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Showing results for "medication errors".
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  1. Reliability, uncertainty and the management of error: new perspectives in the COVID-19 era. | PSNet

    psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
    January 12, 2022 - May 24, 2015 Preventing medication errors in hospitals through a systems approach and

  2. Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital? | PSNet

    psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
    October 16, 2024 - December 16, 2008 Iatrogenic disease management: moderating medication errors and risks

  3. Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. | PSNet

    psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals
    March 02, 2022 - machine learning-based clinical decision support system to identify prescriptions with a high risk of medication … error.

  4. Research Dissemination | Digital Healthcare Research

    digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-dissemination
    January 01, 2022 - Clinical Decision Support Solution for Chronic Pain Management Karen Nanji (PI) Preventing Perioperative Medication … Errors and Adverse Drug Events Through the Use of Clinical Decision Support System Demonstration: A

  5. Recurrent Hypoglycemia: A Care Transition Failure? | PSNet

    psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
    December 23, 2020 - May 27, 2011 Medication errors with the use of allopurinol and colchicine: a retrospective

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44957/psn-pdf
    March 09, 2016 - Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. March 9, 2016 ISMP Medication Safety Alert! Acute care edition. February 25, 2016;21(4):1-5. https://psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-the…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35645/psn-pdf
    February 24, 2011 - Voluntary electronic reporting of medical errors and adverse events. February 24, 2011 Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):165-70. https://psnet.ahrq.gov/is…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867137/psn-pdf
    November 13, 2024 - Enteral nutrition: an underappreciated source of patient safety events. November 13, 2024 Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events. Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153. https://psnet.ahrq.gov/issue/enteral-nutrition-underapprec…

  9. Digital Healthcare | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Digital Healthcare Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Researc…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43718/psn-pdf
    December 03, 2014 - teamwork, but also identified numerous areas for improvements, including handoffs, infection control, and medication … errors.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48190/psn-pdf
    June 17, 2024 - conference explored topics related to the theme of “Transforming Anesthetic Care: A Deep Dive into Medication … Errors and Opioid Safety”. 

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41309/psn-pdf
    April 18, 2012 - multifaceted-program-improving-quality-care-intensive-care-units-iatroref-study In this cluster-randomized trial, interventions to prevent medication … errors and device complications in intensive care unit patients were modestly successful.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40311/psn-pdf
    March 23, 2011 - hospitals, greater nursing experience and skill mix was associated with a lower incidence of falls and medication … errors.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34901/psn-pdf
    April 15, 2005 - This fact sheet presents 30 safe practices that can work to reduce or prevent adverse events and medication … errors.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50762/psn-pdf
    December 18, 2019 - mounting-drug-shortages-delay-treatments-patients-bladder-cancer Drug shortages are associated with increased medication … errors and longer length of stays that increase risks to patients.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39394/psn-pdf
    May 25, 2010 - iatrogenic-events-contributing-icu-admission-prospective-study Preventable adverse events, most prominently procedural complications, medication … errors, and postoperative infections, were a common cause of intensive care unit admission in this

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40155/psn-pdf
    January 26, 2011 - /issue/addressing-safety-concerns-about-u-500-insulin-hospital-setting https://psnet.ahrq.gov/issue/medication-errors-dosing-insulin-problems-across-continuum

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37080/psn-pdf
    October 03, 2011 - computerized provider order entry (CPOE) systems, although respondents agreed that CPOE did reduce medication … errors.

  19. Transforming Hospitals | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
    December 01, 2017 - Medication errors. … time walking to sinks and have more opportunities to sanitize their hands before providing care. 12 Medication … Errors Poor lighting, frequent interruptions and distractions, and inadequate private space can complicate … quiet, private spaces allow pharmacists to fill prescriptions without the distractions that may lead to medication … errors. 13 Patient rooms that can be adapted for the acuity of a patient can also reduce errors.

  20. M | Agency for Healthcare Research and Quality

    www.ahrq.gov/topics/m.html
    June 12, 2025 - Topics Browse A - Z M Maternal Health Medicaid Medical Errors Medical Expenditure Panel Survey (MEPS) Medical Liability Medicamentos Medicare Medication Medication: Safety Men's Health Methicillin-Resistant Staphylococcus aureus (MRSA) Mortality
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