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Total Results: 5,206 records

Showing results for "deaths".

3741. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837324/psn-pdf
      July 08, 2022 -   Every year since 2006, the CMQCC has gathered a multidisciplinary committee to examine maternal deaths … and identify the causes of these deaths.

3742. Changing smart pump vendors: lessons learned. | PSNet
      psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
      August 01, 2018 - Commentary Changing smart pump vendors: lessons learned. Citation Text: Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

3743. A 2-year study of patient safety competency assessment in 29 clinical laboratories. | PSNet
      psnet.ahrq.gov/issue/2-year-study-patient-safety-competency-assessment-29-clinical-laboratories
      December 14, 2016 - Study A 2-year study of patient safety competency assessment in 29 clinical laboratories. Citation Text: Reed RC, Kim S, Farquharson K, et al. A 2-Year Study of Patient Safety Competency Assessment in 29 Clinical Laboratories. Am J Clin Pathol. 2008;129(6). doi:10.1309/bm8jje1auca408tq…

3744. Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. | PSNet
      psnet.ahrq.gov/issue/post-hospital-medication-discrepancies-home-risk-factor-90-day-return-emergency-department
      March 18, 2020 - Study Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. Citation Text: Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:…

3745. Nurse practitioner–led medication reconciliation in critical access hospitals. | PSNet
      psnet.ahrq.gov/issue/nurse-practitioner-led-medication-reconciliation-critical-access-hospitals
      March 18, 2020 - Study Nurse practitioner–led medication reconciliation in critical access hospitals. Citation Text: Young L, Barnason S, Hays K, et al. Nurse Practitioner–led Medication Reconciliation in Critical Access Hospitals. The Journal for Nurse Practitioners. 2015;11(5). doi:10.1016/j.nurpra.201…

3746. Predictive combinations of monitor alarms preceding in-hospital code blue events. | PSNet
      psnet.ahrq.gov/issue/predictive-combinations-monitor-alarms-preceding-hospital-code-blue-events
      March 18, 2020 - Study Predictive combinations of monitor alarms preceding in-hospital code blue events. Citation Text: Hu X, Sapo M, Nenov V, et al. Predictive combinations of monitor alarms preceding in-hospital code blue events. J Biomed Inform. 2012;45(5):913-21. doi:10.1016/j.jbi.2012.03.001. Copy…

3747. No shortcuts to safer opioid prescribing. | PSNet
      psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
      March 30, 2016 - Commentary Classic No shortcuts to safer opioid prescribing. Citation Text: Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med. 2019;380(24):2285-2287. doi:10.1056/NEJMp1904190. Copy Citation Format: DOI Google Sc…

3748. What prevents incident disclosure, and what can be done to promote it? | PSNet
      psnet.ahrq.gov/issue/what-prevents-incident-disclosure-and-what-can-be-done-promote-it
      February 20, 2012 - Study What prevents incident disclosure, and what can be done to promote it? Citation Text: Iedema R, Allen S, Sorensen R, et al. What prevents incident disclosure, and what can be done to promote it? Jt Comm J Qual Patient Saf. 2011;37(9):409-417. Copy Citation Format: G…

3749. Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law. | PSNet
      psnet.ahrq.gov/issue/drs-bramhall-and-bawa-garba-and-rightful-domain-criminal-law
      November 13, 2024 - Commentary Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law. Citation Text: Ost S. Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law. J Med Ethics. 2019;45(3):151-155. doi:10.1136/medethics-2018-105135. Copy Citation Format: DOI …

3750. The NHS: sticking fingers in its ears, humming loudly. | PSNet
      psnet.ahrq.gov/issue/nhs-sticking-fingers-its-ears-humming-loudly
      January 01, 2000 - Study The NHS: sticking fingers in its ears, humming loudly. Citation Text: Pope R. The NHS: Sticking Fingers in Its Ears, Humming Loudly. J Bus Ethics. 2015;145(3):577-598. doi:10.1007/s10551-015-2861-4. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNot…

3751. Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. | PSNet
      psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff
      August 04, 2021 - Study Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. Citation Text: Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…

3752. Nurses' perception of error reporting and patient safety culture in Korea. | PSNet
      psnet.ahrq.gov/issue/nurses-perception-error-reporting-and-patient-safety-culture-korea
      July 08, 2020 - Study Nurses' perception of error reporting and patient safety culture in Korea. Citation Text: Kim J, An K. Nurses' Perception of Error Reporting and Patient Safety Culture in Korea. West J Nurs Res. 2007;29(7). doi:10.1177/0193945906297370. Copy Citation Format: DOI Goo…

3753. Speaking up—when doctors navigate medical hierarchy. | PSNet
      psnet.ahrq.gov/issue/speaking-when-doctors-navigate-medical-hierarchy
      August 19, 2020 - Commentary Speaking up—when doctors navigate medical hierarchy. Citation Text: Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302-305. doi:10.1056/NEJMp1212410. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

3754. Important change to heparin container labels to clearly state the total drug strength. | PSNet
      psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
      December 16, 2020 - Government Resource Important change to heparin container labels to clearly state the total drug strength. Citation Text: Important change to heparin container labels to clearly state the total drug strength. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; Dece…

3755. A resident-led institutional patient safety and quality improvement process. | PSNet
      psnet.ahrq.gov/issue/resident-led-institutional-patient-safety-and-quality-improvement-process
      November 16, 2022 - Study A resident-led institutional patient safety and quality improvement process. Citation Text: Stueven J, Sklar DP, Kaloostian P, et al. A resident-led institutional patient safety and quality improvement process. Am J Med Qual. 2012;27(5):369-76. doi:10.1177/1062860611429387. Cop…

3756. Changing the medical malpractice system to align with what we know about patient safety and quality improvement. | PSNet
      psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
      September 20, 2012 - Commentary Changing the medical malpractice system to align with what we know about patient safety and quality improvement. Citation Text: Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…

3757. Dental patient safety in the military health system: joining medicine in the journey to high reliability. | PSNet
      psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability
      October 19, 2022 - Study Dental patient safety in the military health system: joining medicine in the journey to high reliability. Citation Text: Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…

3758. Medical malpractice liability in the age of electronic health records. | PSNet
      psnet.ahrq.gov/issue/medical-malpractice-liability-age-electronic-health-records
      April 05, 2013 - Commentary Medical malpractice liability in the age of electronic health records. Citation Text: Mangalmurti SS, Murtagh L, Mello MM. Medical malpractice liability in the age of electronic health records. N Engl J Med. 2010;363(21):2060-7. doi:10.1056/NEJMhle1005210. Copy Citation …

3759. Creating a just culture: the Ottawa Hospital's experience. | PSNet
      psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-experience
      July 10, 2024 - Commentary Creating a just culture: the Ottawa Hospital's experience. Citation Text: Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303. Copy Citation Format: …

3760. Radio frequency identification for prevention of bedside errors. | PSNet
      psnet.ahrq.gov/issue/radio-frequency-identification-prevention-bedside-errors
      September 09, 2020 - Commentary Radio frequency identification for prevention of bedside errors. Citation Text: Dzik S. Radio frequency identification for prevention of bedside errors. Transfusion (Paris). 2007;47(2 Suppl):125S-129S; discussion 130S-131S. Copy Citation Format: Google Scholar …