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Showing results for "medication errors".
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  1. Hospital trustees shift their focus to medical safety. | PSNet

    psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
    July 30, 2014 - March 24, 2016 Report faults Children's Hospital for medication errors.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35282/psn-pdf
    May 27, 2011 - Comprehensive analysis of a medication dosing error related to CPOE. May 27, 2011 Horsky J, Kuperman GJ, Patel VL. Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1. J Am Med Info Assoc. 2005;12(4). doi:10.1197/jamia.m1740. https://psnet.ahrq.gov/issue/comprehensive-analysis-medication-d…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38749/psn-pdf
    April 08, 2011 - Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. April 8, 2011 Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10.1542/peds.2008-0854. https://psnet.…

  4. Patient Safety Papers 6. | PSNet

    psnet.ahrq.gov/issue/patient-safety-papers-6
    November 10, 2010 - Special or Theme Issue Patient Safety Papers 6. Citation Text: Patient Safety Papers 6. Baker GR, ed. Healthc Q. 2012;15:1-72. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  5. Use of temporary names for newborns and associated risks. | PSNet

    psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-risks
    December 21, 2017 - 16, 2019 Shaping systems for better behavioral choices: lessons learned from a fatal medication … error.

  6. Care Transitions App for Patients with Multiple Chronic Conditions | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/care-transitions-app-patients-multiple-chronic-conditions
    January 01, 2023 - transitions are a vulnerable period for patients, leading to post-discharge adverse events, falls, medication … errors, and readmissions. … Complications, such as falls or medication errors, could lead to readmissions.

  7. The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. | PSNet

    psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
    March 23, 2012 - Copy Citation Related Resources From the Same Author(s) Preventing Medication … Errors: A $21 Billion Opportunity.

  8. Clinical review: Checklists—translating evidence into practice. | PSNet

    psnet.ahrq.gov/issue/clinical-review-checklists-translating-evidence-practice
    April 08, 2009 - December 29, 2014 Medication errors associated with code situations in U.S. hospitals

  9. Implementing handoff communication. | PSNet

    psnet.ahrq.gov/issue/implementing-handoff-communication
    August 25, 2010 - April 10, 2024 Measurement of ambulatory medication errors in children: a scoping review

  10. Measuring patient safety in the emergency department. | PSNet

    psnet.ahrq.gov/issue/measuring-patient-safety-emergency-department
    June 29, 2011 - study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication … errors.

  11. Massachusetts Coalition for the Prevention of Medical Errors. | PSNet

    psnet.ahrq.gov/issue/massachusetts-coalition-prevention-medical-errors
    February 05, 2014 - Multi-use Website Massachusetts Coalition for the Prevention of Medical Errors. Citation Text: Massachusetts Coalition for the Prevention of Medical Errors. Massachusetts Coalition for the Prevention of Medical Errors Copy Citation Save Save to your library …

  12. 7.  Appendix C: Additional Tables by Topic Area | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
    May 01, 2024 - The care transition intervention will have the potential to prevent DOAC-related medication errors, improve

  13. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial
    December 21, 2014 - Study Classic 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. Citation Text: Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled t…

  14. Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? | PSNet

    psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
    January 26, 2022 - Study Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? Citation Text: Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525. C…

  15. The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment. | PSNet

    psnet.ahrq.gov/issue/influence-personality-psychological-safety-presence-stress-and-chosen-professional-roles
    September 22, 2021 - Study The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment. Citation Text: Grailey K, Lound A, Murray E, et al. The influence of personality on psychological safety, the presence of stress and chosen prof…

  16. The problem with…using stories as a source of evidence and learning. | PSNet

    psnet.ahrq.gov/issue/problem-withusing-stories-source-evidence-and-learning
    June 19, 2018 - Commentary The problem with…using stories as a source of evidence and learning. Citation Text: Iedema R. The problem with … using stories as a source of evidence and learning. BMJ Qual Saf. 2022;31(3):234-237. doi:10.1136/bmjqs-2021-014221. Copy Citation Format: DOI Google …

  17. Association between potentially inappropriate medications prescription and health-related quality of life among US older adults. | PSNet

    psnet.ahrq.gov/issue/association-between-potentially-inappropriate-medications-prescription-and-health-related
    June 08, 2010 - Study Association between potentially inappropriate medications prescription and health-related quality of life among US older adults. Citation Text: Clark CM, Guan J, Patel AR, et al. Association between potentially inappropriate medications prescription and health‐related quality of li…

  18. Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | PSNet

    psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
    December 09, 2020 - Study Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. Citation Text: Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…

  19. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. | PSNet

    psnet.ahrq.gov/issue/how-many-too-many-using-cognitive-load-theory-determine-maximum-safe-number-inpatient
    October 19, 2022 - Study How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. Citation Text: Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient…

  20. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. | PSNet

    psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital
    April 26, 2023 - Study Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Citation Text: Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf.…
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