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Showing results for "addressing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48173/psn-pdf
    August 28, 2019 - Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. August 28, 2019 Koo A,…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46820/psn-pdf
    August 20, 2018 - Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. August 20, 2018 Brat GA, Agniel D, Beam A, et al. Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. BMJ. 2018;360:j5790…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34714/psn-pdf
    February 18, 2011 - Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. February 18, 2011 Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events Due to Negligence. New England Journal of Medicine. 2010;325(4). doi:10.1…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866907/psn-pdf
    October 09, 2024 - A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners' reports using the Human Factors Analysis and Classification System for Healthcare October 9, 2024 Sweeting P, Finlayson M, Hartz D. A review of modifiable health care factors contributing to inpatient suicide: a…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44960/psn-pdf
    February 14, 2017 - Readmissions, observation, and the Hospital Readmissions Reduction Program. February 14, 2017 Zuckerman RB, Sheingold SH, Orav J, et al. Readmissions, Observation, and the Hospital Readmissions Reduction Program. N Engl J Med. 2016;374(16):1543-51. doi:10.1056/NEJMsa1513024. https://psnet.ahrq.gov/issue/readmissio…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46431/psn-pdf
    November 22, 2017 - Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. November 22, 2017 Washington, DC: United States Government Accountability Office; October 2017. Publication GAO-18-15. https://psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk- …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42169/psn-pdf
    September 07, 2016 - National survey on the effect of oncology drug shortages on cancer care. September 7, 2016 McBride A, Holle LM, Westendorf C, et al. National survey on the effect of oncology drug shortages on cancer care. Am J Health Syst Pharm. 2013;70(7):609-17. doi:10.2146/ajhp120563. https://psnet.ahrq.gov/issue/national-surv…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41858/psn-pdf
    November 21, 2012 - Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. November 21, 2012 Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. J Surg Res. 2012;177(1):43-8. doi:10.1016/j.jss.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35737/psn-pdf
    July 15, 2010 - Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. July 15, 2010 Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. Crit Care Med. 2006;34(3 Suppl)…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41847/psn-pdf
    November 28, 2012 - Improving organizational climate for quality and quality of care: does membership in a collaborative help? November 28, 2012 Nembhard IM, Northrup V, Shaller D, et al. Improving organizational climate for quality and quality of care: does membership in a collaborative help? Med Care. 2012;50 Suppl:S74-82. doi:10.1…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44626/psn-pdf
    November 04, 2015 - "SWARMing" to improve patient care: a novel approach to root cause analysis. November 4, 2015 Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501. https://psnet.ahrq.gov/issue/swarming-improve-patient-care-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47286/psn-pdf
    July 18, 2018 - ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. July 18, 2018 ISMP Medication Safety Alert! Acute Care Edition. June 14, 2018,23:1-5. June 28, 2018;23:1-4,6,7. https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part- 2 Mistakes in t…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46573/psn-pdf
    November 07, 2018 - Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial. November 7, 2018 Khamali RE, Mouaci A, Valera S, et al. Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Working in Intensive Care Units: A Ra…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48172/psn-pdf
    July 31, 2019 - Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. July 31, 2019 Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ. 20…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42219/psn-pdf
    July 22, 2013 - Parent perceptions of children's hospital safety climate. July 22, 2013 Cox E, Carayon P, Hansen KW, et al. Parent perceptions of children's hospital safety climate. BMJ Qual Saf. 2013;22(8):664-71. doi:10.1136/bmjqs-2012-001727. https://psnet.ahrq.gov/issue/parent-perceptions-childrens-hospital-safety-climate Pat…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74159/psn-pdf
    December 08, 2021 - Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. December 8, 2021 Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. . Jt Comm J Qu…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33679/psn-pdf
    January 01, 2009 - Disclosure of Medical Error January 1, 2009 Kachalia A. Disclosure of Medical Error. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/disclosure-medical-error Perspective Disclosure of medical error is inextricably linked to today's patient safety efforts. Health care experts advocate that greater discl…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41355/psn-pdf
    April 05, 2013 - Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. April 5, 2013 Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf. 2012;21(6):448-56. doi:10.1136/bmjqs…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47733/psn-pdf
    April 27, 2019 - Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. April 27, 2019 Kahwati LC, Sorensen A, Teixeira-Poit S, et al. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. Jt Comm J Qual Patient Saf. 2019;45(4):231-240. doi:10.1016/j.jc…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844775/psn-pdf
    September 11, 2019 - Association of primary care clinic appointment time with opioid prescribing. September 11, 2019 Neprash HT, Barnett ML. Association of Primary Care Clinic Appointment Time With Opioid Prescribing. JAMA Netw Open. 2019;2(8):e1910373. doi:10.1001/jamanetworkopen.2019.10373. https://psnet.ahrq.gov/issue/association-p…
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