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Showing results for "medication errors".
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  1. Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? | PSNet

    psnet.ahrq.gov/issue/scrutinizing-incident-reporting-anaesthesia-why-incident-perceived-critical
    February 23, 2011 - Study Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? Citation Text: Maaløe R, la Cour M, Hansen A, et al. Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? Acta Anaesthesiol Scand. 2006;50(8):1005-13. …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45954/psn-pdf
    December 22, 2017 - Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. December 22, 2017 Westbrook JI, Li L, Hooper TD, et al. Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during m…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866436/psn-pdf
    August 07, 2024 - Using name overlap analysis to understand medication name search safety. August 7, 2024 Flynn AJ, Mieure KD, Myers C. Using name overlap analysis to understand medication name search safety. Am J Health Syst Pharm. 2024;81(14):622-633. doi:10.1093/ajhp/zxae048. https://psnet.ahrq.gov/issue/using-name-overlap-analy…

  4. Deprescribing To Reduce Medication Harms in Older Adults | Effective Health Care (EHC) Program

    effectivehealthcare-admin.ahrq.gov/products/deprescribing-mhs4/rapid-research
    February 01, 2024 - Rapid Evidence Product | Feb 9, 2024 Computerized Clinical Decision Support To Prevent Medication … Errors and Adverse Drug Events View Collection Related Product Making Healthcare

  5. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
    February 23, 2008 - Results: Implementing a systematic voluntary medication error reporting program supported by specific … errors, we trained personnel in the 24 CAHs to use MEDMARX®, the Internet-based, anonymous medication … CAH personnel used this standardized taxonomy and MEDMARX tools to analyze their medication errors from … We chose MEDMARX to provide the infrastructure for reporting medication errors because it embodies … MEDMARX® National Medication Error Database (database online). United States Pharmacopeia.

  6. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
    February 23, 2008 - Results: Implementing a systematic voluntary medication error reporting program supported by specific … errors, we trained personnel in the 24 CAHs to use MEDMARX®, the Internet-based, anonymous medication … CAH personnel used this standardized taxonomy and MEDMARX tools to analyze their medication errors from … We chose MEDMARX to provide the infrastructure for reporting medication errors because it embodies … MEDMARX® National Medication Error Database (database online). United States Pharmacopeia.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39871/psn-pdf
    September 22, 2010 - /issue/kaiser-permanentes-innovation-front-lines This article describes how innovation has reduced medication … errors and enhanced quality improvement work in one large health system.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40224/psn-pdf
    February 23, 2011 - the risks of polypharmacy in veterans and discusses the need to improve monitoring to prevent fatal medication … errors.

  9. CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. | PSNet

    psnet.ahrq.gov/issue/cdc-grand-rounds-preventing-unsafe-injection-practices-us-health-care-system
    February 27, 2019 - June 27, 2022 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … January 21, 2015 ISMP medication error report analysis.

  10. Association of physician burnout with suicidal ideation and medical errors. | PSNet

    psnet.ahrq.gov/issue/association-physician-burnout-suicidal-ideation-and-medical-errors
    December 02, 2020 - September 28, 2011 Medication-error reporting and pharmacy resident experience during

  11. Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017 | PSNet

    psnet.ahrq.gov/issue/indication-specific-opioid-prescribing-us-patients-medicaid-or-private-insurance-2017
    August 02, 2017 - August 25, 2021 Medication safety: reducing anesthesia medication errors and adverse … May 6, 2020 ISMP medication error report analysis.

  12. Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/nurses-influence-consumers-experience-safety-acute-mental-health-units-qualitative-study
    January 27, 2021 - October 27, 2021 Use of an audit with feedback implementation strategy to promote medication … error reporting by nurses. … August 5, 2020 Patient safety in home care: a multicenter cross-sectional study about medication … errors and medication management of nurses.

  13. Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids. | PSNet

    psnet.ahrq.gov/issue/increasing-naloxone-prescribing-emergency-department-through-education-and-electronic-medical
    October 14, 2020 - August 12, 2020 Medication errors in overweight and obese pediatric patients: a systematic … February 9, 2022 Medication error in the care of HIV/AIDS patients: electronic surveillance

  14. The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/association-between-prolonged-stay-emergency-department-and-adverse-events-older-patients
    March 13, 2015 - A past AHRQ WebM&M commentary discussed a near miss medication error in a busy ED. … January 19, 2011 ED overcrowding is associated with an increased frequency of medication … errors.

  15. WebAIRS Anesthesia Incident Reporting System. | PSNet

    psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
    November 10, 2011 - WebM&M Cases Syringe Swap During Regional Block: A Case of Medication … Error and Recovery January 31, 2024 Patient Safety Primers

  16. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/intro.html
    July 01, 2022 - Medication reconciliation is a process to decrease medication errors and patient harm in the following

  17. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/match/intro.html
    July 01, 2022 - Medication reconciliation is a process to decrease medication errors and patient harm in the following

  18. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. | PSNet

    psnet.ahrq.gov/issue/impact-clinical-decision-support-system-high-alert-medications-prevention-prescription-errors
    May 10, 2017 - This before-and-after study found that clinical decision support reduced medication errors (greater

  19. Allergen-Specific Immunotherapy for the Treatment of Allergic Rhinoconjunctivitis and/or Asthma: Comparative Effectiveness Review | Effective Health Care (EHC) Program

    effectivehealthcare.ahrq.gov/products/asthma-immunotherapy-2010/research
    March 27, 2013 - Current Page Topic Timeline Sep. 3, 2009 Topic Suggestion Aug. 24, 2011 Research Protocol Mar. 27, 2013 Systematic Review Jul. 31, 2013 Disposition of Comments Report Allergen-Specific Immunotherapy for the Treatment of Allergic Rhinoconjunctivitis and/or Asthma: Comparative Effectiveness Review Systematic Review …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50775/psn-pdf
    January 01, 2021 - A prior WebM&M describes a medication error occurring during an intrahospital transfer between the ICU
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