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9821. Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. | PSNet
      psnet.ahrq.gov/issue/keeping-patients-risk-self-harm-safe-emergency-department-protocolized-approach
      December 02, 2020 - October 12, 2022 Advanced medication reconciliation: a systematic review of the impact on medication … errors and adverse drug events associated with transitions of care.

9822. Incidence and predictors of opioid prescription at discharge after traumatic injury. | PSNet
      psnet.ahrq.gov/issue/incidence-and-predictors-opioid-prescription-discharge-after-traumatic-injury
      July 02, 2019 - Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication … errors.

9823. Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. | PSNet
      psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project
      October 19, 2022 - View More See More About The Topic Hospitals Quality and Safety Professionals Medication … Errors/Preventable Adverse Drug Events Medical Complications Wrong Patient View More

9824. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. | PSNet
      psnet.ahrq.gov/issue/scaling-diagnostic-pause-icu-ward-transition-exploration-barriers-and-facilitators
      July 19, 2019 - May 27, 2011 Patterns in nursing home medication errors: disproportionality analysis

9825. Speaking up or remaining silent about patient safety concerns in rehabilitation: a cross-sectional survey to assess staff experiences and perceptions. | PSNet
      psnet.ahrq.gov/issue/speaking-or-remaining-silent-about-patient-safety-concerns-rehabilitation-cross-sectional
      November 06, 2019 - July 27, 2022 Patient safety in home care: a multicenter cross-sectional study about medication … errors and medication management of nurses.

9826. Association of opioid prescriptions from dental clinicians for US adolescents and young adults with subsequent opioid use and abuse. | PSNet
      psnet.ahrq.gov/issue/association-opioid-prescriptions-dental-clinicians-us-adolescents-and-young-adults-subsequent
      May 18, 2022 - May 27, 2020 Medication safety: reducing anesthesia medication errors and adverse drug

9827. Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique. | PSNet
      psnet.ahrq.gov/issue/supporting-carers-improve-patient-safety-and-maintain-their-well-being-transitions-mental
      May 31, 2023 - February 18, 2009 Nurses relate the contributing factors involved in medication errors

9828. Patient characteristics and the occurrence of never events. | PSNet
      psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
      February 15, 2011 - originally coined to describe rare, devastating, and preventable events like wrong-site surgery or fatal medication … errors.

9829. Evaluating shared decision making for lung cancer screening. | PSNet
      psnet.ahrq.gov/issue/evaluating-shared-decision-making-lung-cancer-screening
      May 25, 2016 - 2024 Relationships between medications used in a mental health hospital and types of medication … errors: a cross-sectional study over an 8-year period.

9830. Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. | PSNet
      psnet.ahrq.gov/issue/acting-between-guidelines-and-reality-interview-study-exploring-strategies-first-line
      May 19, 2021 - Associations of person-related, environment-related and communication-related factors on medication … errors in public and private hospitals: a retrospective clinical audit.

9831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837206/psn-pdf
      May 25, 2022 - Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. May 25, 2022 Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. J Emerg Nurs. 2022;48(3):319-327. doi:10.1016/j.jen.…

9832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33611/psn-pdf
      July 01, 2005 - In order to comprehensively capture procedural issues, diagnostic mistakes, and medication errors, we

9833. Using Information Technology to Provide Measurement Based Care for Chronic Illness - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-information-technology-provide-measurement-based-care-chronic-illness/annual-summary/2010
      January 01, 2010 - system will also provide decision support during each medication treatment phase and will help prevent medication … errors.

9834. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/references.html
      June 01, 2018 - The effect of electronic prescribing on medication errors and adverse drug events: a systematic review

9835. Making Healthcare Safer IV: Summary of Findings, 2023-2024 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-1-year-final-report-updated-title_0.pdf
      May 01, 2024 - Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events ........ … Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events 1a. … o Improved medication-related CDSS were associated with reductions of medication errors and adverse … involving CDSS to reduce medication errors and adverse drug events. … Computerized Clinical Decision Support To Prevent Medication Errors and Adverse Drug Events 1a.

9836. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44768/psn-pdf
      February 03, 2016 - Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents. February 3, 2016 Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient Saf. 2016;42(2):86-91. https://psne…

9837. Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. | PSNet
      psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
      July 17, 2024 - Common incidents included pressure injuries, medication errors , and premature discharge.

9838. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation | PSNet
      psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
      March 27, 2024 - 2022 WebM&M Cases The Impact of Communication on Medication … Errors March 15, 2021 WebM&M Cases When the

9839. ISMP Guidelines for Safe Electronic Communication of Medication Information. | PSNet
      psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information
      May 07, 2019 - Book/Report ISMP Guidelines for Safe Electronic Communication of Medication Information. Citation Text: ISMP Guidelines for Safe Electronic Communication of Medication Information. Horsham, PA: Institute for Safe Medication Practices; January 2019. Copy Citation Save …

9840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38118/psn-pdf
      October 01, 2019 - Preventing errors relating to commonly used anticoagulants. December 23, 2016 Preventing errors relating to commonly used anticoagulants. Sentinel Event Alert. 2008;41(41):1-4. https://psnet.ahrq.gov/issue/preventing-errors-relating-commonly-used-anticoagulants Anticoagulant therapies such as heparin and warfarin …