Search Results - "Grissinger, Matthew"

Omission of High-Alert Medications: A Hidden Danger by Grissinger, Matthew C

“…The Pennsylvania Patient Safety Reporting System is a confidential, statewide Internet reporting system to which all Pennsylvania hospitals, outpatient-surgery…”
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Allergy-Related Medication Error Reports Submitted to a Large Patient Safety Reporting System by Grissinger, Matthew, Gaunt, Michael, Shilman, Alexander

“…Medication allergies can and do cause patient harm. Managing a patient’s allergies is a challenge for institutionsbecause failures can happen throughout the…”
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Comparing the Safety Action Feedback and Engagement (SAFE) Loop with an established incident reporting system: Study protocol for a pragmatic cluster randomized controlled trial by Berdahl, Carl T., Henreid, Andrew J., Cohen, Tara N., Coleman, Bernice L., Seferian, Edward G., Leang, Donna, Kim, Sungjin, Diniz, Marcio A., Grissinger, Matthew, Kaiser, Karen, McCleskey, Sara, Zhu, Xi, Nuckols, Teryl K.

“…Incident reporting is widely used in hospitals to improve patient safety, but current reporting systems do not function optimally. The utility of incident…”
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Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs by Grissinger, Matthew C, Hicks, Rodney W, Keroack, Mark A, Marella, William M, Vaida, Allen J

“…External reporting of medical errors a adverse events enables learning from the errors of others in the pursuit of systems-level improvements that can prevent…”
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Hardwiring Safety Into the Computer System: One Hospital's Actions to Provide Technology Support for U-500 Insulin by Grissinger, Matthew

“…We present technology enhancements that support the safe use of U-500 insulin…”
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Chloral Hydrate: Is It Still Being Used? Are There Safer Alternatives? by Grissinger, Matthew

“…Using chloral hydrate carries a risk of adverse events and compounding errors, and much of the available literature recommends using alternative sedatives for…”
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Accidental IV Infusion of Heparinized Irrigation in the Operating Room by Grissinger, Matthew

“…Accidental IV administration of heparinized irrigation solution occurs frequently. Two cases from ISMP Canada offer some safe practice recommendations…”
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Understanding Human Over-Reliance On Technology by Grissinger, Matthew

“…Implementing IT in medication-use systems reduces adverse drug events by decreasing human error. But over-reliance on technology can lead to automation bias…”
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Is an Indication-Based Prescribing System in Our Future? by Grissinger, Matthew

“…Indication-based prescribing has many potential benefits, including preventing errors by reducing medication choices and assisting with medication…”
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"Use as Directed" Can Cause Confusion for Both Patients and Practitioners by Grissinger, Matthew

“…The familiar but ambiguous on prescriptions are often of limited help to patients and pharmacists. Sometimes, the instruction to "use as directed" has resulted…”
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Prescribing Errors with Levetiracetam Oral Solution by Grissinger, Matthew

“…Incorrectly prescribed medications can have serious implications, especially in young children. Safe practice recommendations include listing patients' age,…”
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Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen-Part 3 by Grissinger, Matthew

“…The final part of a 3-part series discusses medication safety risks related to labeling, patient education, and medication storage…”
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Too many abandon the "second victims" of medical errors by Grissinger, Matthew

“…We often abandon the "second victims" of medical errors…”
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Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen-Part 2 by Grissinger, Matthew

“…Part 2 of a 3-part series discusses medication safety risks related to labeling, patient education, and medication storage…”
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Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen by Grissinger, Matthew

“…Part 1 of a 3-part series discusses 3 medication safety risks that can easily fall off the radar screen in hospitals and doctors' offices…”
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Ambulatory Pump Safety: Managing Home Infusion Patients Admitted to The Emergency Department and Hospital by Grissinger, Matthew

“…Managing home infusion patients in the hospital and emergency department…”
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A Successful ENFit Launch Still Won't Stop All Incidents of Oral Medications Given Intravenously by Grissinger, Matthew

“…Preventing incidents of oral meds given intravenously…”
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Accidental Overdoses Involving Fluorouracil Infusions by Grissinger, Matthew

“…Accidental overdoses involving fluorouracil infusions…”
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Disrespectful Behavior in Health Care: Its Impact, Why It Arises and Persists, And How to Address It-Part 2 by Grissinger, Matthew

“…The impact of disrespectful workplace behavior and how to address it…”
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Life-Threatening Errors With Flecainide Suspension in Children by Grissinger, Matthew

“…Errors with flecainide suspension in children…”
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