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8441. 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

8442. CancelRx: A Health IT Tool to Decrease Medication Discrepancies in the Outpatient Setting | Digital Healthcare Research
      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

8443. Radio frequency identification applications in hospital environments. | PSNet
      psnet.ahrq.gov/issue/radio-frequency-identification-applications-hospital-environments
      March 24, 2021 - A prospective hazard and improvement analytic approach to predicting the effectiveness of medication … error interventions.

8444. Patient participation: current knowledge and applicability to patient safety. | PSNet
      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.

8445. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
      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

8446. Final Progress Report: Improving Quality in Medication Management in Schools (pdf file)
      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

8447. 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…

8448. Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. | PSNet
      psnet.ahrq.gov/issue/who-gets-benefit-doubt-performance-evaluations-medical-errors-and-production-gender
      May 01, 2012 - Study Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. Citation Text: Brewer A, Osborne M, Mueller AS, et al. Who Gets the Benefit of the Doubt? Performance Evaluations, Medical Errors, an…

8449. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867595/psn-pdf
      January 22, 2025 - Resilience in nursing medication administration practice: a systematic review with narrative synthesis. January 22, 2025 Kellett PLR, Franklin BD, Pearce S, et al. Resilience in nursing medication administration practice: a systematic review with narrative synthesis. BMJ Open Qual. 2024;13(4):e002711. doi:10.1136/b…

8450. Alarm management: first things first: using reliable data to eliminate unnecessary alarms. | PSNet
      psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-alarms
      July 29, 2009 - September 28, 2016 Preventing high-alert medication errors in hospital patients.

8451. Enteral Nutrition Safety Toolkit. | PSNet
      psnet.ahrq.gov/issue/enteral-nutrition-safety-toolkit
      February 01, 2023 - 2020 Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication … Errors: Guidance for Industry.

8452. That’s the way we do things around here! | PSNet
      psnet.ahrq.gov/issue/thats-way-we-do-things-around-here
      June 10, 2018 - Copy Citation Related Resources From the Same Author(s) Preventing medication … errors during codes.

8453. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47127/psn-pdf
      June 05, 2018 - Incorporating medication indications into the prescribing process. June 5, 2018 Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.2146/ajhp170346. https://psnet.ahrq.gov/issue/incorporating-medication-indications-…

8454. Identifying psychiatric diagnostic errors with the Safer Dx Instrument. | PSNet
      psnet.ahrq.gov/issue/identifying-psychiatric-diagnostic-errors-safer-dx-instrument
      October 12, 2022 - September 28, 2022 Hospital medication errors: a cross sectional study.

8455. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37819/psn-pdf
      April 14, 2010 - Standardizing Medication Labels: Confusing Patients Less, Workshop Summary. April 14, 2010 Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; 2008. https://psnet.ahrq.gov/issue/standardizing-medica…

8456. Managing the patient identification crisis in healthcare and laboratory medicine. | PSNet
      psnet.ahrq.gov/issue/managing-patient-identification-crisis-healthcare-and-laboratory-medicine
      April 22, 2009 - November 17, 2021 ISMP medication error report analysis.

8457. ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. | PSNet
      psnet.ahrq.gov/issue/ed-revamp-team-approach-care-reduces-errors-boosts-patient-and-clinician-satisfaction
      June 14, 2023 - May 22, 2019 Preventing medication errors during codes.

8458. To reduce risks, hospitals enlist 'proceduralists.' | PSNet
      psnet.ahrq.gov/issue/reduce-risks-hospitals-enlist-proceduralists
      August 17, 2016 - May 22, 2019 Preventing medication errors during codes.

8459. Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care. | PSNet
      psnet.ahrq.gov/issue/impact-medication-reviews-potentially-inappropriate-medications-and-associated-costs-among
      April 07, 2021 - June 17, 2020 Medication errors in community pharmacies: the need for commitment, transparency

8460. Our long journey towards a safety-minded just culture. Part II: where we're going. | PSNet
      psnet.ahrq.gov/issue/our-long-journey-towards-safety-minded-just-culture-part-ii-where-were-going
      June 05, 2018 - Newspaper/Magazine Article Our long journey towards a safety-minded just culture. Part II: where we're going. Citation Text: Our long journey towards a safety-minded just culture. Part II: where we're going. ISMP Medication Safety Alert! Acute Care Edition. September 21, 2006;11:1-2. C…