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Showing results for "caused".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44389/psn-pdf
    August 19, 2015 - A method of addressing proprietary name similarity for US prescription drugs. August 19, 2015 Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331. https://psnet.ahrq.gov/issue/method-addressing-propri…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73536/psn-pdf
    July 28, 2021 - Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study. July 28, 2021 doi:http://doi.org/10.1136/bmjopen-2020-048316. https://psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective- records-review-study In this retrospective stud…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865598/psn-pdf
    April 17, 2024 - Guardians of grafts: reducing medication errors in transplant recipients. April 17, 2024 ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4. https://psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients Safe medication therapy for transplant patients is complex and h…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43339/psn-pdf
    April 08, 2018 - Use of a novel, modified fishbone diagram to analyze diagnostic errors. April 8, 2018 Reilly JB, Myers JS, Salvador D, et al. Use of a novel, modified fishbone diagram to analyze diagnostic errors. Diagnosis (Berl). 2014;1(2):167-171. doi:10.1515/dx-2013-0040. https://psnet.ahrq.gov/issue/use-novel-modified-fishbo…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852806/psn-pdf
    February 24, 2025 - Covering Health: Patient Safety. February 24, 2025 Jaklevic MC. HealthJournalism.org. Columbia, MO: Association of Health Care Journalists; 2010-2025. https://psnet.ahrq.gov/issue/covering-health-patient-safety The role media plays in raising awareness of patient safety issues in a timely and appropriate…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44509/psn-pdf
    October 07, 2015 - Medication errors affecting pediatric patients: unique challenges for this special population. October 7, 2015 Grissinger M. PA-PSRS Patient Saf Advis. September 2015;12:96-102. https://psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special- population This article analyzed …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46854/psn-pdf
    June 20, 2018 - FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. June 20, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. May 29, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related- patient-inju…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37812/psn-pdf
    August 27, 2008 - Types, prevalence, and potential clinical significance of medication administration errors in assisted living. August 27, 2008 Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. J Am Geriatr Soc. 2008;56(7):1199-205.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38387/psn-pdf
    February 04, 2009 - Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution? February 4, 2009 Stumpf PG, Anderson B, Lawrence H, et al. Obstetrician-gynecologists' opinions about patient safety: costs and liability remain problems; are mandated reports a solution…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839828/psn-pdf
    October 14, 2016 - STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. October 14, 2016 Cohen JF, Korevaar DA, Altman DG, et al. STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. BMJ Open. 2016;6(11):e012799. doi:10.1136/bmjopen-2016-012799. https:…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74216/psn-pdf
    December 22, 2021 - To eliminate bias, some seek out doctors of their own race or ethnicity. December 22, 2021 Glicksman E. Washington Post. December 11, 2021. https://psnet.ahrq.gov/issue/eliminate-bias-some-seek-out-doctors-their-own-race-or-ethnicity A successful patient/physician relationship enables care that is specific for the…

  12. Exhibit 1.12. Lean Tools and Activities for Bed Flow | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-12.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.12. Lean Tools and Activities for Bed Flow Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837847/psn-pdf
    August 17, 2022 - Defining and studying errors in surgical care: a systematic review. August 17, 2022 Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. https://psnet.ahrq.gov/issue/defining-and-studying-err…

  14. Conclusions and Next Steps | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-5.html
    September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science Conclusions and Next Steps Previous Page Next Page Table of Contents The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediatel…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866352/psn-pdf
    July 24, 2024 - Patient falls in the operating room: why is this still a problem in 2024? July 24, 2024 Pellegrino A, Brook K. Patient falls in the operating room: why is this still a problem in 2024? J Patient Saf. 2024;20(6):e87-e90. doi:10.1097/pts.0000000000001248. https://psnet.ahrq.gov/issue/patient-falls-operating-room-why…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34663/psn-pdf
    December 23, 2008 - Improving the quality of health care: who will lead? December 23, 2008 Becher EC, Chassin MR. Improving the quality of health care: who will lead? Health Aff (Millwood). 2001;20(5):164-79. https://psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead In this review, Becher and Chassin discuss the persis…

  17. Latent Error (or Latent Condition) | PSNet

    psnet.ahrq.gov/glossary/latent-error-or-latent-condition
    September 13, 2021 - Latent Error (or Latent Condition) September 13, 2021 Anonymous (not verified) The terms active and latent as applied to errors were coined by Reason . Latent errors (or latent conditions) refer to less apparent failures of organization or design that contributed to the occurrence of errors or allowed them…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848125/psn-pdf
    April 26, 2023 - Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units April 26, 2023 McGrath S, Blike G, Gale B, et al. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-…

  19. Suicide Risk in the Hospital | PSNet

    psnet.ahrq.gov/web-mm/suicide-risk-hospital
    November 01, 2011 - Suicide Risk in the Hospital Citation Text: Mills PD. Suicide Risk in the Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  20. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable | PSNet

    psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
    December 20, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable Citation Text: Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Ci…
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