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Showing results for "medicines".

  1. Unintended errors with EHR-based result management: a case series. | PSNet

    psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
    April 29, 2018 - Commentary Unintended errors with EHR-based result management: a case series. Citation Text: Yackel TR, Embi P. Unintended errors with EHR-based result management: a case series. J Am Med Inform Assoc. 2010;17(1):104-7. doi:10.1197/jamia.M3294. Copy Citation Format: DOI G…

  2. Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. | PSNet

    psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
    December 18, 2019 - Newspaper/Magazine Article Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. Citation Text: Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. Lintern S. The Independent. January 15, 2020. Copy Citation …

  3. Matt's story: learning from heartbreak. | PSNet

    psnet.ahrq.gov/issue/matts-story-learning-heartbreak
    August 07, 2024 - Commentary Matt's story: learning from heartbreak. Citation Text: Miller K, Dastoli A. Matt's story: learning from heartbreak. Int J Qual Health Care. 2018;30(8):654-657. doi:10.1093/intqhc/mzy076. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  4. Fall prevention in hospitals: an integrative review. | PSNet

    psnet.ahrq.gov/issue/fall-prevention-hospitals-integrative-review
    November 03, 2021 - Review Fall prevention in hospitals: an integrative review. Citation Text: Spoelstra SL, Given BA, Given CW. Fall Prevention in Hospitals. Clin Nurs Res. 2011;21(1). doi:10.1177/1054773811418106. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

  5. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. | PSNet

    psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology
    May 06, 2009 - Study A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Citation Text: Lander L, Roberson DW, Plummer KM, et al. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Otolaryngol Head Neck Surg. 201…

  6. What have we learnt after 15 years of research into the 'weekend effect'? | PSNet

    psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-research-weekend-effect
    December 02, 2020 - Commentary What have we learnt after 15 years of research into the 'weekend effect'? Citation Text: Bray BD, Steventon A. What have we learnt after 15 years of research into the 'weekend effect'? BMJ Qual Saf. 2017;26(8):607-610. doi:10.1136/bmjqs-2016-005793. Copy Citation Format:…

  7. Patient Safety: Emerging Applications of Safety Science. | PSNet

    psnet.ahrq.gov/issue/patient-safety-emerging-applications-safety-science
    February 09, 2022 - Book/Report Patient Safety: Emerging Applications of Safety Science. Citation Text: Cox C, Hughes H, Nicholls J. Patient Safety: Emerging Applications Of Safety Science. Somerset, UK: Class Publishing; 2024. ISBN 9781801610834. Copy Citation Format: Google Scholar BibTeX En…

  8. Diagnostic error as a result of drug-laboratory test interactions. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-result-drug-laboratory-test-interactions
    November 21, 2018 - Review Diagnostic error as a result of drug-laboratory test interactions. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug-laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098. Copy Ci…

  9. Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital. | PSNet

    psnet.ahrq.gov/issue/enhancing-patient-safety-intelligent-intravenous-infusion-devices-experience-specialty
    January 07, 2015 - Study Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital. Citation Text: Wood JL, Burnette JS. Enhancing patient safety with intelligent intravenous infusion devices: Experience in a specialty cardiac hospital. Heart & Lun…

  10. Medical errors related to discontinuity of care from an inpatient to an outpatient setting. | PSNet

    psnet.ahrq.gov/issue/medical-errors-related-discontinuity-care-inpatient-outpatient-setting
    July 08, 2008 - Study Medical errors related to discontinuity of care from an inpatient to an outpatient setting. Citation Text: Moore C, Wisnivesky J, Williams SP, et al. Medical errors related to discontinuity of care from an inpatient to an outpatient setting. J Gen Intern Med. 2004;18(8). doi:10.1…

  11. No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS. | PSNet

    psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
    December 21, 2017 - Newspaper/Magazine Article No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS. Citation Text: Rajasekaran K, Fairbanks RJ, Shah M. No more blame & shame. Developing event-reporting systems may go a long way to reducing patie…

  12. HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. | PSNet

    psnet.ahrq.gov/issue/hhs-guide-clinicians-appropriate-dosage-reduction-or-discontinuation-long-term-opioid
    October 15, 2008 - Book/Report HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. Citation Text: HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. HHS Guide for Clinicians on the App…

  13. The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  | PSNet

    psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
    December 16, 2014 - Study The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  Citation Text: Greenwald JL, Denham CR, Jack BW. The Hospital Discharge. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12. Copy Citation For…

  14. Patient safety: the what, how, and when. | PSNet

    psnet.ahrq.gov/issue/patient-safety-what-how-and-when
    June 23, 2021 - Commentary Patient safety: the what, how, and when. Citation Text: Albrecht RM. Patient safety: the what, how, and when. Am J Surg. 2015;210(6):978-82. doi:10.1016/j.amjsurg.2015.09.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  15. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. | PSNet

    psnet.ahrq.gov/issue/jcaho-patient-safety-event-taxonomy-standardized-terminology-and-classification-schema-near
    June 04, 2014 - Commentary Classic The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. Citation Text: Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized t…

  16. Diagnostic errors that lead to inappropriate antimicrobial use. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-lead-inappropriate-antimicrobial-use
    October 19, 2022 - Study Diagnostic errors that lead to inappropriate antimicrobial use. Citation Text: Filice GA, Drekonja DM, Thurn JR, et al. Diagnostic Errors that Lead to Inappropriate Antimicrobial Use. Infect Control Hosp Epidemiol. 2015;36(8):949-56. doi:10.1017/ice.2015.113. Copy Citation Fo…

  17. Impact of drug shortages on U.S. health systems. | PSNet

    psnet.ahrq.gov/issue/impact-drug-shortages-us-health-systems
    September 02, 2016 - Study Impact of drug shortages on U.S. health systems. Citation Text: Kaakeh R, Sweet B, Reilly C, et al. Impact of drug shortages on U.S. health systems. Am J Health Syst Pharm. 2011;68(19):1811-9. doi:10.2146/ajhp110210. Copy Citation Format: DOI Google Scholar PubMed Bib…

  18. Time to sign off on signout. | PSNet

    psnet.ahrq.gov/issue/time-sign-signout
    March 11, 2011 - Commentary Time to sign off on signout. Citation Text: Stein DM, Stetson PD. Commentary: time to sign off on signout. Acad Med. 2011;86(7):804-6. doi:10.1097/ACM.0b013e31821d8409. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  19. Processes for effective communication in primary care. | PSNet

    psnet.ahrq.gov/issue/processes-effective-communication-primary-care
    December 21, 2018 - Commentary Processes for effective communication in primary care. Citation Text: Weiner SJ, Barnet B, Cheng TL, et al. Processes for effective communication in primary care. Ann Intern Med. 2005;142(8):709-714. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

  20. Increasing patient safety and efficiency in transfusion therapy using formal process definitions. | PSNet

    psnet.ahrq.gov/issue/increasing-patient-safety-and-efficiency-transfusion-therapy-using-formal-process-definitions
    September 23, 2020 - Study Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Citation Text: Henneman EA, Avrunin GS, Clarke LA, et al. Increasing patient safety and efficiency in transfusion therapy using formal process definitions. Transfus Med Rev. 2007;21(…
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