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Showing results for "medication errors".
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9741. Surgical complications: disclosing adverse events and medical errors. | PSNet
      psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors
      September 23, 2020 - Commentary Surgical complications: disclosing adverse events and medical errors. Citation Text: Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008. Copy Citation Format: …

9742. Finding and fixing diagnosis errors: can triggers help? | PSNet
      psnet.ahrq.gov/issue/finding-and-fixing-diagnosis-errors-can-triggers-help
      January 31, 2024 - Commentary Finding and fixing diagnosis errors: can triggers help? Citation Text: Schiff GD. Finding and fixing diagnosis errors: can triggers help? BMJ Qual Saf. 2011;21(2):89-92. doi:10.1136/bmjqs-2011-000590. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

9743. Clinical Practice Improvement and Redesign: How Change in Workflow Can Be Supported by Clinical Decision Support (pdf file)
      digital.ahrq.gov/sites/default/files/docs/biblio/09-0054-EF-Updated_0.pdf
      June 01, 2009 - Clinical decision Preventing Medication Errors. … Preventing support in electronic prescribing: Medication Errors, Institute of Medicine. … facilitating medication errors. JAMA 60. … JAMA Mar medication errors: descriptive analysis of events 2005;293(10):1223-38. … J Patient approach to predicting the effectiveness of Saf 2006;2(1):25-32. medication error interventions

9744. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
      November 01, 2011 - Spotlight Case July 2008 Spotlight Case Near Miss with Bedside Medications * * Source and Credits This presentation is based on the November 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Albert W. Wu, MD, MPH, Johns Hopkins Bloomberg S…

9745. Defining optimal length of opioid pain medication prescription after common surgical procedures. | PSNet
      psnet.ahrq.gov/issue/defining-optimal-length-opioid-pain-medication-prescription-after-common-surgical-procedures
      August 15, 2018 - Study Defining optimal length of opioid pain medication prescription after common surgical procedures. Citation Text: Scully RE, Schoenfeld AJ, Jiang W, et al. Defining Optimal Length of Opioid Pain Medication Prescription After Common Surgical Procedures. JAMA Surg. 2018;153(1):37-43. d…

9746. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. | PSNet
      psnet.ahrq.gov/issue/intensive-care-unit-nurses-information-needs-and-recommendations-integrated-displays-improve
      March 01, 2011 - Study Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. Citation Text: Koch SH, Weir C, Haar M, et al. Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurs…

9747. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. | PSNet
      psnet.ahrq.gov/issue/errors-and-omissions-anesthesia-pilot-study-using-pilots-checklist
      September 23, 2020 - Study Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Citation Text: Hart EM, Owen H. Errors and omissions in anesthesia: a pilot study using a pilot's checklist. Anesth Analg. 2005;101(1):246-50, table of contents. Copy Citation Format: Googl…

9748. Unanticipated death after discharge home from the emergency department. | PSNet
      psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
      November 16, 2022 - September 30, 2020 Medication errors in injured patients.

9749. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. | PSNet
      psnet.ahrq.gov/issue/reduction-incorrect-record-accessing-and-charting-patient-electronic-medical-records
      September 29, 2017 - Associations of person-related, environment-related and communication-related factors on medication … errors in public and private hospitals: a retrospective clinical audit.

9750. Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality. | PSNet
      psnet.ahrq.gov/issue/ambulance-diversion-associated-reduced-access-cardiac-technology-and-increased-one-year
      October 27, 2016 - May 9, 2012 Factors influencing medication errors in the prehospital paramedic environment

9751. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. | PSNet
      psnet.ahrq.gov/issue/competencies-improving-diagnosis-interprofessional-framework-education-and-training-health
      September 12, 2018 - July 3, 2013 Profiles in patient safety: medication errors in the emergency department

9752. Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. | PSNet
      psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons
      August 21, 2019 - See More About The Topic Operating Room Health Care Providers Anesthesiology Medication … Errors/Preventable Adverse Drug Events Epidemiology of Errors and Adverse Events View More

9753. Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems. | PSNet
      psnet.ahrq.gov/issue/scoping-review-second-victim-syndrome-among-surgeons-understanding-impact-responses-and
      March 24, 2019 - March 5, 2025 A review of medication errors and the second victim in pediatric pharmacy

9754. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. | PSNet
      psnet.ahrq.gov/issue/surgeon-second-victim-results-boston-intraoperative-adverse-events-surgeons-attitude-bisa
      January 23, 2017 - July 25, 2018 Making an infusion error: the second victims of infusion therapy-related medication … errors.

9755. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. | PSNet
      psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
      September 15, 2021 - Related Resources From the Same Author(s) Effect of a mobile app on prehospital medication … errors during simulated pediatric resuscitation: a randomized clinical trial.

9756. Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. | PSNet
      psnet.ahrq.gov/issue/uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
      March 17, 2021 - October 28, 2020 Impact of pharmacist interventions on medication errors in hospitalized

9757. Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-alarm-fatigue-work-nurses-intensive-care-environment-systematic-review
      August 31, 2022 - November 7, 2018 Moral distress, compassion fatigue, and perceptions about medication … errors in certified critical care nurses.

9758. Defining, estimating, and communicating overdiagnosis in cancer screening. | PSNet
      psnet.ahrq.gov/issue/defining-estimating-and-communicating-overdiagnosis-cancer-screening
      October 13, 2018 - , 2022 View More Related Resources Clinicians' perceptions of medication … errors with opioids in cancer and palliative care services: a priority setting report.

9759. Association of sleep and fatigue with decision regret among critical care nurses. | PSNet
      psnet.ahrq.gov/issue/association-sleep-and-fatigue-decision-regret-among-critical-care-nurses
      July 14, 2021 - December 22, 2008 Exploring organizational context and structure as predictors of medication … errors and patient falls.

9760. The effect of emergency department boarding on order completion. | PSNet
      psnet.ahrq.gov/issue/effect-emergency-department-boarding-order-completion
      January 29, 2018 - (s) A randomized controlled trial on the effect of a double check on the detection of medication … errors.