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Showing results for "medication errors".
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  1. Dallas Ebola case shows even sound plans can fail spectacularly. | PSNet

    psnet.ahrq.gov/issue/dallas-ebola-case-shows-even-sound-plans-can-fail-spectacularly
    September 30, 2009 - September 21, 2005 Medication error prevention by clinical pharmacists in two children's

  2. Health Literacy–Informed Intervention Reduces Pediatric Caregiver Liquid Medication Dosing Errors | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsletters/e-newsletter/911.html
    April 01, 2024 - Health Literacy–Informed Intervention Reduces Pediatric Caregiver Liquid Medication Dosing Errors Issue Number 911 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. April 30, 2024 AHRQ Stats: Average Healthcare Expenditures Among Persons With High Expenses In…

  3. Radio frequency identification applications in hospital environments. | PSNet

    psnet.ahrq.gov/issue/radio-frequency-identification-applications-hospital-environments
    March 24, 2021 - A prospective hazard and improvement analytic approach to predicting the effectiveness of medication … error interventions.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39655/psn-pdf
    July 07, 2010 - Errors of diagnosis in pediatric practice: a multisite survey. July 7, 2010 Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218. https://psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey…

  5. Putting safety on the curriculum. | PSNet

    psnet.ahrq.gov/issue/putting-safety-curriculum
    February 10, 2010 - January 10, 2024 The impact of transition to a digital hospital on medication errors

  6. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)

    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
    January 01, 2004 - Preventing medication errors in ambulatory care: the importance of establishing regimen concordance.

  7. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
    January 01, 2004 - Preventing medication errors in ambulatory care: the importance of establishing regimen concordance.

  8. Language, Literacy, and Communication Regarding Medication in an Anticoagulation Clinic: Are Pictures Better Than Words? (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schillinger.pdf
    January 01, 2004 - Preventing medication errors in ambulatory care: the importance of establishing regimen concordance.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41441/psn-pdf
    July 08, 2021 - issue/national-diabetes-inpatient-audit-2017 This annual report identified a significant number of medication … errors associated with diabetes care in acute hospitals in England and Wales.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36899/psn-pdf
    April 12, 2011 - role-communication-paediatric-drug-safety The authors review the literature on how communication can help to manage and prevent medication … errors.

  11. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.299_slideshow.ppt
    May 01, 2013 - extent or nature of errors in chemotherapy care Such errors likely comprise only 1.4% to 4% of all medication … errors Error rates generally lower than non-chemotherapy medications Errors with chemotherapy most … Medication errors among adults and children with cancer in the outpatient setting.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40647/psn-pdf
    February 20, 2019 - Too many abandon the "second victims" of medical errors. February 20, 2019 ISMP Medication Safety Alert! Acute care edition. July 14, 2011;16:1-3. https://psnet.ahrq.gov/issue/too-many-abandon-second-victims-medical-errors This piece discusses second victims and describes how five factors can help clinicians invol…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41345/psn-pdf
    September 08, 2016 - A shortage of everything except errors: harm associated with drug shortages. September 8, 2016 ISMP Medication Safety Alert! Acute Care Edition. April 19, 2012;17:1-3. https://psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages This article reports results from a survey of hospita…

  14. Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/tools-optimizing-medication-safety-top-meds/citation/cognitive-tests-predict
    January 01, 2023 - Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. Citation Schroeder SR, Salomon MM, Galanter WL, et al. Cognitive tests predict real-world errors: the r…

  15. Medication management of COVID-19 patients during transition to virtual models of care: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/medication-management-covid-19-patients-during-transition-virtual-models-care-qualitative
    October 30, 2024 - Associations of person-related, environment-related and communication-related factors on medication … errors in public and private hospitals: a retrospective clinical audit.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47994/psn-pdf
    July 16, 2019 - What's in a name? Newborn naming conventions and wrong-patient errors. July 16, 2019 ISMP Medication Safety Alert! Acute Care Edition. April 25, 2019. https://psnet.ahrq.gov/issue/whats-name-newborn-naming-conventions-and-wrong-patient-errors Newborns assigned temporary names are at increased risk for patient misi…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39232/psn-pdf
    February 14, 2011 - Improving prescription drug warnings to promote patient comprehension. February 14, 2011 Wolf MS, Davis TC, Bass PF, et al. Improving prescription drug warnings to promote patient comprehension. Arch Intern Med. 2010;170(1):50-6. doi:10.1001/archinternmed.2009.454. https://psnet.ahrq.gov/issue/improving-prescripti…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39106/psn-pdf
    June 30, 2011 - Uncomfortable prescribing decisions in hospitals: the impact of teamwork. June 30, 2011 Lewis PJ, Tully MP. Uncomfortable prescribing decisions in hospitals: the impact of teamwork. J R Soc Med. 2009;102(11):481-8. doi:10.1258/jrsm.2009.090150. https://psnet.ahrq.gov/issue/uncomfortable-prescribing-decisions-hospi…

  19. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
    December 01, 2017 - breakdowns are a significant, if not leading, cause of many undesirable outcomes, including sentinel events, medication … errors, delays in treatment, ventilator events, and healthcare-associated infections. … you would not want to happen again—an unsafe condition, a patient fall, a venous thromboembolism, a medication … error, a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from

  20. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
    December 01, 2017 - breakdowns are a significant, if not leading, cause of many undesirable outcomes, including sentinel events, medication … errors, delays in treatment, ventilator events, and healthcare-associated infections. … you would not want to happen again—an unsafe condition, a patient fall, a venous thromboembolism, a medication … error, a surgical site infection, wrong-site surgery, missing equipment, nursing time spent away from
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