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Showing results for "medication errors".
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  1. Central venous catheter guidewire retention: lessons from England's never event database. | PSNet

    psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
    September 15, 2021 - Study Central venous catheter guidewire retention: lessons from England's never event database. Citation Text: Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…

  2. Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions-using-safety
    June 15, 2022 - Study Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. Citation Text: Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of allergic reactions using safety…

  3. Inter-hospital transfer is an independent risk factor for hospital-associated infection. | PSNet

    psnet.ahrq.gov/issue/inter-hospital-transfer-independent-risk-factor-hospital-associated-infection
    August 26, 2011 - Study Inter-hospital transfer is an independent risk factor for hospital-associated infection. Citation Text: Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital-associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:…

  4. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/problems-health-information-technology-and-their-effects-care-delivery-and-patient-outcomes
    February 14, 2024 - Review Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. Citation Text: Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic r…

  5. Development of a proactive process to harmonize policy, infusion pump library, and electronic health record entries for continuous infusions at an academic medical center. | PSNet

    psnet.ahrq.gov/issue/development-proactive-process-harmonize-policy-infusion-pump-library-and-electronic-health
    October 19, 2022 - Study Development of a proactive process to harmonize policy, infusion pump library, and electronic health record entries for continuous infusions at an academic medical center. Citation Text: Christensen SM, Andrews SR, Fox ER. Development of a proactive process to harmonize policy, inf…

  6. The role of personal health information management in promoting patient safety in the home: a qualitative analysis | PSNet

    psnet.ahrq.gov/issue/role-personal-health-information-management-promoting-patient-safety-home-qualitative
    June 15, 2022 - Study The role of personal health information management in promoting patient safety in the home: a qualitative analysis Citation Text: Demiris G, Lin S-Y, Turner AM. The role of personal health information management in promoting patient safety in the home: a qualitative analysis. Stud …

  7. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. | PSNet

    psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective
    November 21, 2021 - Study Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Citation Text: Jarrett P, Keogh S, Roberts JA, et al. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Inte…

  8. Information transfer at hospital discharge: a systematic review. | PSNet

    psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review
    February 21, 2015 - Review Classic Information transfer at hospital discharge: a systematic review. Citation Text: Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.000000000000…

  9. Large language model influence on diagnostic reasoning: a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/large-language-model-influence-diagnostic-reasoning-randomized-clinical-trial
    November 03, 2021 - Study Large language model influence on diagnostic reasoning: a randomized clinical trial. Citation Text: Goh E, Gallo R, Hom J, et al. Large language model influence on diagnostic reasoning: a randomized clinical trial. JAMA Netw Open. 2024;7(10):e2440969. doi:10.1001/jamanetworkopen.20…

  10. AHRQ-Funded Research at the 2018 AMIA Annual Symposium | Digital Healthcare Research

    digital.ahrq.gov/2018-year-review/research-dissemination/conference-proceedings/ahrq-funded-research-2018-amia-annual-symposium
    January 01, 2018 - AHRQ-Funded Research at the 2018 AMIA Annual Symposium Investigator Name AHRQ Research Profile AMIA Title Type Abraham, Joanna An Etiology for Medication Ordering Errors in Computerized Provider Order Entry Systems Clinician Perspectives on Duplicate Medication Ordering…

  11. The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. | PSNet

    psnet.ahrq.gov/issue/diagnostic-and-triage-accuracy-digital-and-online-symptom-checker-tools-systematic-review
    May 05, 2021 - Review The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. Citation Text: Wallace W, Chan C, Chidambaram S, et al. The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review. NPJ Digit Med. 2022;5(1…

  12. Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval. | PSNet

    psnet.ahrq.gov/issue/diagnostic-accuracy-physician-staffed-emergency-medical-teams-retrospective-observational
    December 22, 2021 - Study Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval. Citation Text: Schewe J-C, Kappler J, Dovermann K, et al. Diagnostic accuracy of physician-staffed emergency …

  13. Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. | PSNet

    psnet.ahrq.gov/issue/transitions-care-consensus-policy-statement-american-college-physicians-society-general
    July 27, 2022 - Commentary Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. Citation Text: Snow V,…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45755/psn-pdf
    December 21, 2016 - Can computers help doctors reduce diagnostic errors? December 21, 2016 Shryock T. Med Econ. December 5, 2016. https://psnet.ahrq.gov/issue/can-computers-help-doctors-reduce-diagnostic-errors Computerized decision support and advanced computing are being used to augment various processes in health care, such as med…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35372/psn-pdf
    June 06, 2018 - Paralyzed by mistakes: preventing errors with neuromuscular blocking agents. June 6, 2018 ISMP Medication Safety Alert! Acute Care Edition. September 22, 2005;10:1-3. https://psnet.ahrq.gov/issue/paralyzed-mistakes-preventing-errors-neuromuscular-blocking-agents This article provides examples of incidents involvin…

  16. Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patient-and-physician-perspectives-deprescribing-potentially-inappropriate-medications-older
    March 09, 2022 - Study Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. Citation Text: Hahn EE, Munoz-Plaza CE, Lee EA, et al. Patient and physician perspectives of deprescribing potentially inappropria…

  17. Tools for Optimizing Medication Safety (TOP-MEDS) - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/annual-summary/2011
    January 01, 2011 - Tools for Optimizing Medication Safety (TOP-MEDS) - 2011 Project Name Tools for Optimizing Medication Safety (TOP-MEDS) Principal Investigator Lambert, Bruce Organization University of Illinois at Chicago Funding Mechanism RFA: HS11-004: Centers for Education and Re…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72516/psn-pdf
    November 25, 2020 - psnet.ahrq.gov//#9 https://psnet.ahrq.gov//#10 https://psnet.ahrq.gov//#11 https://psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46825/psn-pdf
    June 19, 2018 - Diagnostic performance dashboards: tracking diagnostic errors using big data. June 19, 2018 Mane KK, Rubenstein KB, Nassery N, et al. Diagnostic performance dashboards: tracking diagnostic errors using big data. BMJ Qual Saf. 2018;27(7):567-570. doi:10.1136/bmjqs-2018-007945. https://psnet.ahrq.gov/issue/diagnosti…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44791/psn-pdf
    January 13, 2016 - FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. January 13, 2016 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosi…
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