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Showing results for "occurring".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40539/psn-pdf
    June 22, 2011 - Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. June 22, 2011 Zimmerman S, Love K, Sloane PD, et al. Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. J Am Geriatr Soc. 2011;59(6):1060…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48123/psn-pdf
    August 28, 2019 - Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. August 28, 2019 Orenstein EW, Ferro DF, Bonafide CP, et al. JAMIA Open. 2019;2(3):392-398. https://psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-an…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42721/psn-pdf
    December 12, 2014 - Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. December 12, 2014 Dhamija M, Kapoor G, Juneja A. Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. J Pediatr Hematol Oncol. 2014;…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850161/psn-pdf
    June 07, 2023 - Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. June 7, 2023 Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysis of the nature and contributory fa…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844990/psn-pdf
    February 22, 2023 - Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety. February 22, 2023 Bitan Y, Nunnally M. Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety. …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47247/psn-pdf
    December 19, 2018 - Preventing central line–associated bloodstream infections in the intensive care unit: application of high- reliability principles. December 19, 2018 McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Application of High-Reliability Princi…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866644/psn-pdf
    September 04, 2024 - The impact of independent chemotherapy prescribing by advanced practice providers on patient safety and clinician satisfaction. September 4, 2024 LeStrange N, Walton AM, Watson JL, et al. The impact of independent chemotherapy prescribing by advanced practice providers on patient safety and clinician satisfaction.…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61016/psn-pdf
    October 14, 2020 - Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database. October 14, 2020 Haydar B, Baetzel A, Stewart M, et al. Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database. Anesth Analg. 2020;…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47153/psn-pdf
    October 12, 2018 - Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. October 12, 2018 Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Support Care Ca…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39122/psn-pdf
    January 03, 2017 - Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. January 3, 2017 Kliger J, Blegen MA, Gootee D, et al. Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. Jt Comm J Qual Patient Saf.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42208/psn-pdf
    April 17, 2013 - Hospital staff nurses' shift length associated with safety and quality of care. April 17, 2013 Stimpfel AW, Aiken LH. Hospital staff nurses' shift length associated with safety and quality of care. J Nurs Care Qual. 2013;28(2):122-129. doi:10.1097/NCQ.0b013e3182725f09. https://psnet.ahrq.gov/issue/hospital-staff-n…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34689/psn-pdf
    February 10, 2011 - Incidence of adverse drug events and potential adverse drug events: implications for prevention. February 10, 2011 Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274(1):29-34. https://psnet…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40891/psn-pdf
    January 19, 2012 - Electronic health record-based surveillance of diagnostic errors in primary care. January 19, 2012 Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based surveillance of diagnostic errors in primary care. BMJ Qual Saf. 2012;21(2):93-100. doi:10.1136/bmjqs-2011-000304. https://psnet.ahrq.gov/issue/…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865522/psn-pdf
    April 10, 2024 - An analysis of incident reports related to electronic medication management: how they change over time. April 10, 2024 Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(3):202-208. doi:10.1097/pts.00000…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37260/psn-pdf
    January 02, 2017 - A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. January 2, 2017 Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;33(10):625-35. https://psnet.ahr…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36334/psn-pdf
    October 26, 2010 - Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. October 26, 2010 Kachalia A, Gandhi TK, Puopolo AL, et al. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. Ann Emerg Me…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43593/psn-pdf
    May 06, 2015 - Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. May 6, 2015 Chicago, IL: American Hospital Association, Health Research and Educational Trust, and Joint Commission Center for Transforming Healthcare; 2014. https://psnet.ahrq.gov/issu…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73066/psn-pdf
    March 24, 2021 - Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. March 24, 2021 Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40636/psn-pdf
    November 21, 2011 - Incorrect surgical procedures within and outside of the operating room: a follow-up report. November 21, 2011 Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room: a follow-up report. Arch Surg. 2011;146(11):1235-9. doi:10.1001/archsurg.2011.171. https://psne…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39123/psn-pdf
    April 30, 2014 - Incorrect surgical procedures within and outside of the operating room. April 30, 2014 Neily J, Mills PD, Eldridge N, et al. Incorrect surgical procedures within and outside of the operating room. Arch Surg. 2009;144(11):1028-34. doi:10.1001/archsurg.2009.126. https://psnet.ahrq.gov/issue/incorrect-surgical-proced…
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