-
psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - the hospital environment, medication management is a complex process usually involving at least four stages … Medication management is associated with a risk of errors and inefficiencies across all stages of the … approximately 10% - 39%), dispensing (approximately 11% - 40%), and administration (approximately 11 - 38%) stages
-
psnet.ahrq.gov/node/47888/psn-pdf
May 11, 2019 - Achieving dialysis safety: the critical role of higher-
functioning teams.
May 11, 2019
Wong LP. Achieving dialysis safety: The critical role of higher-functioning teams. Semin Dial.
2019;32(3):266-273. doi:10.1111/sdi.12778.
https://psnet.ahrq.gov/issue/achieving-dialysis-safety-critical-role-higher-functioning-t…
-
psnet.ahrq.gov/node/36592/psn-pdf
May 08, 2018 - Anticoagulant safety takes center stage in 2007.
May 8, 2018
ISMP Medication Safety Alert! Acute Care Edition. January 11, 2007;12:1-3.
https://psnet.ahrq.gov/issue/anticoagulant-safety-takes-center-stage-2007
This article, which launches a series focusing on high-alert medications, discusses issues related to
hep…
-
psnet.ahrq.gov/issue/hearing-patient-safety-and-quality-issues-end-stage-renal-disease-treatment
December 23, 2012 - Congressional Testimony
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease Treatment.
Citation Text:
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease Treatment. House Committee on Ways and Means. 109th Congress, 2nd Sess (December 6, 2006).…
-
psnet.ahrq.gov/node/37921/psn-pdf
June 17, 2014 - High Quality Care for All: NHS Next Stage Review Final
Report.
June 17, 2014
Darzi A. National Health Service. London, England: Crown Publishing; June 2008. ISBN: 9780101743228.
https://psnet.ahrq.gov/issue/high-quality-care-all-nhs-next-stage-review-final-report
This report outlines several strategies to improve …
-
psnet.ahrq.gov/node/49724/psn-pdf
January 01, 2015 - routine operation on an outpatient basis should have prompted a number of
systems responses at various stages … teams develop a shared mental model of care (e.g., everyone knows
what needs to be done at different stages
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
May 01, 2015 - referred to as "sepsis"
Sepsis is a very heterogeneous disease
Difficult to diagnose in its early stages … Difficult to treat in its later stages
However, routine screening may aid in early identification
28
-
psnet.ahrq.gov/node/33673/psn-pdf
September 01, 2008 - successful execution of a complex system of scores of
individual tasks that can be categorized into five stages … record
(eMAR) targets errors that occur at the drug dispensing, transcription, and administration stages
-
psnet.ahrq.gov/node/33736/psn-pdf
September 01, 2012 - JN: Kübler-Ross talks about the three stages of grief, and there are stages I would characterize as " … We're learning to get people through those first two stages. That third one is challenging.
-
psnet.ahrq.gov/issue/morning-briefing-setting-stage-clinically-and-operationally-good-day
June 28, 2010 - Tools/Toolkit
A morning briefing: setting the stage for a clinically and operationally good day.
Citation Text:
Thompson DA, Holzmueller CG, Hunt D, et al. A morning briefing: setting the stage for a clinically and operationally good day. Jt Comm J Qual Patient Saf. 2005;31(8):476-9.
C…
-
psnet.ahrq.gov/issue/high-quality-care-all-nhs-next-stage-review-final-report
October 20, 2021 - Government Resource
High Quality Care for All: NHS Next Stage Review Final Report.
Citation Text:
High Quality Care for All: NHS Next Stage Review Final Report. Darzi A. National Health Service. London, England: Crown Publishing; June 2008. ISBN: 9780101743228.
Copy Citation
…
-
psnet.ahrq.gov/web-mm/patient-mix
December 01, 2007 - In one large study of medication errors and adverse drug events, the stages of serious medication errors
-
psnet.ahrq.gov/node/33711/psn-pdf
May 01, 2011 - During iterative analyses, we identified six stages that described the second victim
recovery process … reviewed the proposed recovery trajectory and validated that they had
indeed experienced the identified stages
-
psnet.ahrq.gov/issue/guidance-health-care-leaders-during-recovery-stage-covid-19-pandemic-consensus-statement
December 21, 2017 - Commentary
Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement.
Citation Text:
Geerts JM, Kinnair D, Taheri P, et al. Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. JAMA Ne…
-
psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
September 01, 2008 - two-thirds of serious medication errors occur during the transcription, dispensing, and administration stages … lot of incident reports reflected failure points in the transcription, dispensing, and administration stages … successful execution of a complex system of scores of individual tasks that can be categorized into five stages … administration record (eMAR) targets errors that occur at the drug dispensing, transcription, and administration stages
-
psnet.ahrq.gov/node/33759/psn-pdf
October 01, 2012 - Patient safety research occurs in several stages. … 1999, the agency's Patient Safety Research
Portfolio has focused on the most fundamental of these stages—the … Projects at more advanced research stages have examined the design and
development of approaches to
-
psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - Consumers were involved in the planning and engagement stages of most studies, but less frequently involved … in other stages, such as making decisions on the final product or outcomes.
-
psnet.ahrq.gov/node/33609/psn-pdf
September 07, 2019 - prevent prescribing errors (although current systems are not effective at
preventing errors at other stages
-
psnet.ahrq.gov/issue/clinical-staging-error-prostate-cancer-localization-and-relevance-undetected-tumour-areas
April 21, 2021 - Study
Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas.
Citation Text:
Bolenz C, Gierth M, Grobholz R, et al. Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. BJU Int. 2009;103(9):1184-9. d…
-
psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
September 07, 2019 - widespread use of electronic health records has helped avert errors at the ordering and transcribing stages