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

    psnet.ahrq.gov/node/49572/psn-pdf
    October 01, 2008 - Medication errors in the neonatal intensive care unit: special patients, unique issues.

  2. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
    April 14, 2008 - error might be a component), direct contact reports (MedWatch),12 reports from the U.S. … Pharmacopeia (USP) and the Institute for Safe Medication Practices (ISMP) USP-ISMP Medication Errors … Preventing medication errors: Quality chasm series. … Committee on Identifying and Preventing Medication Errors. … Medication error reporting systems. In: Medication errors. 2nd ed.

  3. Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. | PSNet

    psnet.ahrq.gov/issue/hospitalisation-medication-misadventures-among-older-adults-and-without-dementia-5-year
    August 18, 2021 - June 28, 2017 Medicines management, medication errors and adverse medication events in

  4. A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. | PSNet

    psnet.ahrq.gov/issue/qualitative-analysis-outpatient-medication-use-community-settings-observed-safety
    October 26, 2022 - November 2, 2011 Out-of-hospital medication errors: a 6-year analysis of the national

  5. 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.

  6. 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

  7. 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.

  8. 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.

  9. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. | PSNet

    psnet.ahrq.gov/issue/systematic-workup-transfusion-reactions-reveals-passive-co-reporting-handling-errors
    December 21, 2016 - September 24, 2016 Descriptive analysis on disproportionate medication errors and associated

  10. Disclosing medical errors to patients: attitudes and practices of physicians and trainees. | PSNet

    psnet.ahrq.gov/issue/disclosing-medical-errors-patients-attitudes-and-practices-physicians-and-trainees
    February 15, 2011 - August 30, 2011 Pharmacy student knowledge and communication of medication errors.

  11. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/match/intro.html
    July 01, 2022 - Medication reconciliation is a process to decrease medication errors and patient harm in the following

  12. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/intro.html
    July 01, 2022 - Medication reconciliation is a process to decrease medication errors and patient harm in the following

  13. Value and Patient Safety | PSNet

    psnet.ahrq.gov/curated-library/value-and-patient-safety
    October 30, 2019 - Most research on computerized provider order entry (CPOE) has focused on its role in preventing medication … errors. … Most research on computerized provider order entry (CPOE) has focused on its role in preventing medication … errors. … errors.

  14. HIT Based Regional Medication Management Pharmacy System (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014965-schmidt-final-report-2007.pdf
    January 01, 2007 - safe use of medications.3 IOM estimates that a patient in the hospital is subject to at least one medication … error per day; fully one-quarter of all of these medication errors are preventable. 4 The National … Preventing Medication Errors.

  15. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
    April 02, 2008 - e.g., Setting of Care > Hospitals) to the very specific (e.g., Safety Target > Medication Safety > Medication … Errors > Transcription Errors). … The diversity of topics, ranging from specific errors and interventions (e.g., “medication errors” and … errors/preventable adverse drug events “Medication reconciliation” Culture of safety “Communication … ” Look-alike, sound-alike drugs “Medication errors” Human factors engineering “Patient falls” Patient

  16. 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.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836969/psn-pdf
    April 20, 2022 - Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. April 20, 2022 ISMP Medication Safety Alert! Acute care edition. April 7, 2022; 27(2):1-6. https://psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens- patient-safety…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44291/psn-pdf
    September 13, 2016 - A piece of my mind. I'm sorry. September 13, 2016 Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507. https://psnet.ahrq.gov/issue/piece-my-mind-im-sorry Being accountable for errors and working to learn from them is key to improving patient safety. This commentary descri…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44516/psn-pdf
    June 10, 2018 - Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. June 10, 2018 ISMP Medication Safety Alert! Acute care edition. November 19, 2015;20(23):1-5. https://psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1 Infusion therapies are in…

  20. 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…
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