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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33931/psn-pdf
    June 23, 2015 - The authors describe characteristics from more than 1000 incidents collected and offer strategies to … The authors conclude that it may be beneficial to classify specific incidents by a preventive strategy
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35312/psn-pdf
    January 02, 2017 - The authors discuss the severity of errors captured and their location of origin, in addition to the … The authors conclude with a series of recommendations focused on greater training in administration
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34657/psn-pdf
    June 14, 2011 - The authors review a series of interventions designed through the multidisciplinary efforts of nursing … The authors share how a single adverse event catalyzed 7 years of efforts to bring patient safety to
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34700/psn-pdf
    January 04, 2017 - ://psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative The authors … The authors review the value of this systems- based, team-oriented quality improvement effort relative
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35553/psn-pdf
    July 03, 2013 - The authors present key findings and emphasize that the quality improvement aspect of reporting systems … Although the authors encourage greater use of reporting systems, a need exists for states to produce
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35544/psn-pdf
    March 29, 2010 - The authors conclude that significant gaps exist between how physicians disclose medical errors and … The same authors previously wrote a commentary calling for professional action in disclosure of medical
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47215/psn-pdf
    September 19, 2018 - The authors applied a human factors framework to this literature and identified several influences on … The authors conclude that the field of system dynamics can be applied to health care in order to improve
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34781/psn-pdf
    June 23, 2015 - standards-patient-monitoring-during-general-anesthesia-harvard-medical- school To proactively devise a patient safety strategy for anesthesia, the authors … The authors discuss the detailed process that led to the highlighted standards, including the need to
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34953/psn-pdf
    February 03, 2011 - The authors outline the current regulation requirements and offer strategies for interpretation, particularly … The authors conclude with recommendations to both comply with regulatory policy and ensure the best
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34667/psn-pdf
    January 17, 2018 - In analyzing the error, the authors (experts from the Institute for Safe Medication Practices) discovered … The authors discuss the need to look beyond individuals and focus on the multiple system failures that
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36178/psn-pdf
    September 30, 2010 - //psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers The authors … The authors recommend researching methods to improve outcomes for less experienced surgical teams and
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34874/psn-pdf
    February 25, 2009 - The authors report findings based on categorizing intensive care units (ICUs) into those with less versus … The authors suggest that nurse staffing affects the quality of postoperative care and that continued
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35928/psn-pdf
    June 09, 2011 - The authors detail the individual and collective findings, which include reductions in adverse drug … The authors outline the needs for future investigation around roles for clinical pharmacists, clinical
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34995/psn-pdf
    February 03, 2011 - The authors provide a detailed account of the process involved, from investigating a possible serious … The authors conclude by sharing potential implications of the program’s efforts and how this surveillance
  15. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/pursuit-clinician-pocket-guide.pdf
    November 28, 2023 - The authors are solely responsible for this document’s contents, findings, and conclusions, which do … None of the authors has any affiliation or financial involvement that conflicts with the material presented
  16. effectivehealthcare.ahrq.gov/sites/default/files/related_files/nppv-respiratory-failure_disposition-comments.pdf
    July 01, 2012 - At the conclusion of the public comment period, authors use the commentators’ submissions and comments … Comments on draft reviews and the authors’ responses to the comments are posted for public viewing on … As the authors state, the majority of studies target patients with COPD and ACPE. … In the following, I will address the specific issues for the authors to consider. … We reported the duration of mechanical ventilation as reported by the authors.
  17. effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/nppv-respiratory-failure_disposition-comments.pdf
    July 01, 2012 - At the conclusion of the public comment period, authors use the commentators’ submissions and comments … Comments on draft reviews and the authors’ responses to the comments are posted for public viewing on … As the authors state, the majority of studies target patients with COPD and ACPE. … In the following, I will address the specific issues for the authors to consider. … We reported the duration of mechanical ventilation as reported by the authors.
  18. digital.ahrq.gov/events/national-web-conference-model-contract-language-health-information-exchange
    March 15, 2007 - Exchange -- The Road From Policy and Technology Decision-Making to Multi-Lateral HIE Agreement The authors … In addition, the authors discuss considerations for incorporating technology license terms in the agreement
  19. digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/telemedicine-surgery
    January 01, 2003 - Telemedicine in surgery Authors:  Eadie LH, Seifalian AM, Davidson BR Journal:  Br J Surg Publication … The authors also report on 12 studies of telementoring involving a variety of procedures and 24 telepresence
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34075/psn-pdf
    December 23, 2008 - The authors found empirical support that the act of disclosure to patients doesn't consistently occur … practical guidance exists as to the nuts and bolts of who, what, when, and how to disclose, which the authors