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Total Results: 3,035 records

Showing results for "accountability".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60818/psn-pdf
    August 19, 2020 - COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. August 19, 2020 Ingrassia PL, Capogna G, Diaz-Navarro C, et al. COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. Adv Simul (Lond). 2020;5:13. doi:10.1186/s41077-020-00131-3. https:…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60026/psn-pdf
    March 11, 2020 - Adverse events present on arrival to the emergency department: the ED as a dual safety net. March 11, 2020 Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-198. doi:10.1016/j.jcjq.2019.12.003…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837777/psn-pdf
    August 03, 2020 - To err is human, unless you are a healthcare provider. August 3, 2020 Zajicek J. Belmont Health Law J. 2020;4:79-135. https://psnet.ahrq.gov/issue/err-human-unless-you-are-healthcare-provider Intent to harm is a primary factor in the criminalization of patient injury. This article discusses the increase of crimina…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48189/psn-pdf
    August 14, 2019 - Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. August 14, 2019 Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/ACM.0000000000002793. https://psnet.ah…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867520/psn-pdf
    January 15, 2025 - Characteristics and trends of medical diagnostic errors in the United States. January 15, 2025 Ao HS, Matthews T. Characteristics and trends of medical diagnostic errors in the United States. Patient Safety. 2024;6(1):123603. doi:10.33940/001c.123603. https://psnet.ahrq.gov/issue/characteristics-and-trends-medical…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48053/psn-pdf
    July 17, 2019 - Review of medication errors that are new or likely to occur more frequently with electronic medication management systems. July 17, 2019 Van de Vreede M, McGrath A, de Clifford J. Review of medication errors that are new or likely to occur more frequently with electronic medication management systems. Aust Health …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45989/psn-pdf
    June 07, 2017 - Radiologic safety events within a pediatric emergency medicine network. June 7, 2017 Blumberg SM, Mahajan P, O?Connell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684. https://psnet.ahrq.gov/issue/radiologic-s…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34814/psn-pdf
    January 01, 2015 - Prescribing for the elderly. Part I: Sensitivity of the elderly to adverse drug reactions. March 28, 2005 Nolan L, O'Malley K. Prescribing for the Elderly Part I: Sensitivity of the Elderly to Adverse Drug Reactions*. J Am Geriatr Soc. 2015;36(2):142-149. doi:10.1111/j.1532-5415.1988.tb01785.x. https://psnet.ahrq.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42982/psn-pdf
    March 13, 2014 - Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. March 13, 2014 Cooper E. Nursing student medication errors: a snapshot view from a school of nursing's quality and safety officer. J Nurs Educ. 2014;53(3):S51-4. doi:10.3928/01484834-20140211-03. https://psnet…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838088/psn-pdf
    September 14, 2022 - 'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death. September 14, 2022 Mills M. The Guardian. September 3, 2022. https://psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our- daughters-death Families experiencing medical …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44968/psn-pdf
    January 23, 2017 - Financial incentives and mortality: taking pay for performance a step too far. January 23, 2017 Gupta K, Wachter R, Kachalia A. Financial incentives and mortality: taking pay for performance a step too far. BMJ Qual Saf. 2017;26(2):164-168. doi:10.1136/bmjqs-2015-004835. https://psnet.ahrq.gov/issue/financial-ince…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852802/psn-pdf
    August 23, 2023 - Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. August 23, 2023 Washington, DC: United States Government Accounting Office; July 10, 2023.  Publication GAO-23- 105722. https://psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events Health info…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73372/psn-pdf
    June 09, 2021 - Impact of COVID-19 on inpatient clinical emergencies: a single-center experience. June 9, 2021 Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single- center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135. https://psnet.ahrq.gov/issue/imp…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35045/psn-pdf
    November 05, 2015 - Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. November 5, 2015 Patterson ES, Doebbeling BN, Fung CH, et al. Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. J Biomed Inform. 2005;38(3):189-99. https://psnet.ahrq.gov/…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35645/psn-pdf
    February 24, 2011 - Voluntary electronic reporting of medical errors and adverse events. February 24, 2011 Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):165-70. https://psnet.ahrq.gov/is…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853978/psn-pdf
    September 27, 2023 - Fragmented: A Doctor's Quest to Piece Together American Health Care. September 27, 2023 Yurkiewicz I. New York, NY: WW Norton & Company, Inc; 2023. ISBN: 9780393881196. https://psnet.ahrq.gov/issue/doctors-quest-piece-together-american-health-care Disjointed health care processes contribute to missed test resu…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41606/psn-pdf
    February 01, 2019 - Safe use of opioids in hospitals. December 23, 2016 Sentinel Event Alert. 2012;49:1-5. https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals Opioid pain medications are considered high-risk medications due to the potential for respiratory depression and other adverse effects. Because these medications are freque…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34807/psn-pdf
    January 01, 2019 - The Quality in Australian Health Care Study. November 18, 2015 Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust. 2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x. https://psnet.ahrq.gov/issue/quality-australian-health-care-study In order to estimate pa…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35762/psn-pdf
    January 02, 2017 - Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. January 2, 2017 Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. Jt Comm J Qual Patient Saf. 20…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37077/psn-pdf
    October 03, 2011 - Sensemaking, safety, and cooperative work in the intensive care unit. October 3, 2011 Albolino S, Cook RI, O’Connor M. Sensemaking, safety, and cooperative work in the intensive care unit. Cog Tech Work. 2006;9(3):131-137. doi:10.1007/s10111-006-0057-5. https://psnet.ahrq.gov/issue/sensemaking-safety-and-cooperati…
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