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Showing results for "descriptions".

  1. Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. | PSNet

    psnet.ahrq.gov/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non-tort-blame-free
    December 18, 2017 - Study Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. Citation Text: Pukk-Härenstam K, Ask J, Brommels M, et al. Analysis of 23 364 patient-generated, physician-revi…

  2. Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large integrated health care delivery system. | PSNet

    psnet.ahrq.gov/issue/association-opioid-related-adverse-drug-events-clinical-and-cost-outcomes-among-surgical
    March 12, 2014 - Study Classic Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large integrated health care delivery system. Citation Text: Shafi S, Collinsworth AW, Copeland LA, et al. Association of Opioid-Related …

  3. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/preparedness-covid-19-situ-simulation-enhance-infection-control-systems-intensive-care-unit
    June 29, 2011 - Commentary Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Citation Text: Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br …

  4. Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications. | PSNet

    psnet.ahrq.gov/issue/evaluation-consistency-dosing-directions-and-measuring-devices-pediatric-nonprescription
    May 31, 2017 - Study Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications. Citation Text: Yin S, Wolf MS, Dreyer BP, et al. Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medicati…

  5. The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services. | PSNet

    psnet.ahrq.gov/issue/causes-their-death-appear-unto-our-shame-perpetual-why-root-cause-analysis-not-best-model
    September 27, 2016 - Study The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services. Citation Text: Vrklevski LP, McKechnie L, OʼConnor N. The Causes of Their Death Appear (Unto Our Shame Perpetual): Why Root …

  6. The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. | PSNet

    psnet.ahrq.gov/issue/prone-score-algorithm-predicting-doctors-risks-formal-patient-complaints-using-routinely
    September 07, 2011 - Study The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. Citation Text: Spittal MJ, Bismark M, Studdert DM. The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using …

  7. Large-scale implementation of the I-PASS handover system at an academic medical centre. | PSNet

    psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
    March 27, 2018 - Study Large-scale implementation of the I-PASS handover system at an academic medical centre. Citation Text: Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjq…

  8. Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. | PSNet

    psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning
    June 29, 2011 - Study Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. Citation Text: Rowland P, Lan MF, Wan C, et al. Why is learning from patient safety incidents (still) so hard? A sociocultural perspect…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37868/psn-pdf
    June 25, 2008 - Complexity of medication-related verbal orders. June 25, 2008 Wakefield DS, Ward MM, Groath D, et al. Complexity of medication-related verbal orders. Am J Med Qual. 2008;23(1):7-17. doi:10.1177/1062860607310922. https://psnet.ahrq.gov/issue/complexity-medication-related-verbal-orders This descriptive analysis of v…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60890/psn-pdf
    September 09, 2020 - The enabling, enacting, and elaborating factors of safety culture associated with patient safety: a multilevel analysis. September 9, 2020 Lee SE, Dahinten VS. The enabling, enacting, and elaborating factors of safety culture associated with patient safety: a multilevel analysis. J Nurs Scholarsh. 2020;52(5):544-5…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44311/psn-pdf
    May 19, 2019 - A Patient Safety Rounds pilot program at clinics affiliated with a large research and education institution. May 19, 2019 Savely SM, Muraca PW, Eller MF, et al. A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution. J Patient Saf. 2019;15(2):90-96. doi:10.1097/…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73858/psn-pdf
    September 22, 2021 - Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. September 22, 2021 D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. Surgery. 2021;170(2):440-44…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33594/psn-pdf
    November 18, 2021 - The second column is labeled “Plus” and includes descriptions of the positive or effective characteristics

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852282/psn-pdf
    August 09, 2023 - Implementation of medication reconciliation in outpatient cancer care. August 9, 2023 Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care. BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211. https://psnet.ahrq.gov/issue/implementation-medication-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836721/psn-pdf
    March 09, 2022 - Sources of medication omissions among hospitalized older adults with polypharmacy. March 9, 2022 Shah AS, Hollingsworth EK, Shotwell MS, et al. Sources of medication omissions among hospitalized older adults with polypharmacy. J Am Geriatr Soc. 2022;70(4):1180-1189. doi:10.1111/jgs.17629. https://psnet.ahrq.gov/is…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838011/psn-pdf
    January 01, 2023 - Fall prevention with the Smart Socks System reduces hospital fall rates. September 7, 2022 Moore T, Kline D, Palettas M, et al. Fall prevention with the Smart Socks System reduces hospital fall rates. J Nurs Care Qual. 2023;38(1):55-60. doi:10.1097/ncq.0000000000000653. https://psnet.ahrq.gov/issue/fall-prevention…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60359/psn-pdf
    May 20, 2020 - Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. May 20, 2020 ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9). https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone- overdose Lack of familiarity with sm…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837961/psn-pdf
    August 31, 2022 - Risk reduction strategy to decrease incidence of retained surgical items. August 31, 2022 Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264. https://psnet.ahrq.gov/issue/risk-reduc…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73388/psn-pdf
    June 16, 2021 - Reducing surgical specimen errors through multidisciplinary quality improvement. June 16, 2021 Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement. Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003. https://psnet.ahrq.gov/issue/reduci…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50749/psn-pdf
    December 18, 2019 - Medication errors in the care transition of trauma patients December 18, 2019 Martín Mª ÁP, García MM, Silveira ED, et al. Medication errors in the care transition of trauma patients. Eur J Clin Pharmacol. 2019;75(12):1739-1746. doi:10.1007/s00228-019-02757-3. https://psnet.ahrq.gov/issue/medication-errors-care-tra…
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