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Showing results for "medication errors".
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  1. Opioid Safety Initiative Toolkit. | PSNet

    psnet.ahrq.gov/issue/opioid-safety-initiative-toolkit
    January 01, 2023 - Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression May 27, 2020 ISMP medication … error report analysis. … June 16, 2019 ISMP medication error report analysis.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35957/psn-pdf
    August 02, 2010 - A practical approach to measure the quality of handwritten medication orders: a tool for improvement. August 2, 2010 Garbutt J, Milligan P, McNaughton C, et al. A Practical Approach to Measure the Quality of Handwritten Medication Orders. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000205738.45580.5a. https://ps…

  3. The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. | PSNet

    psnet.ahrq.gov/issue/effect-staff-nurses-shift-length-and-fatigue-patient-safety-and-nurses-health-national
    July 06, 2011 - Nurses' work-related fatigue has the potential to contribute to medication errors and missed nursing

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855002/psn-pdf
    November 01, 2023 - Temporarily holding medication orders safely in order to prevent patient harm. November 1, 2023 ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4. https://psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm Process disconnects can cause administr…

  5. Analysis | Digital Healthcare Research

    digital.ahrq.gov/research-method/analysis
    January 01, 2025 - Project Name Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of

  6. Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? | PSNet

    psnet.ahrq.gov/issue/right-medication-right-dose-right-patient-right-time-and-right-route-how-do-we-select-right
    March 02, 2016 - Commentary Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device? Citation Text: Ladak SSJ, Chan VWS, Easty T, et al. Right medication, right dose, right patient, right time, and right route: how d…

  7. Use of an electronic information system to identify adverse events resulting in an emergency department visit. | PSNet

    psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department
    March 13, 2015 - Study Use of an electronic information system to identify adverse events resulting in an emergency department visit. Citation Text: Ackroyd-Stolarz S, MacKinnon NJ, Zed PJ, et al. Use of an electronic information system to identify adverse events resulting in an emergency department vi…

  8. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. | PSNet

    psnet.ahrq.gov/issue/promoting-effective-transitions-care-hospital-discharge-review-key-issues-hospitalists
    November 16, 2022 - Review Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. Citation Text: Kripalani S, Jackson AT, Schnipper JL, et al. Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists. J Hosp Med. …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42883/psn-pdf
    September 01, 2016 - Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care. September 1, 2016 Slight SP, Seger DL, Nanji KC, et al. Are we heeding the warning signs? Examining providers' overrides of computerized drug-drug interaction alerts in primary care. PLoS …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60842/psn-pdf
    August 26, 2020 - Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. August 26, 2020 Daliri S, Bouhnouf M, van de Meerendonk HWPC, et al. Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Res Social Adm Pharm. 2020;17(4):677-684. doi:10.1016/j.saphar…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39161/psn-pdf
    December 09, 2009 - Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge. December 9, 2009 Murphy EM, Oxencis CJ, Klauck JA, et al. Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge. A…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37393/psn-pdf
    June 13, 2011 - Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. June 13, 2011 Grant MJC, Larsen GY. Clinical Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric Intensive Care Unit. J Patient Saf. 2008;3(4). doi:1…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42218/psn-pdf
    June 10, 2018 - Your high-alert medication list—relatively useless without associated risk-reduction strategies. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 4, 2013;18:1-5. https://psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk- reduction This newsletter …

  14. Measuring and Responding to Deaths From Medical Errors | PSNet

    psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
    April 01, 2008 - About The Topic Hospitals Physicians Facility and Group Administrators Medicine Medication … Errors/Preventable Adverse Drug Events View More

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49517/psn-pdf
    August 01, 2006 - Strategies to prevent opioid errors are not substantially different from those used for other types of medication … errors, with a few exceptions. … Computerized prescriber order entry (CPOE) is a promising technology for its potential to reduce medication … errors.(11) CPOE might improve analgesic safety by preventing prescribers from ordering drugs not on

  16. Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. | PSNet

    psnet.ahrq.gov/issue/managing-hospitalized-patients-ambulatory-pumps-findings-ismp-survey-part-1
    November 18, 2015 - Newspaper/Magazine Article Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. Citation Text: Managing hospitalized patients with ambulatory pumps: findings from an ISMP survey—Part 1. ISMP Medication Safety Alert! Acute care edition. November 19, 2…

  17. New Analysis Shows Hospitals Improving Performance on Key Patient Safety Measures Surpassing Pre-pandemic Levels. | PSNet

    psnet.ahrq.gov/issue/new-analysis-shows-hospitals-improving-performance-key-patient-safety-measures-surpassing-pre
    October 23, 2024 - September 21, 2022 ISMP medication error report analysis.

  18. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. | PSNet

    psnet.ahrq.gov/issue/safer-prescribing-and-care-elderly-space-cluster-randomised-controlled-trial-general-practice
    November 18, 2020 - July 1, 2020 Economic analysis of the prevalence and clinical and economic burden of medication … error in England.

  19. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)

    www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
    January 01, 2024 - Monitors and reports medication errors……………... 1 2 3 4 5 1 2 3 4 5 19. …  Error Reporting and Prevention (NCC‐MERP) ADE Classification The NCC‐MERP adopted a Medication Error … National Coordinating Council for Medication Error Reporting and Prevention ADE Classification NCC‐MERP …  Errors.   … Preventing Medication Errors. Aspden P, Wolcott J, Bootman JL, Cronenwett LR, editors. 

  20. The Sunday story: when hospitals don't say sorry. | PSNet

    psnet.ahrq.gov/issue/sunday-story-when-hospitals-dont-say-sorry
    June 21, 2023 - May 30, 2012 Hospital Medication Errors Commonplace.
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