-
psnet.ahrq.gov/issue/empowering-frontline-nurses-structured-intervention-enables-nurses-improve-medication
March 13, 2012 - A significant proportion of medication errors occur at the administration stage, and therefore are … prevented by solutions such as computerized provider order entry , which primarily target the prescribing stage
-
psnet.ahrq.gov/issue/where-errors-occur-preparation-and-administration-intravenous-medicines-systematic-review-and
June 30, 2011 - proportion of errors are not due to incorrect prescribing, but instead occur at the drug administration stage … This study sought to estimate the error rate associated with each stage of the intravenous medication
-
psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact-computerized-physician
January 03, 2017 - A high proportion of errors occurred at the prescribing stage, and therefore could have been prevented … Impact of health information technology on detection of potential adverse drug events at the ordering stage
-
psnet.ahrq.gov/node/49387/psn-pdf
February 01, 2003 - adverse drug events, the stages of serious medication errors were as
follows: 49% at the ordering stage … transcribing.(1) (Figure) Errors were much more likely to be intercepted if they occurred at an early stage … Documenting errors at the administration stage is difficult because it requires direct observation, which … Medication errors at the
administration stage in an intensive care unit. … Table
How Wrong Patient Medication Errors Occur
Stage at Which
Error Is Introduced
Example Error
-
psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - nurse and patient care assistant came to turn and bathe the patient, and discovered a
moderate-sized stage … Skin fails too: acute, chronic, and end-stage skin failure. Adv Skin Wound
Care. 2006;19:206-211. … Pressure Ulcer Stages: National Pressure Ulcer Advisory Panel—2007.(8)
Stage Description
Stage I
Intact … Stage III
Full-thickness tissue loss. … Stage IV
Full-thickness tissue loss with exposed bone, tendon, or muscle.
-
psnet.ahrq.gov/web-mm/patient-mix
December 01, 2007 - and adverse drug events, the stages of serious medication errors were as follows: 49% at the ordering stage … Documenting errors at the administration stage is difficult because it requires direct observation, which … Medication errors at the administration stage in an intensive care unit. … Table How Wrong Patient Medication Errors Occur Stage at Which Error Is Introduced Example … Figure Distribution of Adverse Drug Events According to the Stage of the Error in the Medication Process
-
psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention
February 10, 2011 - The authors break down ADEs by drug class and by the stage at which the error occurred (ordering, transcription … administration systems, and other systems designed to reduce preventable medication errors at each stage
-
psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
October 05, 2022 - October 23, 2019
What stage are low-income and middle-income countries (LMICs) at with … A two-stage cross-sectional study.
-
psnet.ahrq.gov/issue/five-strategies-how-patients-and-families-can-improve-patient-safety-world-patient-safety-day
July 07, 2021 - November 10, 2010
What stage are low-income and middle-income countries (LMICs) at with … A two-stage cross-sectional study.
-
psnet.ahrq.gov/issue/five-topics-health-care-simulation-can-address-improve-patient-safety-results-consensus
June 28, 2023 - September 22, 2017
What stage are low-income and middle-income countries (LMICs) at with … A two-stage cross-sectional study.
-
psnet.ahrq.gov/issue/safer-place-patients-learning-improve-patient-safety-0
June 22, 2016 - February 19, 2020
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease … January 29, 2015
High Quality Care for All: NHS Next Stage Review Final Report.
-
psnet.ahrq.gov/issue/remote-cpoe-error-situation-thats-more-remotely-possible
May 07, 2018 - May 7, 2018
Anticoagulant safety takes center stage in 2007. … Impact of health information technology on detection of potential adverse drug events at the ordering stage
-
psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
March 24, 2021 - In the initial stage of NF, the signs are nondescript and it may mimic a typical cellulitis. … Patients presenting at an advanced stage may show signs of sepsis and systemic shock. … constant review of a patient are the only ways to reliably detect necrotizing fasciitis at an early stage … End-stage renal failure 4. Cirrhosis 5. … 1 (early) Stage 2 (intermediate) Stage 3 (late) Warm to palpation Erythema Tenderness
-
psnet.ahrq.gov/issue/standard-admission-order-sets-promote-ordering-unnecessary-investigations-quasi-randomised
March 24, 2021 - March 19, 2018
What stage are low-income and middle-income countries (LMICs) at with … A two-stage cross-sectional study.
-
psnet.ahrq.gov/issue/five-reasons-optimism-world-patient-safety-day
March 30, 2022 - January 12, 2022
What stage are low-income and middle-income countries (LMICs) at with … A two-stage cross-sectional study.
-
psnet.ahrq.gov/issue/whatever-you-cut-i-can-fix-it-clinical-supervisors-interview-accounts-allowing-trainee
November 24, 2021 - March 13, 2019
What stage are low-income and middle-income countries (LMICs) at with … A two-stage cross-sectional study.
-
psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review
October 16, 2019 - January 29, 2019
What stage are low-income and middle-income countries (LMICs) at with … A two-stage cross-sectional study.
-
psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
December 23, 2012 - September 2, 2016
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease … May 1, 2015
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease Treatment
-
psnet.ahrq.gov/issue/importance-safety-climate-teamwork-climate-and-demographics-understanding-nurses-allied
October 13, 2021 - December 19, 2014
What stage are low-income and middle-income countries (LMICs) at with … A two-stage cross-sectional study.
-
psnet.ahrq.gov/node/33588/psn-pdf
September 07, 2019 - Stages of Recovery for Second Victims
Stage of
Recovery
Summary
Chaos and
Accident
Response
Clinician … psnet.ahrq.gov/issue/natural-history-recovery-healthcare-provider-second-victim-after-adverse-patient-events
Stage