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Showing results for "medication errors".
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  1. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-improvement-healthcare-systematic-review
    September 23, 2020 - May 20, 2019 Computerized prescriber order entry and opportunities for medication errors

  2. Building a learning organization. | PSNet

    psnet.ahrq.gov/issue/building-learning-organization
    June 16, 2011 - July 19, 2023 Computerised physician order entry-related medication errors: analysis

  3. Implications for Practice Improvement, Research, and Policy | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
    August 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Implications for Practice Improvement, Research, and Policy Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Uniqu…

  4. 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

  5. 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

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867652/psn-pdf
    February 26, 2025 - For example, if a medication error occurs, healthcare organizations can complete a root cause analysis … This technique allows teams to examine patterns across multiple events within a category (such as medication … errors or patient falls) rather than focusing on individual incidents alone.5 Additionally, RCA2 encourages

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36143/psn-pdf
    June 05, 2013 - issue includes articles on the relationship between low health literacy and outcomes, disparities, and medication … errors.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37592/psn-pdf
    May 07, 2008 - 1):1-292 https://psnet.ahrq.gov/issue/iatrogenic-disease This special issue covers topics such as medication … errors in obstetrics, anesthetic complications, and a variety of iatrogenic conditions affecting neonates

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866436/psn-pdf
    August 07, 2024 - Using name overlap analysis to understand medication name search safety. August 7, 2024 Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048. https://psnet.ahrq.gov/issue/using-name-overlap-analy…

  10. Surgical fires: decreasing incidence relies on continued prevention efforts. | PSNet

    psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts
    April 03, 2019 - March 25, 2015 Perioperative medication errors: uncovering risk from behind the drapes

  11. 2006 Update on Consumers' Views of Patient Safety and Quality Information.  | PSNet

    psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
    July 28, 2013 - July 28, 2013 Preventing Medication Errors: Quality Chasm Series.

  12. Walgreens will stop judging its pharmacy staffers by how fast they work. | PSNet

    psnet.ahrq.gov/issue/walgreens-will-stop-judging-its-pharmacy-staffers-how-fast-they-work
    May 05, 2021 - June 17, 2020 At Walgreens, complaints of medication errors go missing.

  13. A nurse-led approach to developing and implementing a collaborative count policy. | PSNet

    psnet.ahrq.gov/issue/nurse-led-approach-developing-and-implementing-collaborative-count-policy
    January 18, 2012 - December 19, 2018 The impact of computerized provider order entry on medication errors

  14. Managing the care of patients discharged from home health: a quiet threat to patient safety? | PSNet

    psnet.ahrq.gov/issue/managing-care-patients-discharged-home-health-quiet-threat-patient-safety
    October 16, 2012 - 24, 2008 Nurses' practice environments, error interception practices, and inpatient medication … errors.

  15. 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

  16. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/hotline/refs.html
    May 01, 2016 - Consumers can prevent medication errors (Web site).

  17. How to reduce stigma and bias in clinical communication: a narrative review. | PSNet

    psnet.ahrq.gov/issue/how-reduce-stigma-and-bias-clinical-communication-narrative-review
    July 27, 2022 - Review How to reduce stigma and bias in clinical communication: a narrative review. Citation Text: Healy M, Richard A, Kidia K. How to reduce stigma and bias in clinical communication: a narrative review. J Gen Intern Med. 2022;37(10):2533-2540. doi:10.1007/s11606-022-07609-y. Copy Cit…

  18. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. | PSNet

    psnet.ahrq.gov/issue/frequency-and-characteristics-errors-artificial-intelligence-ai-reading-screening-mammography
    February 03, 2016 - Review Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. Citation Text: Zeng A, Houssami N, Noguchi N, et al. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammogra…

  19. Morbidity and mortality conference in emergency medicine residencies and the culture of safety. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-conference-emergency-medicine-residencies-and-culture-safety
    November 16, 2022 - Study Morbidity and mortality conference in emergency medicine residencies and the culture of safety. Citation Text: Aaronson E, Wittels KA, Nadel ES, et al. Morbidity and Mortality Conference in Emergency Medicine Residencies and the Culture of Safety. West J Emerg Med. 2015;16(6):810-7…

  20. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. | PSNet

    psnet.ahrq.gov/issue/front-line-staff-perspectives-opportunities-improving-safety-and-efficiency-hospital-work
    February 04, 2009 - Study Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. Citation Text: Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. H…
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