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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37305/psn-pdfJanuary 02, 2011 - Medication administration in anesthesia: time for a paradigm shift. January 2, 2011 Stabile M; Webster CS; Merry AF. https://psnet.ahrq.gov/issue/medication-administration-anesthesia-time-paradigm-shift To reduce anesthesia administration errors, the authors propose changing the organizational culture to foster a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36036/psn-pdfApril 29, 2018 - Rapid response team activation by patients can mitigate errors. April 29, 2018 ISMP Medication Safety Alert! Acute care edition. June 1, 2006. https://psnet.ahrq.gov/issue/rapid-response-team-activation-patients-can-mitigate-errors This article discusses one hospital's initiative to empower patients and their fami… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37922/psn-pdfMay 02, 2018 - Epidural-IV route mix-ups: reducing the risk of deadly errors. May 2, 2018 ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3. https://psnet.ahrq.gov/issue/epidural-iv-route-mix-ups-reducing-risk-deadly-errors This article reports on the potentially fatal error of administering epidural medicati… -
psnet.ahrq.gov/issue/non-luer-connectors-are-we-nearly-there-yetMarch 01, 2023 - October 20, 2010 View More Related Resources ISMP medication error
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psnet.ahrq.gov/primer/personal-health-literacyOctober 31, 2023 - Examples where poor health literacy resulted in errors in care and adverse events include medication … errors , communication errors , patients with serious conditions including diabetic ketoacidosis … Use of simulation to measure the effects of just-in-time information to prevent nursing medication … errors: a randomized controlled study. … November 26, 2014 Out-of-hospital medication errors: a 6-year analysis of the national
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psnet.ahrq.gov/issue/using-good-design-eliminate-medical-errorsDecember 09, 2020 - Newspaper/Magazine Article Using good design to eliminate medical errors. Citation Text: Using good design to eliminate medical errors. Jaffe E. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter L…
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psnet.ahrq.gov/issue/wrong-patient-orders-obstetricsSeptember 23, 2020 - Medication errors were the largest source of order errors and commonly involved antibiotics and opioid
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psnet.ahrq.gov/issue/prevalence-and-characterisation-diagnostic-error-among-7-day-all-cause-hospital-medicineApril 12, 2023 - Study Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. Citation Text: Raffel KE, Kantor MA, Barish P, et al. Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46575/psn-pdfDecember 13, 2017 - Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. December 13, 2017 Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res. 2017;17(5):431-439. doi:10.108… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34689/psn-pdfFebruary 10, 2011 - CPOE), barcoded medication administration systems, and other systems designed to reduce preventable medication … errors at each stage. -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40548/psn-pdfMarch 23, 2012 - increased odds of an adverse drug event during hospitalization, while the Beers criteria failed to predict medication … errors. -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72774/psn-pdfFebruary 24, 2021 - preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events -
digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-31a-goals-worksheetJanuary 01, 2023 - Here are some examples: Reduce medication errors.
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psnet.ahrq.gov/topics-0March 03, 2025 - Thromboembolism Go to this topic Medication Safety Go to this topic Medication … Errors/Preventable Adverse Drug Events Go to this topic Administration Errors Go to this
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www.ahrq.gov/sites/default/files/2024-01/grahamlear-report.pdfJanuary 01, 2024 - administration practices of school nurses and found that 314 (48.5%) of the respondents “report that a medication … error occurred in the past year in their school(s),” with the most frequent error being missed doses … For example, although medical errors, particularly medication errors, have been recognized as a potential
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptxApril 10, 2018 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptxApril 10, 2018 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptxApril 10, 2018 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce
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Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members (pdf file)
pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdfJanuary 01, 2010 - • PSO Alert – High Alert Medications ► 1 in 5 medication errors reported to PSO in 2014 involved -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptxApril 10, 2018 - One clinician observed, “It closes the gaps, reduces medication errors, offers the opportunity to reduce
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