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Showing results for "medication errors".
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  1. View from the cockpit: what the airline industry can teach us about patient safety. | PSNet

    psnet.ahrq.gov/issue/view-cockpit-what-airline-industry-can-teach-us-about-patient-safety
    January 08, 2020 - 3, 2017 Shaping systems for better behavioral choices: lessons learned from a fatal medication … error.

  2. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. | PSNet

    psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-safety-ii-approach
    September 28, 2016 - September 29, 2021 ISMP medication error report analysis.

  3. Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluation. | PSNet

    psnet.ahrq.gov/issue/deficits-discharge-documentation-patients-transferred-rehabilitation-facilities
    October 28, 2009 - May 24, 2015 ISMP medication error report analysis.

  4. "Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs. | PSNet

    psnet.ahrq.gov/issue/anybody-list-youre-more-worried-about-qualitative-analysis-exploring-functions-questions
    January 22, 2016 - December 4, 2019 ISMP medication error report analysis.

  5. An experimental study in nurse-physician relationships. | PSNet

    psnet.ahrq.gov/issue/experimental-study-nurse-physician-relationships
    July 14, 2010 - July 14, 2010 Medication error prevention by pharmacists.

  6. Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. | PSNet

    psnet.ahrq.gov/issue/inappropriate-surgeries-resulting-misdiagnosis-early-amyotrophic-lateral-sclerosis
    October 31, 2014 - April 2, 2014 Medication-error reporting and pharmacy resident experience during implementation

  7. Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data. | PSNet

    psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
    October 31, 2014 - March 27, 2013 National and local medication error reporting systems—a survey of practices

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48172/psn-pdf
    July 31, 2019 - prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39249/psn-pdf
    September 30, 2015 - been integrated into clinical decision-making, discusses examples of patient involvement in reducing medication … errors and encouraging hand hygiene, and proposes a framework for including patients in safety efforts

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866076/psn-pdf
    June 05, 2024 - day-mortality https://psnet.ahrq.gov/issue/are-temporary-staff-associated-more-severe-emergency-department-medication-errors

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35906/psn-pdf
    May 27, 2011 - The authors acknowledge the importance of CPOE as a tool to reduce chemotherapy-related medication errors

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40817/psn-pdf
    November 01, 2011 - Electronic prescribing within an electronic health record reduces ambulatory prescribing errors. November 1, 2011 Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-455. https://psnet.ahrq.gov/issue/electronic-prescrib…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72687/psn-pdf
    January 27, 2021 - Learning from errors with the new COVID-19 vaccines. January 27, 2021 ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.   https://psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines Learning from error rests on transparency efforts buttressed by frontline reports. This a…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72796/psn-pdf
    March 03, 2021 - Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. March 3, 2021 Jachan DE, Müller?Werdan U, Lahmann NA. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. Nurs Open. 2021;8(2):755-765. doi:1…

  15. Patient-reported missed nursing care correlated with adverse events. | PSNet

    psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events
    September 27, 2017 - The study demonstrated that patients who reported pressure ulcers , medication errors , hospital-acquired

  16. Academic detailing to improve laboratory testing among outpatient medication users. | PSNet

    psnet.ahrq.gov/issue/academic-detailing-improve-laboratory-testing-among-outpatient-medication-users
    September 24, 2010 - October 1, 2021 ISMP medication error report analysis.

  17. 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.

  18. 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

  19. 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

  20. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-fidelity-approach-standardizing-process-patients-emerging-critical
    August 04, 2021 - Journal Article Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness Citation Text: Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Criti…
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