-
psnet.ahrq.gov/issue/infant-deaths-associated-cough-and-cold-medications-two-states-2005
February 27, 2019 - March 6, 2019
View More
Related Resources
ISMP medication error
-
psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
September 21, 2009 - Using a spare medication vial to store multiple medications: a potentially fatal in-home medication … error.
-
psnet.ahrq.gov/node/34689/psn-pdf
February 10, 2011 - CPOE), barcoded medication administration systems, and other systems designed to reduce
preventable medication … errors at each stage.
-
psnet.ahrq.gov/node/40548/psn-pdf
March 23, 2012 - increased odds of an
adverse drug event during hospitalization, while the Beers criteria failed to predict medication … errors.
-
psnet.ahrq.gov/node/72774/psn-pdf
February 24, 2021 - preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
-
digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-31a-goals-worksheet
January 01, 2023 - Here are some examples:
Reduce medication errors.
-
psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
April 29, 2018 - Commentary
Unintended errors with EHR-based result management: a case series.
Citation Text:
Yackel TR, Embi P. Unintended errors with EHR-based result management: a case series. J Am Med Inform Assoc. 2010;17(1):104-7. doi:10.1197/jamia.M3294.
Copy Citation
Format:
DOI G…
-
psnet.ahrq.gov/issue/assessing-safety-electronic-health-records-national-longitudinal-study-medication-related
July 29, 2020 - September 29, 2017
Screening for medication errors using an outlier detection system.
-
psnet.ahrq.gov/node/39147/psn-pdf
January 13, 2010 - Following the patient journey to improve medicines
management and reduce errors.
January 13, 2010
Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing
times. 2009;105(46):12-5.
https://psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-red…
-
psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - Study
Supporting a psychiatric hospital culture of safety.
Citation Text:
Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577.
Copy Citation
Format:
DOI …
-
psnet.ahrq.gov/issue/prevalence-polypharmacy-exposure-among-hospitalized-children-united-states
August 20, 2016 - Study
Prevalence of polypharmacy exposure among hospitalized children in the United States.
Citation Text:
Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/a…
-
psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety
October 03, 2013 - Commentary
Human factors systems approach to healthcare quality and patient safety.
Citation Text:
Carayon P, Wetterneck TB, Rivera-Rodriguez J, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45(1):14-25. doi:10.1016/j.apergo.2013.04.02…
-
psnet.ahrq.gov/issue/rating-recommendations-consumers-about-patient-safety-sense-common-sense-or-nonsense
January 06, 2017 - Study
Rating recommendations for consumers about patient safety: sense, common sense, or nonsense?
Citation Text:
Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4…
-
psnet.ahrq.gov/issue/documentation-clinical-review-and-vital-signs-after-major-surgery
September 30, 2010 - Study
Documentation of clinical review and vital signs after major surgery.
Citation Text:
McGain F, Cretikos MA, Jones D, et al. Documentation of clinical review and vital signs after major surgery. Med J Aust. 2008;189(7):380-3.
Copy Citation
Format:
Google Scholar PubMe…
-
psnet.ahrq.gov/issue/unintended-adverse-consequences-introducing-electronic-health-records-residential-aged-care
March 24, 2019 - Study
Unintended adverse consequences of introducing electronic health records in residential aged care homes.
Citation Text:
Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records in residential aged care homes. Int J Med Inform. 2013;82…
-
psnet.ahrq.gov/issue/evaluation-nationally-mandated-drug-use-reviews-improve-patient-safety-nursing-homes-natural
July 20, 2011 - Study
Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment.
Citation Text:
Briesacher B, Limcangco R, Simoni-Wastila L, et al. Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a…
-
psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative-analysis-team-member-perceptions
December 31, 2014 - Study
FMEA team performance in health care: a qualitative analysis of team member perceptions.
Citation Text:
Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be.
Copy Citation
Format:
DOI Go…
-
psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons
April 24, 2018 - Study
Rural hospital information technology implementation for safety and quality improvement: lessons learned.
Citation Text:
Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and quality improvement: lessons learned. Comput Inform N…
-
psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-tullamore-county
October 23, 2013 - Book/Report
Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly.
Citation Text:
Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Dublin, Ireland: Health Informa…
-
psnet.ahrq.gov/issue/how-residents-think-and-make-medical-decisions-implications-education-and-patient-safety
June 07, 2023 - Study
How residents think and make medical decisions: implications for education and patient safety.
Citation Text:
Young JS, Smith RL, Guerlain S, et al. How residents think and make medical decisions: implications for education and patient safety. Am Surg. 2007;73(6):548-553; discuss…