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Showing results for "medication errors".
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  1. 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.

  2. 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

  3. 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

  4. Create a Safe Medicine List Together (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
    June 02, 2025 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce

  5. One doctor. 25 deaths. How could it have happened? | PSNet

    psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
    November 06, 2019 - 2013 View More See More About The Topic Risk Managers Medicine Medication … Errors/Preventable Adverse Drug Events Latent Errors Role of the Media

  6. Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. | PSNet

    psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
    January 30, 2003 - April 7, 2010 USP drug safety review: medication errors involving NMBAs.   

  7. Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-considerations
    November 20, 2019 - September 7, 2022 Preventing Medication Errors: A $21 Billion Opportunity.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851355/psn-pdf
    July 12, 2023 - Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach. July 12, 2023 Godin MR, Nasr AS. Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach. J Nurs Adm. 2023;53(6):331-336. doi:10.1097/nna.0…

  9. 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…

  10. Adoption of electronic prescribing in community-based practices (pdf file)

    digital.ahrq.gov/sites/default/files/docs/AHRQ_Webinar_Aug_2009_Med_Mgmt.pdf
    January 01, 2009 - coordination of care • Better decision support • Clinician workflow improvement • Prevention of medication … errors Benefits Unique to EPCS In addition, there are potential benefits unique to EPCS: • Reductions

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45554/psn-pdf
    October 19, 2016 - why-there-another-persons-name-my-infusion-bag-patient-safety-chemotherapy-care-review https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34669/psn-pdf
    June 26, 2015 - coaching, perceived unit performance, and quality of unit relationship had significantly higher rates of medication … errors.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46396/psn-pdf
    August 15, 2018 - guide-reducing-unintended-consequences-electronic-health-records https://psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and

  14. Health Information Exchange | Digital Healthcare Research

    digital.ahrq.gov/health-information-exchange-1
    January 01, 2023 - Medication errors pose a significant threat to patients undergoing transitions (Forster, Murff, Peterson

  15. Identification errors in pathology and laboratory medicine. | PSNet

    psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
    October 19, 2022 - Commentary Identification errors in pathology and laboratory medicine. Citation Text: Valenstein PN, Sirota RL. Identification errors in pathology and laboratory medicine. Clin Lab Med. 2004;24(4):979-96, vii. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39106/psn-pdf
    June 30, 2011 - Uncomfortable prescribing decisions in hospitals: the impact of teamwork. June 30, 2011 Lewis PJ, Tully MP. Uncomfortable prescribing decisions in hospitals: the impact of teamwork. J R Soc Med. 2009;102(11):481-8. doi:10.1258/jrsm.2009.090150. https://psnet.ahrq.gov/issue/uncomfortable-prescribing-decisions-hospi…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39232/psn-pdf
    February 14, 2011 - Improving prescription drug warnings to promote patient comprehension. February 14, 2011 Wolf MS, Davis TC, Bass PF, et al. Improving prescription drug warnings to promote patient comprehension. Arch Intern Med. 2010;170(1):50-6. doi:10.1001/archinternmed.2009.454. https://psnet.ahrq.gov/issue/improving-prescripti…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37305/psn-pdf
    January 02, 2011 - Medication administration in anesthesia: time for a paradigm shift. January 2, 2011 Stabile M; Webster CS; Merry AF. https://psnet.ahrq.gov/issue/medication-administration-anesthesia-time-paradigm-shift To reduce anesthesia administration errors, the authors propose changing the organizational culture to foster a…

  19. CMPA Good Practices Guide. | PSNet

    psnet.ahrq.gov/issue/cmpa-good-practices-guide
    November 21, 2018 - Multi-use Website CMPA Good Practices Guide. Citation Text: CMPA Good Practices Guide. Ottawa, Ontario: Canadian Medical Protective Association; 2016. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  20. Using Information Technology to Provide Measurement Based Care for Chronic Illness - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/using-information-technology-provide-measurement-based-care-chronic-illness/annual-summary/2011
    January 01, 2011 - IT system also provided decision support during each medication treatment phase and helped prevent medication … errors.
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