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Showing results for "medication errors".
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  1. Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. | PSNet

    psnet.ahrq.gov/issue/association-between-language-use-and-icu-transfer-and-serious-adverse-events-hospitalized
    May 18, 2022 - Study Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. Citation Text: McDade JE, Olszewski AE, Qu P, et al. Association between language use and ICU transfer and serious adverse event…

  2. Building a culture of safety in ophthalmology. | PSNet

    psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
    March 14, 2022 - Commentary Building a culture of safety in ophthalmology. Citation Text: Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019. Copy Citation Format: DOI Google Sch…

  3. Unintended doses in radiotherapy—over, under and outside? | PSNet

    psnet.ahrq.gov/issue/unintended-doses-radiotherapy-over-under-and-outside
    August 27, 2009 - Commentary Unintended doses in radiotherapy—over, under and outside? Citation Text: Eaton DJ, Byrne JP, Cosgrove VP, et al. Unintended doses in radiotherapy-over, under and outside? Br J Radiol. 2018;91(1084):20170863. doi:10.1259/bjr.20170863. Copy Citation Format: DOI Goo…

  4. Fall prevention in hospitals: an integrative review. | PSNet

    psnet.ahrq.gov/issue/fall-prevention-hospitals-integrative-review
    November 03, 2021 - Review Fall prevention in hospitals: an integrative review. Citation Text: Spoelstra SL, Given BA, Given CW. Fall Prevention in Hospitals. Clin Nurs Res. 2011;21(1). doi:10.1177/1054773811418106. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

  5. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. | PSNet

    psnet.ahrq.gov/issue/views-children-parents-and-health-care-providers-pediatric-disclosure-medical-errors
    April 08, 2020 - June 15, 2022 The effect of the fit between organizational culture and structure on medication … errors in medical group practices.

  6. Organizational response to known medical errors: does peer review protection impede improvement? | PSNet

    psnet.ahrq.gov/issue/organizational-response-known-medical-errors-does-peer-review-protection-impede-improvement
    April 24, 2018 - July 2, 2014 Understanding the nature of medication errors in an ICU with a computerized

  7. Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/oncologic-errors-diagnostic-radiology-10-year-analysis-based-medical-malpractice-claims
    September 27, 2017 - June 21, 2017 Medication errors and processes to reduce them in care homes in the United

  8. STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. | PSNet

    psnet.ahrq.gov/issue/stard-2015-guidelines-reporting-diagnostic-accuracy-studies-explanation-and-elaboration
    February 14, 2006 - Commentary STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. Citation Text: Cohen JF, Korevaar DA, Altman DG, et al. STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. BMJ Open. 2016;6(11):e012799. doi…

  9. The morbidity and mortality conference: opportunities for enhancing patient safety. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-conference-opportunities-enhancing-patient-safety
    March 17, 2021 - Commentary The morbidity and mortality conference: opportunities for enhancing patient safety. Citation Text: Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pt…

  10. Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice. | PSNet

    psnet.ahrq.gov/issue/results-survey-among-gp-practices-how-they-manage-patient-safety-aspects-related-point-care
    November 21, 2018 - Study Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care testing in every day practice. Citation Text: de Vries C, Doggen C, Hilbers E, et al. Results of a survey among GP practices on how they manage patient safety aspects related t…

  11. Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. | PSNet

    psnet.ahrq.gov/issue/association-display-patient-photographs-electronic-health-record-wrong-patient-order-entry
    May 29, 2019 - Study Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. Citation Text: Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order e…

  12. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. | PSNet

    psnet.ahrq.gov/issue/self-reported-medical-medication-and-laboratory-error-eight-countries-risk-factors
    September 19, 2012 - Study Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Citation Text: Scobie A. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Int J Qual Health Care. 2…

  13. On higher ground: ethical reasoning and its relationship with error disclosure. | PSNet

    psnet.ahrq.gov/issue/higher-ground-ethical-reasoning-and-its-relationship-error-disclosure
    July 08, 2020 - Study On higher ground: ethical reasoning and its relationship with error disclosure. Citation Text: Cole AP, Block L, Wu AW. On higher ground: ethical reasoning and its relationship with error disclosure. BMJ Qual Saf. 2013;22(7):580-585. doi:10.1136/bmjqs-2012-001496. Copy Citation…

  14. Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. | PSNet

    psnet.ahrq.gov/issue/impact-errors-paper-based-and-computerized-diabetes-management-decision-support-hospitalized
    April 03, 2024 - Study Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. Citation Text: Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerize…

  15. Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reviews-healthcare-what-matters-patients-and-their-family-qualitative-study
    March 24, 2021 - Study Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. Citation Text: McQueen JM, Gibson KR, Manson M, et al. Adverse event reviews in healthcare: what matters to patients and their famil…

  16. Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. | PSNet

    psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned
    January 08, 2020 - Study Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. Citation Text: Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency departme…

  17. Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks. | PSNet

    psnet.ahrq.gov/issue/implementation-and-facilitation-post-resuscitation-debriefing-comparative-crossover-study-two
    March 23, 2022 - Study Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks. Citation Text: Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing: a comparative …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37933/psn-pdf
    July 30, 2008 - A new method to guard inpatient medication safety by the implementation of RFID. July 30, 2008 Sun PR, Wang BH, Wu F. A new method to guard inpatient medication safety by the implementation of RFID. J Med Syst. 2008;32(4):327-32. https://psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementat…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38714/psn-pdf
    June 17, 2009 - Quality-monitoring program for bar-code–assisted medication administration.   June 17, 2009 Mims E, Tucker C, Carlson R, et al. Quality-monitoring program for bar-code-assisted medication administration. Am J Health Syst Pharm. 2009;66(12):1125-31. doi:10.2146/ajhp080172. https://psnet.ahrq.gov/issue/quality-monit…

  20. 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…
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