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Showing results for "medication errors".
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  1. Human Factors Engineering | PSNet

    psnet.ahrq.gov/primer/human-factors-engineering
    December 15, 2024 - Human Factors Engineering Citation Text: Human Factors Engineering. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  2. Case Study Webinar Series on Clinician Burnout: The Ohio State University | PSNet

    psnet.ahrq.gov/issue/case-study-webinar-series-clinician-burnout-ohio-state-university
    September 28, 2022 - October 13, 2021 Enhancing Your Medication Error Reporting Program to Improve Global

  3. Hand-off communication: a requisite for perioperative patient safety. | PSNet

    psnet.ahrq.gov/issue/hand-communication-requisite-perioperative-patient-safety
    October 19, 2022 - September 18, 2019 Economic impact of medication error: a systematic review.

  4. Safe use of opioids in hospitals. | PSNet

    psnet.ahrq.gov/issue/safe-use-opioids-hospitals
    February 28, 2018 - April 27, 2022 View More Related Resources ISMP medication error

  5. Latest heparin fatality speaks loudly—what have you done to stop the bleeding? | PSNet

    psnet.ahrq.gov/issue/latest-heparin-fatality-speaks-loudly-what-have-you-done-stop-bleeding
    May 03, 2023 - Newspaper/Magazine Article Latest heparin fatality speaks loudly—what have you done to stop the bleeding? Citation Text: Latest heparin fatality speaks loudly—what have you done to stop the bleeding? ISMP Medication Safety Alert! Acute Care Edition. April 8, 2010;15:1-3. Copy Citation …

  6. Medical Team Training. | PSNet

    psnet.ahrq.gov/issue/medical-team-training
    December 17, 2008 - Book/Report Medical Team Training. Citation Text: Medical Team Training. Oakbrook, IL: Joint Commission Resources; 2008. ISBN: 9781599400921. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40648/psn-pdf
    February 09, 2012 - pros-and-cons-electronic-prescribing-children This commentary explores how electronic prescribing could reduce medication … errors and augment pediatric patient safety.

  8. Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. | PSNet

    psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
    June 01, 1989 - See More About The Topic Hospitals Physicians Medicine Clinical Misdiagnosis Medication … Errors/Preventable Adverse Drug Events View More

  9. Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/assessment-pediatric-look-alike-sound-alike-substitution-errors/final-report
    January 01, 2023 - Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report Citation Basco W. Assessment of Pediatric Look-Alike, Sound-Alike Substitution Errors - Final Report. (Prepared by the Medical University of South Carolina under Grant No. R03 HS018841). Rockville, MD: Agency for Health…

  10. Implementation of diagnostic pauses in the ambulatory setting. | PSNet

    psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory-setting
    January 31, 2024 - Improving Diagnostic Safety and Quality April 26, 2023 ISMP medication … error report analysis.

  11. Evaluation of near-miss wrong-patient events in radiology reports. | PSNet

    psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports
    June 13, 2015 - August 28, 2019 ISMP medication error report analysis.

  12. Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-open-disclosure-processes-cancer-care-cross-sectional-study
    December 01, 2019 - December 16, 2020 Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses.

  13. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. | PSNet

    psnet.ahrq.gov/issue/error-disclosure-neonatal-intensive-care-multicentre-prospective-observational-study
    November 29, 2023 - April 12, 2011 Improving cancer patient care with combined medication error reviews and

  14. Types of diagnostic errors in neurological emergencies in the emergency department. | PSNet

    psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department
    October 30, 2019 - March 13, 2013 Medication-error reporting and pharmacy resident experience during implementation

  15. Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2011
    January 01, 2011 - evaluate the impact of Virtual Continuity, a pre-post study will compare the frequency of discharge medication … errors before and after initiation of the Virtual Continuity intervention.

  16. Dual Therapy Debacle | PSNet

    psnet.ahrq.gov/web-mm/dual-therapy-debacle
    February 01, 2007 - 2024 Multicomponent pharmacist intervention did not reduce clinically important medication … errors for ambulatory patients initiating direct oral anticoagulants. … Improving Diagnostic Safety and Quality April 26, 2023 ISMP medication … error report analysis.

  17. Operating-room fire at hospital burns patient, prompts changes. | PSNet

    psnet.ahrq.gov/issue/operating-room-fire-hospital-burns-patient-prompts-changes
    September 21, 2022 - Newspaper/Magazine Article Operating-room fire at hospital burns patient, prompts changes. Citation Text: Operating-room fire at hospital burns patient, prompts changes. Natt TM Jr. The Pilot. August 9, 2013. Copy Citation Save Save to your library Pri…

  18. Consumer Guide to Adverse Health Events. | PSNet

    psnet.ahrq.gov/issue/consumer-guide-adverse-health-events
    June 04, 2024 - Book/Report Consumer Guide to Adverse Health Events. Citation Text: Consumer Guide to Adverse Health Events. St Paul, MN: Minnesota Department of Health; 2015. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  19. Developing an adverse event reporting system using administrative data. | PSNet

    psnet.ahrq.gov/issue/developing-adverse-event-reporting-system-using-administrative-data
    September 23, 2009 - Study Developing an adverse event reporting system using administrative data. Citation Text: Developing an adverse event reporting system using administrative data. Bahl V; Thompson MA; Commisky EL; Anderson S; Campbell DA Jr. Copy Citation Save Save to your …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37757/psn-pdf
    March 10, 2011 - Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. March 10, 2011 Koppel R, Wetterneck TB, Telles JL, et al. Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. J Am Med Inform Assoc. 20…
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