
February 01, 2011 - been integrated into clinical decision-making, discusses examples of patient involvement in reducing medication … errors and encouraging hand hygiene, and proposes a framework for including patients in safety efforts … September 25, 2019
ISMP medication error report analysis.