-
psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors
February 18, 2011 - significantly reduce medication errors, systems must be implemented thoughtfully to avoid facilitating certain types
-
psnet.ahrq.gov/issue/prevalence-and-nature-adverse-medical-device-events-hospitalized-children
October 05, 2011 - research using voluntarily reported data has shown that device injuries are among the most common types
-
psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential-benefit
December 15, 2011 - Researchers analyzed the frequency of medication errors, the types of errors, and whether the error was
-
psnet.ahrq.gov/issue/making-health-care-safer-critical-review-modern-evidence-supporting-strategies-improve
June 08, 2011 - patient safety field has grown considerably, yielding a much stronger evidence base for preventing some types
-
psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
September 20, 2011 - The reasons for this lack of reporting likely include confusion about which types of errors needed to
-
psnet.ahrq.gov/issue/medication-errors-acute-cardiovascular-and-stroke-patients-scientific-statement-american
February 03, 2011 - This position paper from the American Heart Association reviews the specific types of medication errors
-
psnet.ahrq.gov/issue/overrides-medication-alerts-ambulatory-care
September 01, 2016 - This phenomenon has been previously documented as one of several types of unintended consequences of
-
psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate
December 21, 2014 - However, the authors found significant variation in the risk adjustment methods used and the types of
-
psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-patient-safety-events-hospitalized-children
August 14, 2018 - editorial reviews study limitations and highlights the need to develop risk-prediction models for different types
-
psnet.ahrq.gov/issue/using-lean-improve-medication-administration-safety-search-perfect-dose
September 16, 2015 - Errors during administration are one of the most common types of medication errors , with one study
-
psnet.ahrq.gov/issue/improving-safety-hospitalized-patients-much-progress-many-challenges-remain
September 24, 2017 - for preventable harm have led not only to a significant reduction in CLABSIs, but a decrease in other types
-
psnet.ahrq.gov/perspective/patient-safety-primary-care
January 31, 2020 - published on this topic in 2019 highlighted the scope of potential patient safety challenges, including the types … and actionable for primary care practices of different sizes, organizational structures and provider types … As this study found, these types of IT platforms are most useful to providers when they are simple
-
psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english-hospitals
December 21, 2022 - This study used direct observation and interviews to characterize the types of workarounds used by clinical
-
psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - have been shown to reduce overall medication error rates.( 1,2 ) However, CPOE can also enable some types … studies have attempted to identify, classify, and highlight contributing factors for the most common types … of CPOE systems.( 8 ) Ordering the wrong formulation for oral medications was one of the most common types … 7,8 ) This type of error was often prompted by the confusion created by the numerous ways of listing types
-
psnet.ahrq.gov/issue/defining-identifying-and-addressing-problematic-polypharmacy-within-multimorbidity-primary
July 22, 2015 - The authors also identified considerable variability in the types of interventions used to address polypharmacy
-
psnet.ahrq.gov/node/33578/psn-pdf
September 15, 2024 - similar in size and shape to IV medication bags, and, crucially,
the same catheter could access both types … psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care
https://psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry
-
psnet.ahrq.gov/node/33596/psn-pdf
January 29, 2025 - The authors identified six types of interventions that can improve FTR rates within healthcare
organizations … than hospitals with high rates of FTR.9
Detailed analyses of failure-to-rescue rates for specific types … of surgery have yielded more granular
information about the types of cases with the highest risk of
-
psnet.ahrq.gov/web-mm/finding-fault-default-alert
August 28, 2024 - Presenting specific alert types to specific specialties or skill levels would ensure that specialists … suite of alerts available in an EMR/CPOE initially, a more sensible approach is to include a few alert types … suite of alerts available in an EMR/CPOE initially, a more sensible approach is to include a few alert types
-
psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - There is now a general consensus that the field should shift from focusing on single types of adverse … This shift is based on the recognition that unsafe systems put patients at risk of multiple different types … intensive care unit at an academic hospital may be at risk for medication errors, several different types
-
psnet.ahrq.gov/perspective/accountability-patient-safety
January 01, 2018 - As the public and professionals call for individual accountability for certain types of unsafe acts, … These types of errors are not necessarily solved through systems approaches; they may require actions … The authors encourage institutions to promote voluntary reporting of these types of harms and to apply