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Total Results: 3,297 records

Showing results for "determining".

821. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37443/psn-pdf
     July 14, 2008 - Medication errors in older people with mental health problems: a review. July 14, 2008 doi:10.1002/gps.1943. https://psnet.ahrq.gov/issue/medication-errors-older-people-mental-health-problems-review This review sought to determine medication error rates in elderly patients with mental health diagnoses but found t…

822. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37182/psn-pdf
     March 03, 2011 - Getting surgery right. March 3, 2011 Clarke JR, Johnston J, Finley ED. Getting surgery right. Ann Surg. 2007;246(3):395-403, discussion 403-5. https://psnet.ahrq.gov/issue/getting-surgery-right This study examined instances of wrong-site surgery reported to authorities in Pennsylvania and sought to determine facto…

823. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37421/psn-pdf
     February 15, 2011 - Prescription for error: process defects in a community retail pharmacy. February 15, 2011 Witte D, Dundes L. Prescription for Error. J Patient Saf. 2008;3(4). doi:10.1097/pts.0b013e31815a613e. https://psnet.ahrq.gov/issue/prescription-error-process-defects-community-retail-pharmacy This study used direct observati…

824. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42389/psn-pdf
     September 02, 2016 - Report on the ISPE Drug Shortages Survey. September 2, 2016 Tampa, FL: International Society for Pharmaceutical Engineering; June 2013. https://psnet.ahrq.gov/issue/report-ispe-drug-shortages-survey This worldwide survey determined root causes and underlying issues contributing to drug shortages and provides recom…

825. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43357/psn-pdf
     July 16, 2014 - Wake Up Safe. July 16, 2014 Society for Pediatric Anesthesia. https://psnet.ahrq.gov/issue/wake-safe This Web site provides information about a Patient Safety Organization initiative to develop an adverse event registry in perioperative care for pediatric patients, determine causes for errors, and design preventi…

826. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34631/psn-pdf
     December 23, 2016 - Sentinel Event Alert. December 23, 2016 Oakbrook Terrace, IL: The Joint Commission. https://psnet.ahrq.gov/issue/sentinel-event-alert This newsletter provides guidance to health care organizations for responding to commonly reported incidents. The Joint Commission issues these sentinel event alerts to review selec…

827. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37944/psn-pdf
     April 11, 2011 - Identification of adverse events at an orthopedics department in Sweden. April 11, 2011 Unbeck M, Muren O, Lillkrona U. Identification of adverse events at an orthopedics department in Sweden. Acta Orthop. 2008;79(3):396-403. doi:10.1080/17453670710015319. https://psnet.ahrq.gov/issue/identification-adverse-events…

828. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34616/psn-pdf
     March 28, 2005 - Score Your Safety Culture. March 28, 2005 Reason J. Flight Safety Australia. 2001;5(1):40-41. https://psnet.ahrq.gov/issue/score-your-safety-culture James Reason's checklist to help an organization determine if it has installed and sustained a safety culture. The tool is drawn from his thinking in Managing the Ris…

829. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35164/psn-pdf
     June 23, 2009 - Management of the difficult airway: a closed claims analysis. June 23, 2009 Peterson GN, Domino KB, Caplan RA, et al. Management of the difficult airway: a closed claims analysis. Anesthesiology. 2005;103(1):33-39. https://psnet.ahrq.gov/issue/management-difficult-airway-closed-claims-analysis The authors analyze…

830. Reconciling Doses | PSNet
     psnet.ahrq.gov/web-mm/reconciling-doses
     August 14, 2017 - first examine the system presently in place.( 7 ) Using a high-level flow diagram may be helpful in determining

831. Poor Prognosis | PSNet
     psnet.ahrq.gov/web-mm/poor-prognosis
     March 15, 2016 - Evaluation of prognostic criteria for determining hospice eligibility in patients with advanced lung,

832. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39782/psn-pdf
     August 25, 2010 - Developing a common language for evaluation questions in quality and safety improvement. August 25, 2010 Lambert MF; Shearer H. https://psnet.ahrq.gov/issue/developing-common-language-evaluation-questions-quality-and-safety- improvement This commentary discusses several frameworks for evaluating patient safety an…

833. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35815/psn-pdf
     July 21, 2010 - A national survey of obstetric anaesthetic handovers. July 21, 2010 Sabir N, Yentis SM, Holdcroft A. A national survey of obstetric anaesthetic handovers*. Anaesthesia. 2006;61(4). doi:10.1111/j.1365-2044.2006.04541.x. https://psnet.ahrq.gov/issue/national-survey-obstetric-anaesthetic-handovers The researchers sur…

834. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35539/psn-pdf
     March 29, 2010 - Differentiating close calls from errors: a multidisciplinary perspective. March 29, 2010 Etchegaray JM; Thomas EJ; Geraci JM; Simmons D; Martin SK. https://psnet.ahrq.gov/issue/differentiating-close-calls-errors-multidisciplinary-perspective In this AHRQ-funded study, the investigators determined that health care …

835. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38670/psn-pdf
     November 25, 2009 - Assessing hospital safety on nights and weekends: the SWAN tool. November 25, 2009 Shulkin DJ. Assessing hospital safety on nights and weekends: the SWAN tool. J Patient Saf. 2009;5(2):75-8. doi:10.1097/PTS.0b013e3181a5db10. https://psnet.ahrq.gov/issue/assessing-hospital-safety-nights-and-weekends-swan-tool This…

836. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36406/psn-pdf
     March 03, 2011 - Nature of human error: implications for surgical practice. March 3, 2011 Cuschieri A. Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8. https://psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice The authors analyzed the literature to identify important compo…

837. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35247/psn-pdf
     December 17, 2008 - Review of the Australian Incident Monitoring System. December 17, 2008 Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657- 61. https://psnet.ahrq.gov/issue/review-australian-incident-monitoring-system The authors surveyed users of the Australian Incident Monitorin…

838. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37459/psn-pdf
     June 29, 2011 - Development of medical checklists for improved quality of patient care. June 29, 2011 Hales B, Terblanche M, Fowler R, et al. Development of medical checklists for improved quality of patient care. International Journal for Quality in Health Care. 2007;20(1). doi:10.1093/intqhc/mzm062. https://psnet.ahrq.gov/issue…

839. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38985/psn-pdf
     September 30, 2009 - Nurses' role in detecting deterioration in ward patients: systematic literature review. September 30, 2009 Odell M; Victor C; Oliver D. https://psnet.ahrq.gov/issue/nurses-role-detecting-deterioration-ward-patients-systematic-literature-review This systematic review indicates that nurses use their clinical judgmen…

840. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37540/psn-pdf
     May 02, 2012 - Why do interns make prescribing errors? A qualitative study. May 2, 2012 Coombes ID, Stowasser DA, Coombes JA, et al. Why do interns make prescribing errors? A qualitative study. Med J Aust. 2008;188(2):89-94. https://psnet.ahrq.gov/issue/why-do-interns-make-prescribing-errors-qualitative-study This study used se…