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Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. | PSNet

psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92

September 01, 2021 - Certain visitor behaviors (such as moving the patient) increased patient harm, including falls and medication-related … May 19, 2021 Patient harm resulting from medication reconciliation process failures: … October 6, 2021 Duplicate medication order errors: safety gaps and recommendations for

Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method study. | PSNet

psnet.ahrq.gov/issue/nurses-second-victims-their-patients-suicidal-attempts-mixed-method-study

October 20, 2021 - October 20, 2021 Use of an audit with feedback implementation strategy to promote medication … August 10, 2022 The trigger tool as a method to measure harmful medication errors in … June 9, 2021 Medication reconciliation at hospital discharge: a qualitative exploration

Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. | PSNet

psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using

August 05, 2020 - events were falls , pressure injuries, healthcare-associated infections , and incidents related to medication … December 8, 2021 Geriatric medication reconciliation in the home setting. … accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication

Patient safety measurement tools used in nursing homes: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/patient-safety-measurement-tools-used-nursing-homes-systematic-literature-review

January 11, 2023 - , 2022 Interdisciplinary collaboration across secondary and primary care to improve medication … August 17, 2022 Differences in medication reconciliation interventions between six hospitals … December 13, 2017 Prevalence of potentially inappropriate medication use in older adults

Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths | PSNet

psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident

January 15, 2020 - Based on the coroner's findings, clinical process and procedures, medication/IV fluids, and healthcare-association … , 2019 A mixed-method study of practitioners' perspectives on issues related to EHR medication … reconciliation at a health system. … May 3, 2017 Why 'Universal Precautions' are needed for medication lists.

Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study. | PSNet

psnet.ahrq.gov/issue/does-suggested-diagnosis-general-practitioners-referral-question-impact-diagnostic-reasoning

September 14, 2022 - July 6, 2022 The effect of structured medication review followed by face-to-face feedback … October 27, 2021 Differences in medication reconciliation interventions between six hospitals … January 28, 2015 Factors associated with medication errors in the pediatric emergency

40 years behind the mask: safety revisited. | PSNet

psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited

January 13, 2012 - February 17, 2021 Medication error prevention by pharmacists. … Design and implementation of an application and associated services to support interdisciplinary medication … reconciliation efforts at an integrated healthcare delivery network. … June 13, 2011 The effect of structured medication review followed by face-to-face feedback

The care transitions intervention: translating from efficacy to effectiveness. | PSNet

psnet.ahrq.gov/issue/care-transitions-intervention-translating-efficacy-effectiveness

August 18, 2021 - March 20, 2019 View More Related Resources Improving medication … reconciliation in the outpatient setting. … What patients think doctors know: beliefs about provider knowledge as barriers to safe medication … April 22, 2011 Patient reported receipt of medication instructions for warfarin is associated

Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. | PSNet

psnet.ahrq.gov/issue/impact-errors-paper-based-and-computerized-diabetes-management-decision-support-hospitalized

April 03, 2024 - Related Resources From the Same Author(s) Risks in the analogue and digitally-supported medication … August 4, 2021 Parents' understanding of medication at discharge and potential harm in … observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication … reconciliation tool.

Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. | PSNet

psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k

April 13, 2022 - nature, severity and preventability of adverse drug events in mental health settings: findings from the MedicAtion … March 2, 2011 Improving patient safety and efficiency of medication reconciliation through … May 18, 2022 Analysis of iatrogenic and in-hospital medication errors reported to United

Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. | PSNet

psnet.ahrq.gov/issue/alternatives-opioid-education-and-prescription-drug-monitoring-program-cumulatively-decreased

April 06, 2022 - April 21, 2021 The effect of structured medication review followed by face-to-face feedback … recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication … November 16, 2022 Improving patient safety and efficiency of medication reconciliation

Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. | PSNet

psnet.ahrq.gov/issue/primary-care-patient-safe-setting-prevalence-severity-nature-and-causes-adverse-events

November 08, 2023 - December 14, 2022 Medication adverse events in the ambulatory setting: a mixed-methods … Electronic communication of medication information between nurses in home health care and general practitioners … April 14, 2011 Medication reconciliation in ambulatory care: attempts at improvement.

Impact of introducing an electronic physiological surveillance system on hospital mortality. | PSNet

psnet.ahrq.gov/issue/impact-introducing-electronic-physiological-surveillance-system-hospital-mortality

December 19, 2018 - May 22, 2019 Prospective evaluation of medication-related clinical decision support over-rides … August 17, 2018 Evaluation of medication-related clinical decision support alert overrides … observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication … reconciliation tool.

Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study. | PSNet

psnet.ahrq.gov/issue/lifetime-prevalence-and-correlates-patient-perceived-medical-errors-experienced-us-ambulatory

June 09, 2021 - December 15, 2021 Improving patient safety and efficiency of medication reconciliation … January 4, 2012 Exploring the concept of medication discrepancy within the context of … February 16, 2022 Medication use and cognitive impairment among residents of aged care

Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. | PSNet

psnet.ahrq.gov/issue/toward-safer-opioid-prescribing-hiv-care-tower-mixed-methods-cluster-randomized-trial

September 07, 2022 - November 16, 2022 Medication error in the care of HIV/AIDS patients: electronic surveillance … May 12, 2021 Team-based approach to improving medication reconciliation rates in family … October 7, 2020 ISMP medication error report analysis.

Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. | PSNet

psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive

March 09, 2022 - January 23, 2019 Prevalence of medication administration errors in two medical units … January 27, 2019 Usability testing of a mobile app to report medication errors anonymously … October 14, 2020 Implementation and sustainability of a medication reconciliation toolkit

Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. | PSNet

psnet.ahrq.gov/issue/hospital-nurses-and-physicians-experiences-practicing-patient-safety-work-recognize

October 20, 2021 - March 8, 2023 The effect of structured medication review followed by face-to-face feedback … May 7, 2014 Effect of admission medication reconciliation on adverse drug events from … admission medication changes.

Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. | PSNet

psnet.ahrq.gov/issue/success-resident-led-safety-council-model-satisfying-cler-pathways-excellence-patient-safety

August 01, 2018 - November 29, 2023 Preventing home medication administration errors. … January 25, 2017 Implementing medication reconciliation in outpatient pediatrics. … April 11, 2011 Parental misinterpretations of over-the-counter pediatric cough and cold medication

Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs. | PSNet

psnet.ahrq.gov/issue/entangled-complexity-ethnographic-study-organizational-adaptability-and-safe-care-transitions

August 21, 2024 - Related Resources From the Same Author(s) Exploring the impact of pharmacist-supported medication … July 24, 2024 Medication management of COVID-19 patients during transition to virtual … June 16, 2021 Implementation and sustainability of a medication reconciliation toolkit

A multisite study of interprofessional teamwork and collaboration on general medical services. | PSNet

psnet.ahrq.gov/issue/multisite-study-interprofessional-teamwork-and-collaboration-general-medical-services

November 15, 2023 - 15, 2023 Effects of a refined evidence-based toolkit and mentored implementation on medication … reconciliation at 18 hospitals: results of the MARQUIS2 study. … implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication … orders with Joint Commission medication management standards in a pediatric ICU.

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