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Showing results for "medication errors".
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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46340/psn-pdf
    September 27, 2017 - A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety. September 27, 2017 Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medication prescribing alerts in ho…

  2. Preventing adverse events caused by emergency electrical power system failures. | PSNet

    psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system-failures
    July 31, 2023 - December 23, 2016 Preventing pediatric medication errors.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34746/psn-pdf
    July 08, 2016 - Although the report has been criticized for its strong focus on medication errors and computerized order

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857454/psn-pdf
    January 01, 2024 - Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. December 6, 2023 Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. BMJ Qual Saf. 2024;33(…

  5. Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-restriction-number-concurrently-open-records-electronic-health-record-wrong-patient
    July 09, 2018 - Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication … errors.

  6. Critical laboratory value notification: a failure mode effects and criticality analysis. | PSNet

    psnet.ahrq.gov/issue/critical-laboratory-value-notification-failure-mode-effects-and-criticality-analysis
    June 27, 2018 - Improving Diagnostic Safety and Quality April 26, 2023 ISMP medication … error report analysis. … June 16, 2019 ISMP medication error report analysis.

  7. Shachak A et al. 2009 "Primary care physicians' use of an electronic medical record system: a cognitive task analysis." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shachak-et-al-2009
    January 01, 2009 - Shachak A et al. 2009 "Primary care physicians' use of an electronic medical record system: a cognitive task analysis." Reference Shachak A, Hadas-Dayagi M, Ziv A, et al. Primary care physicians use of an electronic medical record system: a cognitive task analysis. J Gen Intern Med 2009;24(3):341-348.…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33653/psn-pdf
    June 01, 2007 - In response to "Failure to Report" (March 2007) June 1, 2007 Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/response-failure-report-march-2007 In response to "Failure to Report" (March 2007) Letter To the editors: Dr. Sp…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73389/psn-pdf
    June 16, 2021 - Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings. June 16, 2021 Murphy A, Griffiths P, Duffield C, et al. Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings. J Adv Nurs. 2021;77(8):3379-3388…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36393/psn-pdf
    May 20, 2024 - Medication errors were the highest recorded sentinel event in the latest period.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38162/psn-pdf
    October 22, 2008 - standardized protocol for administering intravenous medications was associated with a reduction in medication … errors in intensive care unit patients.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41431/psn-pdf
    June 06, 2012 - health care information technology implementation, problems such as hospital-acquired infections and medication … errors persist.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37980/psn-pdf
    October 28, 2009 - practice of double checking medicines before administration did not appear to effectively prevent medication … errors. 

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42268/psn-pdf
    May 15, 2013 - clinical-pharmacy-interventions-paediatric-electronic-prescriptions Pharmacists frequently had to intervene to prevent medication … errors in a children's hospital, despite the presence of a computerized provider order entry system

  15. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care. | PSNet

    psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident
    May 05, 2021 - Study Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care. Citation Text: Goh HS, Tan V, Chang J, et al. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident …

  16. Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. | PSNet

    psnet.ahrq.gov/issue/relationship-between-physician-burnout-and-quality-and-cost-care-medicare-beneficiaries
    August 12, 2020 - Study Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Citation Text: Casalino LP, Li J, Peterson LE, et al. Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Health…

  17. Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care. | PSNet

    psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm
    May 17, 2023 - Study Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care. Citation Text: Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high-performance triggers for identifying patient …

  18. Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. | PSNet

    psnet.ahrq.gov/issue/smartphone-use-during-inpatient-attending-rounds-prevalence-patterns-and-potential
    June 24, 2010 - Study Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. Citation Text: Katz-Sidlow RJ, Ludwig A, Miller S, et al. Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. J Hosp Med. 2012;7(8…

  19. National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. | PSNet

    psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review-and-meta
    February 03, 2021 - Review National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. Citation Text: Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a sys…

  20. How safe is primary care? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
    December 18, 2013 - Review Classic How safe is primary care? A systematic review. Citation Text: Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178. Copy Citation Format…
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