-
psnet.ahrq.gov/node/40807/psn-pdf
September 01, 2016 - provider order entry (CPOE) hold promise for reducing
medication errors at the prescribing and dispensing stage
-
psnet.ahrq.gov/node/40993/psn-pdf
December 14, 2011 - anticoagulant-
related ADEs were attributable to medication errors, usually at the medication administration stage
-
psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts
April 24, 2018 - The authors describe a five-stage model of acquiring expertise and applying it to diagnostic and surgical
-
psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events
July 26, 2023 - anticoagulant-related ADEs were attributable to medication errors, usually at the medication administration stage
-
psnet.ahrq.gov/node/49835/psn-pdf
January 01, 2020 - man with diabetes mellitus complicated by retinopathy, neuropathy, and nephropathy;
glaucoma; and stage … with nephrology approval required before any long-term
venous access can be placed in patients with stage … achieving any fistula or graft.(11)
The patient in this illustrative case had complicated diabetes with stage
-
psnet.ahrq.gov/node/45575/psn-pdf
November 09, 2016 - success in reducing the unneeded intervention: fewer serum creatinine tests ordered in
those with end stage
-
psnet.ahrq.gov/node/39800/psn-pdf
January 19, 2011 - The prescribing stage was responsible for nearly 95% of the errors in the former category
but only 60%
-
psnet.ahrq.gov/node/46624/psn-pdf
November 29, 2017 - shared decision-making in conversations between urology fellows and patients about
how to treat early stage
-
psnet.ahrq.gov/node/33673/psn-pdf
September 01, 2008 - safety.(2)
Research has shown that most medication errors are made by providers during the prescribing stage … intravenous (IV) infusion pumps have been developed to mitigate errors that occur at the
administration stage … trials evaluating
the impact of this technology on reducing medication errors at the administration stage
-
psnet.ahrq.gov/node/33561/psn-pdf
September 15, 2024 - Patient death or serious injury associated with a fall while being cared for in a healthcare setting
Any stage … 3, stage 4, and unstageable pressure ulcers acquired after admission/presentation to a
healthcare setting
-
psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - the Medical Director for Satellite Health Care and as a member of the Medical Advisory Board for Nx Stage … Could you start out by describing your current role and summarize how you engage with ESRD [end-stage … When kidney damage becomes severe enough, patients may be diagnosed with end-stage kidney disease (ESKD … and ongoing communication between the patient and the care team. 7 Mitigating Safety Risks in End-Stage … the Medical Director for Satellite Health Care and as a member of the Medical Advisory Board for Nx Stage
-
psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - ( 2 )
Research has shown that most medication errors are made by providers during the prescribing stage … intravenous (IV) infusion pumps have been developed to mitigate errors that occur at the administration stage … trials evaluating the impact of this technology on reducing medication errors at the administration stage … about a third to a half of serious medication errors are committed during the physician prescribing stage … setting, but those strategies can only go so far when the reliability is already at the 95% to 99% stage
-
psnet.ahrq.gov/issue/developing-cancer-specific-trigger-tool-identify-treatment-related-adverse-events-using
May 20, 2020 - 19% of patients during their initial year in treatment, and that trigger burden varied by disease, stage
-
psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-warns-about-prescribing-and-dispensing-errors-resulting
August 05, 2020 - proprietary names, this announcement describes near misses with the drugs at the prescribing and dispensing stage
-
psnet.ahrq.gov/issue/potentiality-algorithms-and-artificial-intelligence-adoption-improve-medication-management
July 27, 2022 - Most studies targeted the prescribing stage, and the main category of AI was computerized decision support
-
psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events
February 12, 2020 - formal support programs, this commentary also encourages a culture of safety and understanding of the 6-stage
-
psnet.ahrq.gov/issue/identifying-electronic-health-record-contributions-diagnostic-error-ambulatory-settings
January 25, 2023 - contributed to diagnostic error in 61% of claims, the majority in outpatient care, and 92% at the testing stage
-
psnet.ahrq.gov/node/49609/psn-pdf
October 01, 2010 - The Case
A 48-year-old man with a long history of diabetes and end-stage renal disease (ESRD) on hemodialysis … In 2007,
more than 500,000 end-stage renal disease (ESRD) patients were dialyzed in the United States … US Renal Data System, USRDS 2009 Annual Data Report: Atlas of Chronic Kidney Disease and End-
Stage … End-Stage Renal Disease
(ESRD) Networks
18 geographically organized committees under CMS supervision
-
psnet.ahrq.gov/issue/mobilising-team-who-surgical-safety-checklist-qualitative-video-study
September 29, 2017 - properly mobilize the operating room team to participate in a timeout or signout at the appropriate stage
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
May 01, 2007 - abstract&list_uids=10458831
Factors That Can Alter Phenytoin Protein Binding
Hypoalbuminemia
End-stage … clinical status
Require that unbound phenytoin levels be reported in patients with hypoalbuminemia or end-stage … the potential for displacement from albumin binding sites
In patients with low serum albumin or end-stage