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Showing results for "addressing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47423/psn-pdf
    January 27, 2019 - A health system–wide initiative to decrease opioid-related morbidity and mortality. January 27, 2019 Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related Morbidity and Mortality. Jt Comm J Qual Patient Saf. 2019;45(1):3-13. doi:10.1016/j.jcjq.2018.07.003. https://psnet.…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50848/psn-pdf
    January 29, 2020 - Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. January 29, 2020 Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 7, 2020. Report No. 19-00468-67. https://psnet.ahrq.gov/issue/deficiencies-care-co…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867097/psn-pdf
    November 06, 2024 - Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. November 6, 2024 Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024. h…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44493/psn-pdf
    September 19, 2016 - Interventions in health organisations to reduce the impact of adverse events in second and third victims. September 19, 2016 Mira JJ, Lorenzo S, Carrillo I, et al. Interventions in health organisations to reduce the impact of adverse events in second and third victims. BMC Health Serv Res. 2015;15:341. doi:10.1186/…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60261/psn-pdf
    April 22, 2020 - Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23- 27, 2020. April 22, 2020 Washington DC: Office of the Inspector General; April 3, 2020. Report no. OEI-06-20-00300. https://psnet.ahrq.gov/issue/hospital-experiences-responding-covid-19-pandemic-results-national-…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36795/psn-pdf
    August 26, 2011 - Surgical specimen identification errors: a new measure of quality in surgical care. August 26, 2011 Makary MA, Epstein J, Pronovost P, et al. Surgical specimen identification errors: a new measure of quality in surgical care. Surgery. 2007;141(4):450-5. https://psnet.ahrq.gov/issue/surgical-specimen-identification…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44898/psn-pdf
    November 23, 2016 - Types and patterns of safety concerns in home care: client and family caregiver perspectives. November 23, 2016 Tong CE, Sims-Gould J, Martin-Matthews A. Types and patterns of safety concerns in home care: client and family caregiver perspectives. Int J Qual Health Care. 2016;28(2):214-220. doi:10.1093/intqhc/mzw0…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43958/psn-pdf
    April 22, 2015 - Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. April 22, 2015 Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann Oncol. 2015;26(5):981-6. doi:10.10…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34803/psn-pdf
    January 05, 2017 - Systematic root cause analysis of adverse drug events in a tertiary referral hospital. January 5, 2017 Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv. 2016;26(10). doi:10.1016/s1070-3241(00)26048-3. https://psnet.ah…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866645/psn-pdf
    September 04, 2024 - Technology-related safety event analysis in community clinical informatics: a case study. September 4, 2024 Recsky C, Stowe M, Rush KL, et al. Technology-related safety event analysis in community clinical informatics: a case study. Stud Health Technol Inform. 2024;315:452-457. doi:10.3233/shti240189. https://psne…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844768/psn-pdf
    September 11, 2019 - Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? September 11, 2019 Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43480/psn-pdf
    January 01, 2015 - Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. December 15, 2014 Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.0000000000000081. https://psnet.ahrq.gov/…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45848/psn-pdf
    November 19, 2018 - New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. November 19, 2018 Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014. https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies- physicians Poor c…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46669/psn-pdf
    January 17, 2018 - Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. January 17, 2018 Wang JS, Fogerty RL, Horwitz LI. Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population. P…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846147/psn-pdf
    March 15, 2023 - Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta- analysis. March 15, 2023 Eppler MB, Sayegh AS, Maas M, et al. Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta-analysis. J Clin Med. 2023;12(…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37277/psn-pdf
    July 28, 2010 - Drug selection errors in relation to medication labels: a simulation study. July 28, 2010 Garnerin P, Perneger T, Chopard P, et al. Drug selection errors in relation to medication labels: a simulation study. Anaesthesia. 2007;62(11):1090-4. https://psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-lab…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46496/psn-pdf
    October 11, 2017 - Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. October 11, 2017 Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organization…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44790/psn-pdf
    March 15, 2016 - The role of emotion in patient safety: are we brave enough to scratch beneath the surface? March 15, 2016 Heyhoe J, Birks Y, Harrison R, et al. The role of emotion in patient safety: Are we brave enough to scratch beneath the surface? J R Soc Med. 2016;109(2):52-8. doi:10.1177/0141076815620614. https://psnet.ahrq.…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37295/psn-pdf
    February 24, 2011 - Limited health literacy is a barrier to medication reconciliation in ambulatory care. February 24, 2011 Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6. https://psnet.ahrq.gov/issue/limited-health-li…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45347/psn-pdf
    September 07, 2016 - Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. September 7, 2016 Washington, DC: United States Government Accountability Office; July 7, 2016. Publication GAO-16-595. https://psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent…
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