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

    psnet.ahrq.gov/node/47321/psn-pdf
    June 19, 2019 - Validation of a mobile app for reducing errors of administration of medications in an emergency. June 19, 2019 Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):531-539. doi:10.1007/s10877-018-018…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45936/psn-pdf
    March 08, 2017 - Using information from external errors to signal a "clear and present danger." March 8, 2017 ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. https://psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger Monitoring external reports of error and harm can pr…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853980/psn-pdf
    September 27, 2023 - RFID tags reduce restocking errors of anesthesia medications. September 27, 2023 Banks MA. Specialty Pharmacy Continuum. September 15, 2023. https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications Radiofrequency identification (RFID) devices are being used to improve processes in the…

  4. Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. | PSNet

    psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-medications-chronic
    November 06, 2015 - June 13, 2011 Medication errors in critical care: risk factors, prevention and disclosure

  5. Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. | PSNet

    psnet.ahrq.gov/issue/work-design-drivers-organizational-learning-about-operational-failures-laboratory-experiment
    September 05, 2012 - February 18, 2011 Effects of learning climate and registered nurse staffing on medication … errors.

  6. Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. | PSNet

    psnet.ahrq.gov/issue/engineering-care-transitions-clinician-perceptions-barriers-safe-medication-management-during
    July 20, 2022 - More About The Topic Hospitals Quality and Safety Professionals Patients Medicine Medication … Errors/Preventable Adverse Drug Events View More

  7. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)

    www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
    January 01, 2025 - Although much of the patient safety spotlight has focused on medication errors, two recent studies of … malpractice claims reveal that diagnosis errors far outnumber medication errors as a cause of claims … Bates has promulgated a useful model for depicting the relationships between medication errors and outcomes … Assessing the quality of published case reports of look-alike and sound-alike medication errors. … An evaluation of the quality of the USP/ISMP Medication Error Reporting Program.

  8. Increased risk of burnout for physicians and nurses involved in a patient safety incident. | PSNet

    psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident
    September 21, 2016 - Study Increased risk of burnout for physicians and nurses involved in a patient safety incident. Citation Text: Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943. doi:10.1…

  9. The iatrogenic potential of the physician's words. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-potential-physicians-words
    July 10, 2008 - Commentary The iatrogenic potential of the physician's words. Citation Text: Barsky AJ. The Iatrogenic Potential of the Physician's Words. JAMA. 2017;318(24):2425-2426. doi:10.1001/jama.2017.16216. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  10. For non-English speakers, drug label instructions can be lost in translation. | PSNet

    psnet.ahrq.gov/issue/non-english-speakers-drug-label-instructions-can-be-lost-translation
    September 12, 2016 - Newspaper/Magazine Article For non-English speakers, drug label instructions can be lost in translation. Citation Text: Mitka M. For non-english speakers, drug label instructions can be lost in translation. JAMA. 2007;297(23):2575-7. Copy Citation Format: Google Scholar P…

  11. AHRQ Health Information Technology Division's 2017 Annual Report. | PSNet

    psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
    May 02, 2018 - Book/Report AHRQ Health Information Technology Division's 2017 Annual Report. Citation Text: AHRQ Health Information Technology Division's 2017 Annual Report. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-EF. Copy Citation …

  12. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
    December 01, 2017 - breakdowns are a significant, if not leading, cause of many undesirable outcomes, including sentinel events, medication … errors, delays in treatment, ventilator events, and healthcare-associated infections. … 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

  13. 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

  14. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
    September 01, 2011 - Aspden P, Wolcott J, Bootman JL, Cronewett LR, eds for the Committee on Identifying and Preventing Medication … Errors, Institute of Medicine. … Preventing Medication Errors: Quality Chasm Series. … use)to assure appropriate management May also generate alerts when safety systems have failed (e.g., medication … error) In this case, such a report might have alerted staff about an increased pressure ulcer risk

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43697/psn-pdf
    March 26, 2015 - Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology. March 26, 2015 Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in oncology: Findings from the 201…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854818/psn-pdf
    October 25, 2023 - The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. October 25, 2023 van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical laboratory testing process lea…

  17. Ethical and legal issues in the use of health information technology to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/ethical-and-legal-issues-use-health-information-technology-improve-patient-safety
    July 30, 2014 - May 27, 2011 Preventing medication errors in hospitals through a systems approach and

  18. Lack of awareness of community-acquired adverse drug reactions upon hospital admission: dimensions and consequences of a dilemma. | PSNet

    psnet.ahrq.gov/issue/lack-awareness-community-acquired-adverse-drug-reactions-upon-hospital-admission-dimensions
    October 16, 2013 - June 7, 2023 Interventions for reducing medication errors in children in hospital.

  19. Using simulation to prepare nursing staff for the move to a new building. | PSNet

    psnet.ahrq.gov/issue/using-simulation-prepare-nursing-staff-move-new-building
    January 15, 2014 - June 22, 2011 Why nurses make medication errors: a simulation study.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36606/psn-pdf
    January 31, 2007 - issue/cause-death-sloppy-doctors This article reports on an industry-supported initiative to reduce medication … errors by encouraging physicians to use electronic prescribing through a free Web-based tool.
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