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Showing results for "deaths".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74706/psn-pdf
    January 26, 2022 - Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). January 26, 2022 Zrelak PA, Utter GH, McDonald KM, et al. Incorporating harms into the weighting of the revised Agency for Healthcare Research and Quality Patient Safety for Selected Indicators Com…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867519/psn-pdf
    January 15, 2025 - High-risk medication errors: insight from the UK National Reporting and Learning System. January 15, 2025 Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531. doi:10.1016/j.rcsop.2024.100531.…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867339/psn-pdf
    December 11, 2024 - Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. December 11, 2024 Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deteriorating patients: a qualitative…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853238/psn-pdf
    September 06, 2023 - Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. September 6, 2023 Lockery JE, Collyer TA, Woods RL, et al. Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. J Am Geria…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46419/psn-pdf
    April 12, 2019 - Medical malpractice lawsuits involving surgical residents. April 12, 2019 Thiels CA, Choudhry AJ, Ray-Zack MD, et al. Medical Malpractice Lawsuits Involving Surgical Residents. JAMA Surg. 2017;153(1). doi:10.1001/jamasurg.2017.2979. https://psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-surgical-reside…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73510/psn-pdf
    July 21, 2021 - Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods. July 21, 2021 Chang T-P, Bery AK, Wang Z, et al. Stroke hospitalization after misdiagnosis of “benign dizziness” is lower in sp…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73983/psn-pdf
    October 20, 2021 - Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. October 20, 2021 Cecil E, Bottle A, Majeed A, et al. Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. Br J Gen Pract. 2021;71(70…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36380/psn-pdf
    February 28, 2011 - Graduate medical education and patient safety: a busy-- and occasionally hazardous--intersection. February 28, 2011 Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection. Ann Intern Med. 2006;145(8):592-8. https://psnet.ahrq.gov/issue/gra…

  9. About the Toolkit Development | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
    July 01, 2023 - About the Toolkit Development Toolkit for Improving Perinatal Safety Background Of the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse event; at least half are potentially preventable. A review by the Joint Commission found that between 2004 and 2014, poor co…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73633/psn-pdf
    August 25, 2021 - Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. August 25, 2021 Urquhart A, Yardley S, Thomas E, et al. Learning from patient safety incidents involving acutely sick adults in hospital assessm…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864852/psn-pdf
    March 20, 2024 - Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. March 20, 2024 Fredheim OMS, Klingenberg E, Lindahl AK. Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. J Palliat Med. 2024;27(6):742-748. doi:10.1089/j…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866580/psn-pdf
    August 28, 2024 - The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. August 28, 2024 Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10?year review of enteral misconnection adverse events and narrative review. Nutr Clin Prac. 2024;39(5):1251-1258. doi:1…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43709/psn-pdf
    December 04, 2014 - A team-based approach to reducing cardiac monitor alarms. December 4, 2014 Dandoy CE, Davies SM, Flesch L, et al. A team-based approach to reducing cardiac monitor alarms. Pediatrics. 2014;134(6):e1686-e1694. doi:10.1542/peds.2014-1162. https://psnet.ahrq.gov/issue/team-based-approach-reducing-cardiac-monitor-alar…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863214/psn-pdf
    February 28, 2024 - Appropriate use of medical interpreters in the breast imaging clinic. February 28, 2024 Feliciano-Rivera YZ, Yepes MM, Sanchez P, et al. Appropriate use of medical interpreters in the breast imaging clinic. J Breast Imaging. 2024;27(3):296-303. doi:10.1093/jbi/wbad109. https://psnet.ahrq.gov/issue/appropriate-use-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44508/psn-pdf
    November 20, 2015 - Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. November 20, 2015 Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands. Crit Care Med. 2015;43(12):2544-51. doi:…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837069/psn-pdf
    January 01, 2024 - Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. May 11, 2022 Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859342/psn-pdf
    December 20, 2023 - Influence of comorbid depression and diagnostic workup on diagnosis of physical illness: a randomized experiment. December 20, 2023 Isbell LM, Graber ML, Rovenpor DR, et al. Influence of comorbid depression and diagnostic workup on diagnosis of physical illness: a randomized experiment. Diagnosis. 2023;10(3):257-2…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60277/psn-pdf
    January 01, 2021 - Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. April 29, 2020 Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts.0000000000000621. https://psnet.…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842417/psn-pdf
    January 11, 2023 - Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. January 11, 2023 Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardo…

  20. Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. | PSNet

    psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm
    January 27, 2021 - Book/Report Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. Citation Text: Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. Saks M, Landsman S. New York, NY: Oxford University Press; 2021.  ISBN: 9780190667986. …
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