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Showing results for "medication errors".
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  1. Feasibility of prospective error reporting in home palliative care: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods-study
    November 11, 2020 - December 13, 2013 Improving medication error reporting in hospice care.

  2. Repeat prescribing of medications: a system-centred risk management model for primary care organisations. | PSNet

    psnet.ahrq.gov/issue/repeat-prescribing-medications-system-centred-risk-management-model-primary-care
    January 20, 2016 - Patient Safety Primers Patient Safety 101 June 15, 2024 ISMP medication … error report analysis.

  3. A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. | PSNet

    psnet.ahrq.gov/issue/scoping-review-legibility-hand-written-prescriptions-and-drug-orders-writing-wall
    January 12, 2022 - Pharmacist Role in Patient Safety February 21, 2020 ISMP medication … error report analysis.

  4. A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. | PSNet

    psnet.ahrq.gov/issue/comprehensive-patient-safety-program-can-significantly-reduce-preventable-harm-associated
    October 27, 2010 - 2018 An internal quality improvement collaborative significantly reduces hospital-wide medication … error related adverse drug events.

  5. Patient safety and quality improvement: ethical principles for a regulatory approach to bias in healthcare machine learning. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-ethical-principles-regulatory-approach-bias-healthcare
    April 21, 2021 - machine learning-based clinical decision support system to identify prescriptions with a high risk of medication … error.

  6. Nurses' experiences of organizational learning. | PSNet

    psnet.ahrq.gov/issue/nurses-experiences-organizational-learning
    July 21, 2021 - February 1, 2023 Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72599/psn-pdf
    December 23, 2020 - In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching hospital. December 23, 2020 Kanaan AO, Sullivan KM, Seed SM, et al. In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching h…

  8. Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. | PSNet

    psnet.ahrq.gov/issue/effect-computerized-provider-order-entry-clinical-decision-support-adverse-drug-events-long
    February 26, 2009 - An AHRQ WebM&M commentary discusses a case of a medication error associated with warfarin use at a

  9. 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

  10. Discharge missteps can send seniors back to hospital. | PSNet

    psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
    March 28, 2012 - September 13, 2023 ISMP medication error report analysis.

  11. Health Services Safety Investigations Body. | PSNet

    psnet.ahrq.gov/issue/health-services-safety-investigations-body
    February 04, 2015 - August 7, 2019 Medication error prevention by clinical pharmacists in two children's

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38435/psn-pdf
    February 25, 2009 - Prescribing discrepancies likely to cause adverse drug events after patient transfer. February 25, 2009 Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc.2007.025957. https://psnet.ah…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73371/psn-pdf
    June 09, 2021 - Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. June 9, 2021 Leeftink AG, Visser J, de Laat JM, et al. Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. Ergonomics. …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45714/psn-pdf
    December 20, 2017 - us-emergency-department-visits-outpatient-adverse-drug-events-2013-2014 https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46923/psn-pdf
    August 17, 2018 - nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33778/psn-pdf
    March 01, 2015 - attention in the field of patient safety, particularly when compared with other safety topics such as medication … errors, surgical complications, and health care–associated infections.

  17. 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

  18. We are going to name names and call you out! Improving the team in the academic operating room environment. | PSNet

    psnet.ahrq.gov/issue/we-are-going-name-names-and-call-you-out-improving-team-academic-operating-room-environment
    September 23, 2020 - Study We are going to name names and call you out! Improving the team in the academic operating room environment. Citation Text: Bodor R, Nguyen BJ, Broder K. We Are Going to Name Names and Call You Out! Improving the Team in the Academic Operating Room Environment. Ann Plast Surg. 2017;…

  19. 'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy. | PSNet

    psnet.ahrq.gov/issue/its-all-about-patient-safety-ethnographic-study-how-pharmacy-staff-construct-medicines-safety
    October 06, 2021 - Study 'It's all about patient safety': an ethnographic study of how pharmacy staff construct medicines safety in the context of polypharmacy. Citation Text: Fudge N, Swinglehurst D. ‘It's all about patient safety’: an ethnographic study of how pharmacy staff construct medicines safety in…

  20. Prescribers' responses to alerts during medication ordering in the long term care setting. | PSNet

    psnet.ahrq.gov/issue/prescribers-responses-alerts-during-medication-ordering-long-term-care-setting
    February 26, 2009 - Study Prescribers' responses to alerts during medication ordering in the long term care setting. Citation Text: Judge J, Field T, DeFlorio M, et al. Prescribers' responses to alerts during medication ordering in the long term care setting. J Am Med Inform Assoc. 2006;13(4):385-90. Co…
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