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Showing results for "medication errors".
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  1. Misdiagnosis in the emergency department: time for a system solution. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solution
    March 25, 2020 - Commentary Misdiagnosis in the emergency department: time for a system solution. Citation Text: Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577. Copy Citation Format: DOI Goo…

  2. Alternative medications for medications in the Use of High-Risk Medications in the Elderly and Potentially Harmful Drug–Disease Interactions in the Elderly quality measures. | PSNet

    psnet.ahrq.gov/issue/alternative-medications-medications-use-high-risk-medications-elderly-and-potentially-harmful
    April 27, 2011 - December 22, 2010 Identifying modifiable barriers to medication error reporting in the

  3. Fixing Healthcare Delivery. | PSNet

    psnet.ahrq.gov/issue/fixing-healthcare-delivery
    February 05, 2014 - May 7, 2018 Wrong-patient medication errors: an analysis of event reports in Pennsylvania

  4. MedlinePlus: Patient Safety. | PSNet

    psnet.ahrq.gov/issue/medlineplus-patient-safety
    September 29, 2017 - September 29, 2017 Identifying and Preventing Medication Errors.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42064/psn-pdf
    March 16, 2013 - particularly common adverse events such as diagnostic errors, adverse events after hospital discharge, and medication … errors.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39070/psn-pdf
    November 27, 2009 - Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. November 27, 2009 Cranshaw J, Gupta KJ, Cook TM. Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2009;64(12):1317-23. doi:10.1111/j…

  7. First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. | PSNet

    psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
    March 29, 2007 - health care information technology implementation, problems such as hospital-acquired infections and medication … errors persist.

  8. Christiana Care Health System: Safety Mentor Program (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
    March 30, 2008 - Christiana Care Health System: Safety Mentor Program Christiana Care Health System: Safety Mentor Program Michele Campbell, RN, MSM, CPHQ; Christine Carrico, RN, MSN, CPHQ; Carol Kerrigan Moore, RN, MS, FNP-BC; Terri Lynn Palmer, MPA Abstract According to the Institute of Medicine, as many as 98,000 patients…

  9. Integration of an NLP-based Application to Support Medication Management | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/integration-nlp-based-application-support-medication-management
    January 01, 2023 - patient's medication order with all the medications the patient has been taking, is critical to preventing medication … errors.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41811/psn-pdf
    October 31, 2012 - resources, including posters and videos with information on hand hygiene, infection prevention, and medication … errors.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46575/psn-pdf
    December 13, 2017 - Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. December 13, 2017 Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res. 2017;17(5):431-439. doi:10.108…

  12. Mistaken Identity | PSNet

    psnet.ahrq.gov/web-mm/mistaken-identity
    December 18, 2014 - Medication errors in the neonatal intensive care unit: special patients, unique issues.

  13. Diagnostic Errors and Strategies to Minimize Them. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-and-strategies-minimize-them
    December 16, 2015 - Special or Theme Issue Diagnostic Errors and Strategies to Minimize Them. Citation Text: Diagnostic Errors and Strategies to Minimize Them. Cutrer WB, Sullivan WM, Fleming AE, et al. Curr Probl Pediatr Adolesc Health Care. 2013;43:225-257.   Copy Citation Sav…

  14. Presentation: Science of Improving Patient Safety and Identifying Defects

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
    December 01, 2017 - Treatment (1995 – 2004) Root Causes of Sentinel Events (All Categories, 1994 – 2005) Root Causes of Medication … Errors (1995 – 2004) Science of Improving Patient Safety ‹#› AHRQ Safety Program … errors, delays in treatment, ventilator events, and healthcare-associated infections. 16 Basic Process … you would not want to happen again—an unsafe condition, a patient fall, a venous thromboembolism, a medication … error, a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from

  15. Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: a multicentre retrospective observational study. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-caused-three-high-risk-drug-drug-interactions-patients-admitted-intensive
    February 14, 2024 - Study Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: a multicentre retrospective observational study. Citation Text: Klopotowska JE, Leopold J‐H, Bakker T, et al. Adverse drug events caused by three high‐risk drug–drug i…

  16. Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. | PSNet

    psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient
    December 16, 2020 - Study Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. Citation Text: Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities in diagnosis: lon…

  17. Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health. | PSNet

    psnet.ahrq.gov/issue/prescription-opioid-use-misuse-and-use-disorders-us-adults-2015-national-survey-drug-use-and
    October 17, 2012 - Study Classic Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health. Citation Text: Han B, Compton WM, Blanco C, et al. Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Surv…

  18. Evaluation of symptom checkers for self diagnosis and triage: audit study. | PSNet

    psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study
    December 08, 2021 - Study Classic Evaluation of symptom checkers for self diagnosis and triage: audit study. Citation Text: Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h34…

  19. Wristband Color Standardization. | PSNet

    psnet.ahrq.gov/issue/wristband-color-standardization
    October 25, 2013 - January 17, 2012 Ambulatory surgery facilities: a comprehensive review of medication … error reports in Pennsylvania.

  20. Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-characterisation-diagnostic-error-among-7-day-all-cause-hospital-medicine
    April 12, 2023 - Study Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. Citation Text: Raffel KE, Kantor MA, Barish P, et al. Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine …
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