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Showing results for "medication errors".
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  1. 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(…
  2. 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.…
  3. 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…
  4. 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 medicationerrors
  5. 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 medicationerrors persist.
  6. 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 medicationerrors in a children's hospital, despite the presence of a computerized provider order entry system
  7. 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 medicationerrors in intensive care unit patients.
  8. 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.
  9. 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…
  10. 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…
  11. 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…
  12. psnet.ahrq.gov/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports-patient-safety
    November 24, 2021 - Study What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. Citation Text: Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety org…
  13. 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…
  14. 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 …
  15. 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. 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…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37528/psn-pdf
    February 13, 2008 - Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. February 13, 2008 Hayden RT, Patterson DJ, Jay DW, et al. Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a …
  18. psnet.ahrq.gov/issue/medical-error-disclosure-training-evidence-values-based-ethical-environments
    October 15, 2016 - January 26, 2022 Spike in fatal medication errors at the beginning of each month.
  19. psnet.ahrq.gov/issue/fatigue-radiology-fertile-area-future-research
    August 29, 2018 - April 19, 2011 Spike in fatal medication errors at the beginning of each month.
  20. psnet.ahrq.gov/issue/not-just-getting-factors-influencing-providers-choice-interpreters
    August 23, 2023 - The state of health, burnout, healthy behaviors, workplace wellness support, and concerns of medicationerrors in pharmacists during the COVID-19 pandemic.