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Showing results for "medication errors".
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  1. Hospital staff should use more than one method to detect adverse events and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review may all have a place. | PSNet

    psnet.ahrq.gov/issue/hospital-staff-should-use-more-one-method-detect-adverse-events-and-potential-adverse-events
    November 12, 2014 - Study Hospital staff should use more than one method to detect adverse events and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review may all have a place. Citation Text: Olsen S, Neale G, Schwab K, et al. Hospital staff should use mo…

  2. A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families. | PSNet

    psnet.ahrq.gov/issue/patient-initiated-voluntary-online-survey-adverse-medical-events-perspective-696-injured
    May 20, 2020 - July 26, 2023 Medication errors in overweight and obese pediatric patients: a systematic

  3. Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses. | PSNet

    psnet.ahrq.gov/issue/posttraumatic-growth-and-second-victim-distress-resulting-medical-mishaps-among-physicians
    January 12, 2022 - Tool Survey December 23, 2020 Prevalence, contributory factors and severity of medication … errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and

  4. Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician characteristics, organization demographics, or leadership factors? | PSNet

    psnet.ahrq.gov/issue/understanding-nurses-and-physicians-fear-repercussions-reporting-errors-clinician
    October 13, 2021 - Associations of person-related, environment-related and communication-related factors on medication … errors in public and private hospitals: a retrospective clinical audit.

  5. Potential biases in machine learning algorithms using electronic health record data. | PSNet

    psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data
    June 12, 2019 - May 27, 2011 Preventing medication errors in hospitals through a systems approach and

  6. Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? | PSNet

    psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know
    February 03, 2011 - March 27, 2013 Physician patient communication failure facilitates medication errors

  7. Still Crossing The Quality Chasm. | PSNet

    psnet.ahrq.gov/issue/still-crossing-quality-chasm
    November 04, 2012 - November 18, 2011 ISMP medication error report analysis.

  8. 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 …

  9. Using Health Information Technology to Perform Medication Reconciliation (pdf file)

    digital.ahrq.gov/sites/default/files/docs/lesson/10-0051-ef-medication-reconciliation.pdf
    February 01, 2010 - points in time; and to use that information to inform prescribing decisions and identify and prevent medication … errors.1 This report illustrates the different approaches that AHRQ-funded health information technology

  10. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
    May 01, 2004 - Intensive Insulin Therapy Automated order sets and preprinted order sheets Effective in reducing medication … errors related to chemotherapy dosing Effective in ensuring appropriate therapy for myocardial infarction

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43193/psn-pdf
    June 17, 2014 - Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. June 17, 2014 Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: applicati…

  12. The challenges to transparency in reporting medical errors. | PSNet

    psnet.ahrq.gov/issue/challenges-transparency-reporting-medical-errors
    July 19, 2023 - Commentary The challenges to transparency in reporting medical errors. Citation Text: Paterick ZR, Paterick BB, Waterhouse BE, et al. The Challenges to Transparency in Reporting Medical Errors. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181be2a88. Copy Citation Format: …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43673/psn-pdf
    November 19, 2014 - Work-arounds observed by fourth-year nursing students. November 19, 2014 Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707. https://psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students Accordi…

  14. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? | PSNet

    psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
    June 24, 2020 - April 29, 2018 NICU medication errors: identifying a risk profile for medication errors

  15. Reportable incidents. | PSNet

    psnet.ahrq.gov/issue/reportable-incidents
    November 02, 2016 - Newspaper/Magazine Article Reportable incidents. Citation Text: Barishansky RM, Glick DE. Reportable incidents. Establishing policies and procedures for when calls go wrong. EMS magazine. 2009;38(3):43-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

  16. Learning from malpractice claims about negligent, adverse events in primary care in the United States. | PSNet

    psnet.ahrq.gov/issue/learning-malpractice-claims-about-negligent-adverse-events-primary-care-united-states
    April 07, 2011 - Study Learning from malpractice claims about negligent, adverse events in primary care in the United States. Citation Text: Phillips RL, Bartholomew LA, Dovey S, et al. Learning from malpractice claims about negligent, adverse events in primary care in the United States. Qual Saf Healt…

  17. Cognitive Systems Engineering in Health Care. | PSNet

    psnet.ahrq.gov/issue/cognitive-systems-engineering-health-care
    October 11, 2016 - Book/Report Cognitive Systems Engineering in Health Care. Citation Text: Cognitive Systems Engineering in Health Care. Bisantz AM, Burns CM, Fairbanks RJ, eds. Boca Raton, FL: CRC Press; 2014. ISBN: 9781466587960. Copy Citation Save Save to your library Prin…

  18. Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition
    May 13, 2009 - Book/Report Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. Citation Text: Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 978…

  19. Usability study of two common defibrillators reveals hazards. | PSNet

    psnet.ahrq.gov/issue/usability-study-two-common-defibrillators-reveals-hazards
    June 16, 2009 - Study Usability study of two common defibrillators reveals hazards. Citation Text: Fairbanks RJ, Caplan SH, Bishop PA, et al. Usability Study of Two Common Defibrillators Reveals Hazards. Ann Emerg Med. 2007;50(4):424-432. doi:10.1016/j.annemergmed.2007.03.029. Copy Citation Form…

  20. Clinical questions raised by clinicians at the point of care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/clinical-questions-raised-clinicians-point-care-systematic-review
    May 04, 2022 - Review Clinical questions raised by clinicians at the point of care: a systematic review. Citation Text: Del Fiol G, Workman E, Gorman PN. Clinical questions raised by clinicians at the point of care: a systematic review. JAMA Intern Med. 2014;174(5):710-8. doi:10.1001/jamainternmed.2014…
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