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Showing results for "medication errors".
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  1. Enteral feeding misconnections: a consortium position statement. | PSNet

    psnet.ahrq.gov/issue/enteral-feeding-misconnections-consortium-position-statement
    June 17, 2009 - Organizational Policy/Guidelines Enteral feeding misconnections: a consortium position statement. Citation Text: Guenter P, Hicks RW, Simmons D, et al. Enteral feeding misconnections: a consortium position statement. Jt Comm J Qual Patient Saf. 2008;34(5):285-92, 245. Copy Citation …

  2. Cognitive Informatics: Reengineering Clinical Workflow for Safer and More Efficient Care. | PSNet

    psnet.ahrq.gov/issue/cognitive-informatics-reengineering-clinical-workflow-safer-and-more-efficient-care
    July 13, 2011 - Book/Report Cognitive Informatics: Reengineering Clinical Workflow for Safer and More Efficient Care. Citation Text: Cognitive Informatics: Reengineering Clinical Workflow for Safer and More Efficient Care. Zheng K, Westbrook J, Kannampallil TG, Patel VL, eds. Springer International Publ…

  3. Safety Culture in EMS | PSNet

    psnet.ahrq.gov/perspective/safety-culture-ems
    May 26, 2021 - I've had a medication error. … If there is fear, I’m not going to come forward with a medication error. … but I would like to know what the percentage of falls are in my career field, what the percentage of medication … errors are in my career field.

  4. Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. | PSNet

    psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts
    September 25, 2013 - December 9, 2014 Incidence of adverse drug events and medication errors in Japan: the

  5. When less is better, but physicians are afraid not to intervene. | PSNet

    psnet.ahrq.gov/issue/when-less-better-physicians-are-afraid-not-intervene
    July 29, 2020 - school-wide initiative August 14, 2024 Clinical decision support as a prevention tool for medication … errors in the operating room: a retrospective cross-sectional study.

  6. An educational and audit tool to reduce prescribing error in intensive care. | PSNet

    psnet.ahrq.gov/issue/educational-and-audit-tool-reduce-prescribing-error-intensive-care
    August 04, 2021 - March 2, 2011 Educational strategy to reduce medication errors in a neonatal intensive

  7. American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. | PSNet

    psnet.ahrq.gov/issue/american-college-endocrinology-and-american-association-clinical-endocrinologists-position
    August 20, 2018 - May 6, 2015 Reporting medication errors: residents with diabetes.

  8. Diagnostic delays in infectious diseases. | PSNet

    psnet.ahrq.gov/issue/diagnostic-delays-infectious-diseases
    December 15, 2021 - Download Citation Related Resources From the Same Author(s) Reducing medication … errors for adults in hospital settings.

  9. About the Toolkit Development | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
    July 01, 2023 - In addition to communication failures, patients on labor and delivery (L&D) units are at risk of medication … errors due to the frequent use of high-alert medications.

  10. Final Progress Report: Safety Advancement in the Emergency Department (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/hall2-report.pdf
    January 01, 2024 - Final Progress Report: Safety Advancement in the Emergency Department FINAL PROGRESS REPORT PROJECT TITLE: SAFETY ADVANCEMENT IN THE EMERGENCY DEPARTMENT* PRINCIPAL INVESTIGATOR: KENDALL K. HALL, MD, MS (AHRQ, formerly of UNIV of MARYLAND) KEY PERSONNEL: YAN XIAO, PhD (BAYLOR, formerly of UNIV of MARYLAND) ANTHO…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854623/psn-pdf
    January 01, 2025 - Do junior doctors make more prescribing errors than experienced doctors when prescribing electronically using a computerised physician order entry system combined with a clinical decision support system? A cross-sectional study. October 18, 2023 Kalfsvel L, Wilkes S, van der Kuy H, et al. Do junior doctors make m…

  12. Practice, rehearsal, and performance: an approach for simulation-based surgical and procedure training. | PSNet

    psnet.ahrq.gov/issue/practice-rehearsal-and-performance-approach-simulation-based-surgical-and-procedure-training
    October 15, 2014 - September 21, 2005 Medication error prevention by clinical pharmacists in two children's

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43498/psn-pdf
    October 06, 2016 - Creating a distraction simulation for safe medication administration. October 6, 2016 Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004. https://psnet.ahrq.gov/issue/creating-distraction-simulation-safe…

  14. St. Joseph's Community Hospital | Digital Healthcare Research

    digital.ahrq.gov/organization/st-josephs-community-hospital
    January 01, 2023 - Implemented an Epic health IT system and diffused the system community-wide; identified the prevalence of medication … errors, near misses, and preventable adverse drug events; assessed costs and customer satisfaction both

  15. USA, WI, West Bend | Digital Healthcare Research

    digital.ahrq.gov/location/usa-wi-west-bend
    January 01, 2023 - Implemented an Epic health IT system and diffused the system community-wide; identified the prevalence of medication … errors, near misses, and preventable adverse drug events; assessed costs and customer satisfaction both

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37541/psn-pdf
    February 13, 2008 - discusses an AHRQ-funded program to study information technology tools and their ability to minimize medication … errors in a geriatric patient population.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39589/psn-pdf
    February 13, 2018 - This article describes how one health care system used a multi-event analysis process to identify medication … errors, implement system-level improvements, and reduce adverse events.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37106/psn-pdf
    August 15, 2007 - article describes how robust drug libraries developed for programmable smart pumps can help reduce medication … errors associated with traditional infusion methods.

  19. 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.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849330/psn-pdf
    May 24, 2023 - Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study. May 24, 2023 Jeffries M, Salema N-E, Laing L, et al. Using sociotechnical theory to understand medication safety work in primary care and prescribers’ use of clin…
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