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

    psnet.ahrq.gov/node/37466/psn-pdf
    May 27, 2011 - Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. May 27, 2011 Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation of computerized physician order entry in a neonatal inte…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45286/psn-pdf
    May 07, 2018 - Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. June 16, 2016;21:1-6. https://psnet.ahrq.gov/issue/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility Neuromuscular blockers can result in seriou…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47439/psn-pdf
    January 17, 2019 - Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians. January 17, 2019 Levy AG, Scherer AM, Zikmund-Fisher BJ, et al. Prevalence of and Factors Associated With Patient Nondisclosure of Medically Relevant Information to Clinicians. JAMA Netw Open. 2018;1(7)…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47024/psn-pdf
    November 28, 2018 - FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. November 28, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 14, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pum…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49633/psn-pdf
    September 01, 2011 - For example, in the Institute of Medicine report on Preventing Medication Errors, approximately 800,000 … errors, adverse drug events). … Aspden P, Wolcott J, Bootman JL, et al., eds for the Committee on Identifying and Preventing Medication … Errors, Institute of Medicine. … Preventing Medication Errors: Quality Chasm Series.

  6. Epidemiology of adverse events in air medical transport. | PSNet

    psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transport
    July 03, 2014 - July 3, 2014 Medication error in the care of HIV/AIDS patients: electronic surveillance

  7. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. | PSNet

    psnet.ahrq.gov/issue/image-gently-step-lightly-promoting-radiation-safety-pediatric-interventional-radiology
    August 20, 2018 - August 4, 2021 Field test results of a new ambulatory care Medication Error and Adverse

  8. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement
    June 07, 2023 - Analysis of an academic medical center’s corrective action plan in response to fatal medication … error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. … WebM&M Cases Syringe Swap During Regional Block: A Case of Medication … Error and Recovery January 31, 2024 Facilitators and barriers to the implementation

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49518/psn-pdf
    August 01, 2006 - It's All in the Syringe August 1, 2006 Weingart SN. It's All in the Syringe. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/its-all-syringe The Case A 33-year-old man with type 2 diabetes presented to his physician's office to discuss his diabetes management. The patient admitted not taking his medications…

  10. Patient safety and quality improvement: an overview of QI. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-overview-qi
    November 08, 2023 - October 27, 2010 Characteristics of medication errors and adverse drug events in hospitals

  11. Current pulse: can a production system reduce medical errors in health care? | PSNet

    psnet.ahrq.gov/issue/current-pulse-can-production-system-reduce-medical-errors-health-care
    September 09, 2011 - March 24, 2011 Medication errors in anesthesiology: is it time to train by example?

  12. The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training. | PSNet

    psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia-trainee-supervision
    July 19, 2017 - Resources From the Same Author(s) Effectiveness of pharmacist intervention to reduce medication … errors and health-care resources utilization after transitions of care: a meta-analysis of randomized

  13. Medical errors and patient safety in palliative care: a review of current literature. | PSNet

    psnet.ahrq.gov/issue/medical-errors-and-patient-safety-palliative-care-review-current-literature
    December 04, 2016 - June 13, 2012 How are medication errors defined?

  14. Rural Iowa Redesign of Care Delivery with EHR Functions | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/rural-iowa-redesign-care-delivery-ehr-functions
    January 01, 2023 - Acute Care Primary Care Specialty Care Health Care Theme Clinical Workflow Medication … Errors Patient Safety The purpose of this project was to evaluate the impact of implementing … A time-series design was used to evaluate effect on reported errors (medication errors); CMS/ Joint Commission

  15. Health Literacy–Informed Intervention Reduces Pediatric Caregiver Liquid Medication Dosing Errors | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsletters/e-newsletter/911.html
    April 01, 2024 - Health Literacy–Informed Intervention Reduces Pediatric Caregiver Liquid Medication Dosing Errors Issue Number 911 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. April 30, 2024 AHRQ Stats: Average Healthcare Expenditures Among Persons With High Expenses In…

  16. Drug shortages and clinicians: no time for complacency. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-and-clinicians-no-time-complacency
    February 26, 2009 - Commentary Drug shortages and clinicians: no time for complacency. Citation Text: Rochon P, Gurwitz JH. Drug shortages and clinicians: no time for complacency. Arch Intern Med. 2012;172(19):1499-500. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  17. Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. | PSNet

    psnet.ahrq.gov/issue/are-you-well-positioned-resolve-conflicts-safety-order-learning-physicians-homicide-trial-and
    May 18, 2022 - Newspaper/Magazine Article Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. Citation Text: Are you well positioned to resolve conflicts with the safety of an order? Learning…

  18. Drug shortages continue to compromise patient care. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
    February 24, 2016 - Newspaper/Magazine Article Drug shortages continue to compromise patient care. Citation Text: Drug shortages continue to compromise patient care. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. Copy Citation Save Save to your library …

  19. Patient outcomes in dose reduction or discontinuation of long-term opioid therapy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patient-outcomes-dose-reduction-or-discontinuation-long-term-opioid-therapy-systematic-review
    April 08, 2019 - December 14, 2016 Quantifying the burden of opioid medication errors in adult oncology

  20. Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program? | PSNet

    psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction-program
    July 11, 2018 - November 4, 2020 Prevalence, contributory factors and severity of medication errors associated
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