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Showing results for "medication errors".
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  1. 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

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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

  7. 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

  8. Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. | PSNet

    psnet.ahrq.gov/issue/drug-drug-interactions-should-be-non-interruptive-order-reduce-alert-fatigue-electronic
    December 31, 2014 - Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication … error reductions.

  9. 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…

  10. 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.

  11. Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive
    November 29, 2023 - November 29, 2023 Effect of a mobile app on prehospital medication errors during simulated … December 1, 2011 Moral distress, compassion fatigue, and perceptions about medication … errors in certified critical care nurses.

  12. Considering human factors and developing systems-thinking behaviours to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
    March 01, 2023 - Newspaper/Magazine Article Considering human factors and developing systems-thinking behaviours to ensure patient safety. Citation Text: Considering human factors and developing systems-thinking behaviours to ensure patient safety. Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical H…

  13. General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all. | PSNet

    psnet.ahrq.gov/issue/general-internists-pursuit-diagnostic-excellence-primary-care-proudtobegim-thread-unites-us
    April 03, 2024 - Commentary General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all. Citation Text: Kwan JL, Singh H. General Internists in Pursuit of Diagnostic Excellence in Primary Care: a #ProudtobeGIM Thread That Unites Us All. J Gen Intern M…

  14. Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. | PSNet

    psnet.ahrq.gov/issue/shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure
    August 21, 2019 - Study Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. Citation Text: LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. d…

  15. What we know about designing an effective improvement intervention (but too often fail to put into practice). | PSNet

    psnet.ahrq.gov/issue/what-we-know-about-designing-effective-improvement-intervention-too-often-fail-put-practice
    September 06, 2017 - Commentary What we know about designing an effective improvement intervention (but too often fail to put into practice). Citation Text: Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practic…

  16. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. | PSNet

    psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
    November 03, 2015 - Study Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. Citation Text: Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histo…

  17. Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. | PSNet

    psnet.ahrq.gov/issue/operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety
    September 24, 2016 - Study Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Citation Text: Turley JP, Johnson TR, Smith DP, et al. Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Jt Comm…

  18. Clinical review: the hospital of the future—building intelligent environments to facilitate safe and effective acute care delivery. | PSNet

    psnet.ahrq.gov/issue/clinical-review-hospital-future-building-intelligent-environments-facilitate-safe-and
    March 16, 2022 - Review Clinical review: the hospital of the future—building intelligent environments to facilitate safe and effective acute care delivery. Citation Text: Pickering BW, Litell JM, Herasevich V, et al. Clinical review: the hospital of the future - building intelligent environments to faci…

  19. Innovative teaching in situational awareness. | PSNet

    psnet.ahrq.gov/issue/innovative-teaching-situational-awareness
    November 04, 2020 - Commentary Innovative teaching in situational awareness. Citation Text: Gregory A, Hogg G, Ker J. Innovative teaching in situational awareness. Clin Teach. 2015;12(5):331-5. doi:10.1111/tct.12310. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  20. Adverse events and near misses relating to information management in a hospital. | PSNet

    psnet.ahrq.gov/issue/adverse-events-and-near-misses-relating-information-management-hospital
    December 29, 2014 - Study Adverse events and near misses relating to information management in a hospital. Citation Text: Jylhä V, Bates DW, Saranto K. Adverse events and near misses relating to information management in a hospital. Health Inf Manag. 2016;45(2):55-63. doi:10.1177/1833358316641551. Copy Ci…
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