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Showing results for "medication errors".
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  1. A leadership initiative to improve communication and enhance safety. | PSNet

    psnet.ahrq.gov/issue/leadership-initiative-improve-communication-and-enhance-safety
    March 11, 2009 - Commentary A leadership initiative to improve communication and enhance safety. Citation Text: Donahue M, Miller M, Smith L, et al. A Leadership Initiative to Improve Communication and Enhance Safety. American Journal of Medical Quality. 2011;26(3). doi:10.1177/1062860610387410. Copy…

  2. Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. | PSNet

    psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
    November 16, 2022 - Commentary Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. Citation Text: Williams EA, Nikolai DA, Ladwig L, et al. Development of "SWARM" as a Model for High Reliability, Rapid Problem Solving, and Institutional Learning. Jt Com…

  3. 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…

  4. 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…

  5. A National Web Conference on Health IT and Safety | Digital Healthcare Research

    digital.ahrq.gov/events/national-web-conference-health-it-and-safety
    January 01, 2023 - results of an AHRQ-funded study on the impact of bedside barcode/electronic medication administration on medication … errors, workflow, and nursing satisfaction.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47079/psn-pdf
    July 02, 2019 - decision support systems are widely utilized to improve patient safety by alerting providers to potential medication … errors and other safety concerns.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45595/psn-pdf
    April 19, 2017 - triggers-and-trigger-tools https://psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42361/psn-pdf
    September 19, 2013 - engaging-patient-observer-promote-hand-hygiene-compliance-ambulatory-care https://psnet.ahrq.gov/issue/medication-errors-home-multisite-study-children-cancer

  9. Mounting drug shortages delay treatments for patients with bladder cancer | PSNet

    psnet.ahrq.gov/issue/mounting-drug-shortages-delay-treatments-patients-bladder-cancer
    December 05, 2018 - Drug shortages are associated with increased medication errors and longer length of stays that increase

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49779/psn-pdf
    January 01, 2017 - DERS: (Dose Error Reduction Software/System): Technology designed to reduce the incidence of IV medication … error.

  11. Final Progress Report: Utility of Predictive Systems in Diagnostic Errors (UPSIDE) (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
    January 01, 2025 - earlier works like the Harvard Medical Practice Study rightly focused on procedural complications and medication … errors, they also underscored the independent significance of diagnostic problems in safety gaps. … Similar to errors resulting from procedural complications or certain medication errors, chart reviews

  12. Sharing the process of diagnostic decision making. | PSNet

    psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
    January 19, 2022 - January 24, 2018 Medication errors and patient complications with continuous renal replacement

  13. Accuracy of radiographic readings in the emergency department. | PSNet

    psnet.ahrq.gov/issue/accuracy-radiographic-readings-emergency-department
    November 18, 2016 - January 27, 2021 Medication errors by caregivers at home in neonates discharged from

  14. Directed peer review in surgical pathology. | PSNet

    psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
    December 03, 2014 - December 21, 2014 Medication errors reported in a pediatric intensive care unit for oncologic

  15. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. | PSNet

    psnet.ahrq.gov/issue/use-simulation-assess-electronic-health-record-safety-intensive-care-unit-pilot-study
    December 10, 2014 - May 29, 2019 EHR-related medication errors in two ICUs.

  16. Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. | PSNet

    psnet.ahrq.gov/issue/developing-appreciation-patient-safety-analysis-interprofessional-student-experiences-health
    July 24, 2024 - September 23, 2020 ASHP guidelines on preventing medication errors with chemotherapy

  17. Navigating the complex terrain of patient safety: challenges, strategies, and the importance of ongoing evaluation and knowledge sharing. | PSNet

    psnet.ahrq.gov/issue/navigating-complex-terrain-patient-safety-challenges-strategies-and-importance-ongoing
    July 01, 2017 - June 19, 2013 Analysis of Australian newspaper coverage of medication errors.

  18. Defensive medicine: it is time to finally slow down an epidemic. | PSNet

    psnet.ahrq.gov/issue/defensive-medicine-it-time-finally-slow-down-epidemic
    November 18, 2016 - June 8, 2022 Harm prevalence due to medication errors involving high-alert medications

  19. A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes. | PSNet

    psnet.ahrq.gov/issue/retrospective-review-crisis-events-diagnostic-radiology-analysis-frequency-demographics
    February 17, 2017 - February 17, 2017 Medication errors during medical emergencies in a large, tertiary care

  20. A coaching program to improve employee engagement, culture of safety, and patient experience. | PSNet

    psnet.ahrq.gov/issue/coaching-program-improve-employee-engagement-culture-safety-and-patient-experience
    April 05, 2013 - Resources From the Same Author(s) Effect of a pharmacist intervention on clinically important medication … errors after hospital discharge: a randomized trial.
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