-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
October 01, 2010 - Spotlight Case July 2008
Spotlight Case October 2010
Dangerous Dialysis
*
*
Source and Credits
This presentation is based on the October 2010
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jean L. Holley, MD, University of Illinois, Urbana-…
-
psnet.ahrq.gov/node/49439/psn-pdf
March 01, 2004 - Lethal Cap
March 1, 2004
Schillinger D. Lethal Cap. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lethal-cap
The Case
A 9-month-old child was seen by her pediatrician for a fever and decreased appetite. She was found to
have otitis media and was prescribed amoxicillin. The doctor gave the first dose to th…
-
psnet.ahrq.gov/node/33681/psn-pdf
March 01, 2009 - The Role of Health Literacy in Patient Safety
March 1, 2009
Wolf MS, Bailey SC. The Role of Health Literacy in Patient Safety. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
Perspective
Clear health communication is increasingly recognized as essential for promoting …
-
psnet.ahrq.gov/primer/missed-nursing-care
September 15, 2024 - Missed Nursing Care
Citation Text:
Missed Nursing Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
-
psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
February 01, 2014 - while in traffic or when a health care professional is interrupted during a high-risk task such as prescribing … system improvements; (viii) managing alerts, alarms, and noise; and (ix) gathering supplies prior to prescribing
-
psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
July 01, 2012 - .( 1,2 )
The challenge in patient safety is not only to learn from our mistakes in clinical care (prescribing … physician) order entry (CPOE), the electronic medication administration record (e-MAR), and electronic prescribing
-
psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
May 01, 2005 - 2020
WebM&M Cases
Multiple Levels Involved in Prescribing
-
psnet.ahrq.gov/node/857259/psn-pdf
November 30, 2023 - death behind heart disease and cancer.2 Errors can occur in all facets of the medication process from
prescribing
-
psnet.ahrq.gov/node/49627/psn-pdf
June 01, 2011 - The care these
doctor/parents provided included otoscopy, chest auscultation, and antibiotic prescribing
-
psnet.ahrq.gov/node/49528/psn-pdf
January 01, 2015 - These skills can improve patient and physician satisfaction and prescribing practices and reduce the
-
psnet.ahrq.gov/node/49584/psn-pdf
April 01, 2009 - Automation of lab orders and integration of lab reports;
Links to pharmacies (including electronic prescribing
-
psnet.ahrq.gov/node/33672/psn-pdf
September 01, 2008 - study, only about
a third to a half of serious medication errors are committed during the physician prescribing
-
psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - Challenges include
but are not limited to16
Decreased access to clinical decision support tools for prescribing
-
psnet.ahrq.gov/node/49567/psn-pdf
September 01, 2008 - Physicians should be very cautious about prescribing
glucocorticoids for periods longer than several
-
psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - WebM&M Cases
The Lost Start Date: an Unknown Risk of E-prescribing
-
psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - death behind heart disease and cancer. 2 Errors can occur in all facets of the medication process from prescribing
-
psnet.ahrq.gov/primer/medication-administration-errors
December 15, 2024 - Strategies to mitigate potential for an administration error include protocolized prescribing, simplified
-
psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
November 13, 2024 - Sections
Perspective
Related Resources From the Same Author(s)
Opioid prescribing
-
psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - July 5, 2023
Prescribing errors in children: why they happen and how to prevent them.
-
psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
May 16, 2022 - Institutions hoped to leverage this technology to reduce verbal order use and prevent medication prescribing