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Showing results for "medication errors".
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  1. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)

    www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
    January 01, 2025 - Although much of the patient safety spotlight has focused on medication errors, two recent studies of … malpractice claims reveal that diagnosis errors far outnumber medication errors as a cause of claims … Bates has promulgated a useful model for depicting the relationships between medication errors and outcomes … Assessing the quality of published case reports of look-alike and sound-alike medication errors. … An evaluation of the quality of the USP/ISMP Medication Error Reporting Program.

  2. Benefits and risks of including patients on RCA teams. | PSNet

    psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams
    May 02, 2018 - Newspaper/Magazine Article Benefits and risks of including patients on RCA teams. Citation Text: Benefits and risks of including patients on RCA teams. ISMP Medication Safety Alert! Acute Care Edition. June 5, 2008;13:1-3. Copy Citation Save Save to your library …

  3. Columbia University | Digital Healthcare Research

    digital.ahrq.gov/organization/columbia-university
    January 01, 2023 - Columbia University Using eHealth to Expand Access to Cognitive Behavioral Therapy for Insomnia in Hispanic Primary Care Patients Description This project evaluates the effectiveness, barriers, and cost of a Spanish-language electronic health intervention to treat chronic inso…

  4. Awareness of patient safety grows with increased outpatient surgeries. | PSNet

    psnet.ahrq.gov/issue/awareness-patient-safety-grows-increased-outpatient-surgeries
    June 17, 2014 - June 17, 2014 Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance

  5. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
    September 01, 2011 - Aspden P, Wolcott J, Bootman JL, Cronewett LR, eds for the Committee on Identifying and Preventing Medication … Errors, Institute of Medicine. … Preventing Medication Errors: Quality Chasm Series. … use)to assure appropriate management May also generate alerts when safety systems have failed (e.g., medication … error) In this case, such a report might have alerted staff about an increased pressure ulcer risk

  6. Patient safety and diagnostic error: tips for your next shift. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-diagnostic-error-tips-your-next-shift
    January 15, 2009 - Citation Related Resources From the Same Author(s) Profiles in patient safety: medication … errors in the emergency department.

  7. Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. | PSNet

    psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors-may-slip-through
    June 24, 2020 - May 5, 2021 During the pandemic, aspire to identify and prevent medication errors and

  8. Improving diagnosis by improving education: a policy brief on education in healthcare professions. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-improving-education-policy-brief-education-healthcare-professions
    August 28, 2019 - July 2, 2014 Profiles in patient safety: medication errors in the emergency department

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39556/psn-pdf
    May 26, 2010 - Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. May 26, 2010 Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. AORN J. 2010;91(5):610-7. doi:1…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74249/psn-pdf
    January 12, 2022 - Medication safety issues with newly authorized PAXLOVID. January 12, 2022 Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022. https://psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid Emerging care practices can produce unsafe situations due to the newness…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45400/psn-pdf
    August 10, 2016 - ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. August 10, 2016 ISMP Medication Safety Alert! Acute Care Edition. July 28, 2016;21:1-6. https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors- associated-a…

  12. Making Healthcare Safer IV: Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/products/mhs4-computerized-cds/protocol

  13. Crew resource management: applications in healthcare organizations. | PSNet

    psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
    November 10, 2021 - March 2, 2022 Effective strategies to increase reporting of medication errors in hospitals … June 25, 2010 Nonpunitive medication error reporting: 3-year findings from one hospital's

  14. Dallas Ebola case shows even sound plans can fail spectacularly. | PSNet

    psnet.ahrq.gov/issue/dallas-ebola-case-shows-even-sound-plans-can-fail-spectacularly
    September 30, 2009 - September 21, 2005 Medication error prevention by clinical pharmacists in two children's

  15. Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan. | PSNet

    psnet.ahrq.gov/issue/journal-reporting-medical-errors-wisdom-solomon-bravery-achilles-and-foolishness-pan
    April 24, 2018 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … errors.

  16. Peer review comments augment diagnostic error characterization and departmental quality assurance: 1-year experience from a children's hospital. | PSNet

    psnet.ahrq.gov/issue/peer-review-comments-augment-diagnostic-error-characterization-and-departmental-quality
    September 02, 2020 - June 16, 2009 Characteristics of medication errors and adverse drug events in hospitals

  17. A decade of preventing harm. | PSNet

    psnet.ahrq.gov/issue/decade-preventing-harm
    July 10, 2008 - August 17, 2016 Initiatives to identify and mitigate medication errors in England.

  18. When it's surgery, don't get it wrong. | PSNet

    psnet.ahrq.gov/issue/when-its-surgery-dont-get-it-wrong
    August 18, 2010 - December 18, 2013 Scanning out medication errors: Ohio Valley Hospital's automated IV

  19. First, Do No Harm. | PSNet

    psnet.ahrq.gov/issue/first-do-no-harm-0
    September 05, 2007 - Author(s) Make no mistake about it: chain pharmacies are finding innovative ways to combat medication … errors.

  20. Safety events in pediatric out-of-hospital cardiac arrest. | PSNet

    psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-arrest
    August 01, 2018 - They identified a safety issue in 87% of cases and, similar to prior research , they found that medication … errors were common.
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