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Showing results for "medication errors".
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  1. 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 …

  2. 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 …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40647/psn-pdf
    February 20, 2019 - Too many abandon the "second victims" of medical errors. February 20, 2019 ISMP Medication Safety Alert! Acute care edition. July 14, 2011;16:1-3. https://psnet.ahrq.gov/issue/too-many-abandon-second-victims-medical-errors This piece discusses second victims and describes how five factors can help clinicians invol…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41345/psn-pdf
    September 08, 2016 - A shortage of everything except errors: harm associated with drug shortages. September 8, 2016 ISMP Medication Safety Alert! Acute Care Edition. April 19, 2012;17:1-3. https://psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages This article reports results from a survey of hospita…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35298/psn-pdf
    August 08, 2018 - Safety still compromised by computer weaknesses. August 8, 2018 ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3. https://psnet.ahrq.gov/issue/safety-still-compromised-computer-weaknesses The Institute for Safe Medication Practices (ISMP) reports on a 2005 field test that indicates many pha…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72755/psn-pdf
    February 17, 2021 - Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. February 17, 2021 Shah SN, Amato MG, Garlo KG, et al. Renal medication-related clinical decisio…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837853/psn-pdf
    August 17, 2022 - RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. August 17, 2022 Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45524/psn-pdf
    January 03, 2017 - Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays. January 3, 2017 Chen D-W, Chase VJ, Burkhardt ME, et al. Using Human Factors Design Principles and Industrial Engineering Methods to Improve Accuracy and Speed of Drug Sel…

  9. 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

  10. 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

  11. 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.

  12. AHRQ-Funded Research Highlights Impact of Private Equity in Healthcare | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsletters/e-newsletter/927.html
    August 01, 2024 - Medication safety refers to the practices and measures implemented to minimize the risk of medication … errors and adverse drug events in various settings across the healthcare continuum.

  13. 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 …

  14. 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 …

  15. 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…

  16. Electronic Health Record Information Design and Usability Toolkit | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-information-design-and-usability-toolkit
    January 01, 2023 - While health information technology (IT) systems are expected to significantly reduce medication … errors, studies have found that issues with usability and information design can actually facilitate

  17. 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

  18. 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.

  19. 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.

  20. 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
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