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Showing results for "developing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46245/psn-pdf
    June 28, 2017 - Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. June 28, 2017 Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two can…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45113/psn-pdf
    May 11, 2016 - Medical error—the third leading cause of death in the US. May 11, 2016 Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139. https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us How many patients die each year due to preventabl…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39171/psn-pdf
    February 10, 2015 - Patient safety at ten: unmistakable progress, troubling gaps. February 10, 2015 Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood). 2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785. https://psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps Th…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42966/psn-pdf
    November 21, 2018 - The next organizational challenge: finding and addressing diagnostic error. November 21, 2018 Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10. https://psnet.ahrq.gov/issue/next-organizational-challe…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44369/psn-pdf
    July 16, 2018 - The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. July 16, 2018 Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implemen…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43400/psn-pdf
    August 13, 2014 - Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. August 13, 2014 Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41175/psn-pdf
    December 31, 2014 - Design and implementation of an automated email notification system for results of tests pending at discharge. December 31, 2014 Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42923/psn-pdf
    September 26, 2017 - Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. September 26, 2017 Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® for Hospitals: 2000 and 2011.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44388/psn-pdf
    October 14, 2015 - Implementation of the Centers for Medicare & Medicaid Services' nonpayment policy for preventable hospital- acquired conditions in rural and nonrural US hospitals. October 14, 2015 Bae S-H, Yoder LH. Implementation of the Centers for Medicare & Medicaid Services' Nonpayment Policy for Preventable Hospital-Acquired…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46196/psn-pdf
    October 13, 2018 - Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training. October 13, 2018 Sparks JL, Crouch DL, Sobba K, et al. Association of a Surgical Task During Training With Team Skill Acquisition Among Surgical Residents: The …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45302/psn-pdf
    November 28, 2016 - Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention. November 28, 2016 Langer T, Martinez W, Browning DM, et al. Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39031/psn-pdf
    March 23, 2011 - Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. March 23, 2011 Barber ND, Alldred DP, Raynor DK, et al. Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. Qual …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49545/psn-pdf
    September 01, 2007 - Coming Undone: Failure of Closure Device September 1, 2007 Baez-Escudero JL, Levine GN. Coming Undone: Failure of Closure Device. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device The Case A 65-year-old man underwent coronary angiography because of atypical exertional chest…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49783/psn-pdf
    February 01, 2017 - The Hazards of Distraction: Ticking All the EHR Boxes February 1, 2017 Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes Case Objectives List the goals of having order sets in the electronic health record…

  15. A Seasonal Care Transition Failure | PSNet

    psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
    June 01, 2016 - A Seasonal Care Transition Failure Citation Text: Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  16. A Mistaken Dose of Naloxone  | PSNet

    psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
    March 21, 2009 - A Mistaken Dose of Naloxone  Citation Text: Cutler E, Gunawardena D. A Mistaken Dose of Naloxone . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …

  17. Hard to Swallow | PSNet

    psnet.ahrq.gov/web-mm/hard-swallow
    April 26, 2023 - Hard to Swallow Citation Text: Driver J. Hard to Swallow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49630/psn-pdf
    July 01, 2011 - Watch the Warfarin! July 1, 2011 Khanna R, Fang MC. Watch the Warfarin!. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/watch-warfarin Case Objectives Understand best practices for safe discharge of patients on warfarin. Describe recent advances in anticoagulation monitoring for ambulatory patients. Discu…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60376/psn-pdf
    July 30, 2020 - COVID-19: Team and Human Factors to Improve Safety July 30, 2020 Zipperer L. COVID-19: Team and Human Factors to Improve Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety Background The rapid transmission of COVID-19 has resulted in an international pandem…

  20. The Dropped "No" | PSNet

    psnet.ahrq.gov/web-mm/dropped-no
    October 30, 2019 - The Dropped "No" Citation Text: Johnson AJ. The Dropped "No". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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