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Showing results for "medication errors".
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  1. Children and the opioid epidemic: age-stratified exposures and harms. | PSNet

    psnet.ahrq.gov/issue/children-and-opioid-epidemic-age-stratified-exposures-and-harms
    February 13, 2019 - September 1, 2021 Do No Harm: Are We Preventing Medication Errors in Children with Medical

  2. Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions. | PSNet

    psnet.ahrq.gov/issue/evaluation-older-persons-medications-critical-incident-technique-study-exploring-healthcare
    July 14, 2021 - Associations of person-related, environment-related and communication-related factors on medication … errors in public and private hospitals: a retrospective clinical audit.

  3. Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events. | PSNet

    psnet.ahrq.gov/issue/out-sight-out-mind-prospective-observational-study-estimate-duration-hawthorne-effect-hand
    September 09, 2020 - August 26, 2020 Differences between methods of detecting medication errors: a secondary

  4. Stress on the ward: evidence of safety tipping points in hospitals. | PSNet

    psnet.ahrq.gov/issue/stress-ward-evidence-safety-tipping-points-hospitals
    November 13, 2024 - Download Citation Related Resources From the Same Author(s) Detecting clinical medication … errors with AI enabled wearable cameras.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49447/psn-pdf
    June 01, 2004 - Dangerous Dapsone June 1, 2004 Bookwalter T. Dangerous Dapsone. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/dangerous-dapsone The Case A 78-year-old woman with newly diagnosed multiple myeloma on corticosteroids presented to the emergency department with dyspnea. Upon admission, she was found to be hypo…

  6. 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.

  7. 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.

  8. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet

    psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
    August 01, 2012 - and the hospital are very common in this patient population and add further to increasing the risk of medication … errors and preventable adverse drug events. … 28, 2021 Multicomponent pharmacist intervention did not reduce clinically important medication … errors for ambulatory patients initiating direct oral anticoagulants. … September 2, 2015 Patterns in nursing home medication errors: disproportionality analysis

  9. Systematic approaches to adverse events in obstetrics, Part 1 & Part 2. | PSNet

    psnet.ahrq.gov/issue/systematic-approaches-adverse-events-obstetrics-part-1-part-2
    May 18, 2022 - 19, 2017 Shaping systems for better behavioral choices: lessons learned from a fatal medication … error.

  10. Silence Kills: The Seven Crucial Conversations for Healthcare. | PSNet

    psnet.ahrq.gov/issue/silence-kills-seven-crucial-conversations-healthcare
    July 09, 2012 - February 15, 2011 Impact of a statewide reporting system on medication error reduction

  11. Medical Residents and Burnout | PSNet

    psnet.ahrq.gov/issue/medical-residents-and-burnout
    June 01, 2022 - July 3, 2014 Economic impact of medication error: a systematic review.

  12. Medical overuse as a physician cognitive error: looking under the hood. | PSNet

    psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
    September 25, 2019 - overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication … error-reporting program.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49435/psn-pdf
    February 01, 2004 - implementation of bar code medication administration at Veterans hospitals was designed to reduce medication … errors.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37707/psn-pdf
    March 02, 2011 - Bar-coding surgical sponges to improve safety: a randomized controlled trial.   March 2, 2011 Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5. https://psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safe…

  15. The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. | PSNet

    psnet.ahrq.gov/issue/texas-health-presbyterian-hospital-ebola-crisis-perfect-storm-human-errors-system-failures
    February 23, 2018 - April 1, 2024 Prevalence and Economic Burden of Medication Errors in the NHS England.

  16. Medication Management | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage-slides.html
    May 01, 2017 - Medication Management Patient and Family Engagement in Primary Care Slide 1: Medication Management AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Slide 2: Speaker Kelly Smith, PhD Scientific Director, Quality & Safety Co-PI, AHRQ Guide to Improve …

  17. Studying organisational cultures and their effects on safety. | PSNet

    psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
    April 20, 2014 - March 3, 2011 The effect of the fit between organizational culture and structure on medication … errors in medical group practices.

  18. Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-1
    September 21, 2022 - October 5, 2011 Medication errors—new approaches to prevention.

  19. Patient safety tools for primary care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-tools-primary-care
    May 17, 2023 - November 6, 2013 Simple strategies to avoid medication errors.

  20. A tragic death: a time to blame or a time to learn? | PSNet

    psnet.ahrq.gov/issue/tragic-death-time-blame-or-time-learn
    March 23, 2011 - June 23, 2015 Facilitated self-reported anaesthetic medication errors before and after
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