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Showing results for "medication errors".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60559/psn-pdf
    June 03, 2020 - errors-omission-missed-nursing-care https://psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during

  2. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units-11
    January 01, 2023 - Factors contributing to an increase in duplicate medication order errors after CPOE implementation. Citation Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc 2011; 18(6): 774-82. …

  3. 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…

  4. Ornstein, Steven | Digital Healthcare Research

    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).…

  5. 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: …

  6. Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
    January 01, 2004 - These constructs included communication from another office, mistimed procedures, medication errors … Taxonomies designed to evaluate specific domains of errors, such as the National Coordinating Council for Medication … Error Reporting and Prevention,1 may apply across care settings, but are designed to specifically describe … National Coordinating Council for Medication Error Reporting and Prevention. … NCC MERP taxonomy of medication errors. http://www.nccmerp.org/pdf/taxo2001-07-31.pdf.

  7. Loud wake-up call: unlabeled containers lead to patient’s death. | PSNet

    psnet.ahrq.gov/issue/loud-wake-call-unlabeled-containers-lead-patients-death
    April 25, 2018 - Newspaper/Magazine Article Loud wake-up call: unlabeled containers lead to patient’s death. Citation Text: Loud wake-up call: unlabeled containers lead to patient’s death. ISMP Medication Safety Alert! Acute care edition. December 2, 2004. Copy Citation Save Save …

  8. 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…

  9. Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-safety-alert-fatigue-may-be-reduced-interaction-design-and-clinical-role-tailoring
    December 31, 2014 - February 18, 2019 Medication errors with pediatric liquid acetaminophen after standardization

  10. Assessing reasons for decreased primary care access for individuals on prescribed opioids: an audit study. | PSNet

    psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study
    November 17, 2021 - September 11, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

  11. CMS: your mistake, your problem. | PSNet

    psnet.ahrq.gov/issue/cms-your-mistake-your-problem
    November 16, 2022 - May 31, 2023 Do No Harm: Are We Preventing Medication Errors in Children with Medical

  12. The importance of cognitive errors in diagnosis and strategies to minimize them. | PSNet

    psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
    September 18, 2024 - July 31, 2013 Profiles in patient safety: medication errors in the emergency department

  13. Classification and detection of errors in minimally invasive surgery. | PSNet

    psnet.ahrq.gov/issue/classification-and-detection-errors-minimally-invasive-surgery
    June 17, 2014 - April 24, 2018 Determining medication errors in an adult intensive care unit.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41627/psn-pdf
    August 29, 2012 - The nurse's medication day. August 29, 2012 Jennings BM, Sandelowski M, Mark BA. The nurse's medication day. Qual Health Res. 2011;21(10):1441- 51. doi:10.1177/1049732311411927. https://psnet.ahrq.gov/issue/nurses-medication-day This ethnographic study describes the complexity of medication administration and comp…

  15. Beyond the prescription: medication monitoring and adverse drug events in older adults. | PSNet

    psnet.ahrq.gov/issue/beyond-prescription-medication-monitoring-and-adverse-drug-events-older-adults
    August 04, 2021 - August 28, 2019 ISMP medication error report analysis.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867652/psn-pdf
    February 26, 2025 - For example, if a medication error occurs, healthcare organizations can complete a root cause analysis … This technique allows teams to examine patterns across multiple events within a category (such as medication … errors or patient falls) rather than focusing on individual incidents alone.5 Additionally, RCA2 encourages

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43869/psn-pdf
    November 03, 2015 - health-it-patient-safety-action-and-surveillance-plan https://psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors

  18. U.S. to delete data on life-threatening mistakes from website. | PSNet

    psnet.ahrq.gov/issue/us-delete-data-life-threatening-mistakes-website
    July 14, 2010 - June 22, 2016 Analysis of Australian newspaper coverage of medication errors.

  19. Without an 'ounce of empathy': their stories show the dangers of being Black and pregnant. | PSNet

    psnet.ahrq.gov/issue/without-ounce-empathy-their-stories-show-dangers-being-black-and-pregnant
    September 22, 2021 - October 4, 2023 Sick children face potentially deadly danger: medication errors.

  20. Dennis Quaid files suit over drug mishap. | PSNet

    psnet.ahrq.gov/issue/dennis-quaid-files-suit-over-drug-mishap
    September 20, 2023 - More See More About The Topic General Public Neonatology and Intensive Care Medication … Errors/Preventable Adverse Drug Events Anticoagulants Cognitive Errors ("Mistakes") View
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