-
psnet.ahrq.gov/node/38031/psn-pdf
September 03, 2008 - Development and evaluation of a required patient safety
course.
September 3, 2008
Sukkari SR, Sasich LD, Tuttle DA, et al. Development and evaluation of a required patient safety course.
Am J Pharm Educ. 2008;72(3):65.
https://psnet.ahrq.gov/issue/development-and-evaluation-required-patient-safety-course
This ar…
-
psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-acute-care-hospitals
October 23, 2019 - February 20, 2019
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative
-
psnet.ahrq.gov/issue/practitioners-agree-medication-reconciliation-value-frustration-and-difficulties-abound
August 09, 2023 - May 11, 2014
Communicating medication changes to community pharmacy post-discharge: the
-
psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
April 03, 2024 - information with at least one other reliable resource (for example, drug vials, patient medication lists, a community … pharmacy, a primary care physician, or a government medication database).( 11 ) At a minimum, medication
-
psnet.ahrq.gov/node/38629/psn-pdf
May 20, 2009 - Medication errors in an intensive care unit.
May 20, 2009
Bohomol E, Ramos LH, D'Innocenzo M. Medication errors in an intensive care unit. J Adv Nurs.
2009;65(6):1259-67. doi:10.1111/j.1365-2648.2009.04979.x.
https://psnet.ahrq.gov/issue/medication-errors-intensive-care-unit
Pharmacy problems, including lack of me…
-
psnet.ahrq.gov/node/35744/psn-pdf
July 15, 2010 - Medication safety infrastructure in critical-access
hospitals in Florida.
July 15, 2010
Winterstein AG, Hartzema AG, Johns TE, et al. Medication safety infrastructure in critical-access hospitals
in Florida. American Journal of Health-System Pharmacy. 2006;63(5). doi:10.2146/ajhp050345.
https://psnet.ahrq.gov/issu…
-
psnet.ahrq.gov/node/40557/psn-pdf
June 29, 2011 - A systemic methodology for risk management in
healthcare sector.
June 29, 2011
Cagliano AC, Grimaldi S, Rafele C. A systemic methodology for risk management in healthcare sector. Saf
Sci. 2011;49(5). doi:10.1016/j.ssci.2011.01.006.
https://psnet.ahrq.gov/issue/systemic-methodology-risk-management-healthcare-sector…
-
psnet.ahrq.gov/node/38360/psn-pdf
March 18, 2010 - Medication errors occurring with the use of bar-code
administration technology.
March 18, 2010
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
https://psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology
This article describes errors associated with bar coded medication admin…
-
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…
-
psnet.ahrq.gov/node/35298/psn-pdf
August 08, 2018 - Safety still compromised by computer weaknesses.
August 8, 2018
ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3.
https://psnet.ahrq.gov/issue/safety-still-compromised-computer-weaknesses
The Institute for Safe Medication Practices (ISMP) reports on a 2005 field test that indicates many
pha…
-
psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose
Citation Text:
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose. PSNet [internet]. Rockville (MD): Agency for Healthcare Rese…
-
psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical
Record Causing an Accidental Medication Overdose
October 31, 2023
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an
Accidental Medication Overdose. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/weight-and-…
-
psnet.ahrq.gov/issue/spoons-systematically-bias-dosing-liquid-medicine
November 03, 2015 - Study
Spoons systematically bias dosing of liquid medicine.
Citation Text:
Wansink B, van Ittersum K. Spoons systematically bias dosing of liquid medicine. Ann Intern Med. 2010;152(1):66-7. doi:10.7326/0003-4819-152-1-201001050-00024.
Copy Citation
Format:
DOI Google Scho…
-
psnet.ahrq.gov/issue/cost-effectiveness-electronic-medication-ordering-and-administration-system-reducing-adverse
June 01, 2012 - Study
Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events.
Citation Text:
Wu RC, Laporte A, Ungar WJ. Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. J Eval …
-
psnet.ahrq.gov/issue/impact-pharmacist-involvement-transitional-care-high-risk-patients-through-medication
August 25, 2011 - Review
Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study).
Citation Text:
Phatak A, Prusi R, Ward B, et al. Impact of pharmacist involvement in the transition…
-
psnet.ahrq.gov/issue/even-now-it-makes-me-angry-health-care-students-professionalism-dilemma-narratives
June 12, 2019 - Study
'Even now it makes me angry': health care students' professionalism dilemma narratives.
Citation Text:
Monrouxe L, Rees CE, Endacott R, et al. 'Even now it makes me angry': health care students' professionalism dilemma narratives. Med Educ. 2014;48(5):502-17. doi:10.1111/medu.12377…
-
psnet.ahrq.gov/issue/assessment-safety-enhancement-hospital-medication-reconciliation-process-elderly-patients
August 04, 2021 - Study
Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients.
Citation Text:
Gizzi LA, Slain D, Hare JT, et al. Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Am J Geriatr Phar…
-
psnet.ahrq.gov/issue/differences-between-human-error-risk-behavior-and-reckless-behavior-are-key-just-culture
September 23, 2020 - Newspaper/Magazine Article
The differences between human error, at-risk behavior, and reckless behavior are key to a just culture.
Citation Text:
The differences between human error, at-risk behavior, and reckless behavior are key to a just culture. ISMP Medication Safety Alert! Acute Ca…
-
psnet.ahrq.gov/issue/severity-and-probability-harm-medication-errors-intercepted-emergency-department-pharmacist
May 04, 2012 - Study
Severity and probability of harm of medication errors intercepted by an emergency department pharmacist.
Citation Text:
Patanwala AE, Hays DP, Sanders AB, et al. Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Int J Pharm P…
-
psnet.ahrq.gov/issue/preventable-closed-claims-aana-foundation-closed-malpractice-claims-database
March 11, 2020 - Study
Preventable closed claims in the AANA Foundation closed malpractice claims database.
Citation Text:
Kremer MJ, Hirsch M, Geisz-Everson M, et al. Preventable Closed Claims in the AANA Foundation Closed Malpractice Claims Database. AANA J. 2019;87(6).
Copy Citation
Format:
…