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Showing results for "discussions".

  1. Shining a Light: Safer Health Care Through Transparency. | PSNet

    psnet.ahrq.gov/issue/shining-light-safer-health-care-through-transparency
    November 23, 2016 - Book/Report Shining a Light: Safer Health Care Through Transparency. Citation Text: Shining a Light: Safer Health Care Through Transparency. Boston, MA: National Patient Safety Foundation Lucian Leape Institute; January 2015. Copy Citation Save Save to your librar…

  2. IHI Patient Safety and Quality for Emerging Leaders | PSNet

    psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
    March 03, 2025 - IHI Patient Safety and Quality for Emerging Leaders Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Institute for Healthcare Improvement (IHI) …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38938/psn-pdf
    July 26, 2023 - ISMP's List of Confused Drug Names. July 26, 2023 Horsham, PA; Institute for Safe Medication Practices: July 2023. https://psnet.ahrq.gov/issue/ismps-list-confused-drug-names Drawing on information gathered from the ISMP Medication Errors Reporting Program, this fact sheet provides a comprehensive list of commonly…

  4. Balancing Supervision and Autonomy: An Ongoing Tension | PSNet

    psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
    February 01, 2012 - controversies around the association between resident fatigue and medical errors have dominated the discussions

  5. Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. | PSNet

    psnet.ahrq.gov/issue/impact-warning-cpoe-system-inappropriate-pill-splitting-prescribed-medications-outpatients
    July 16, 2015 - Study Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. Citation Text: Hsu C-C, Chou C-Y, Chou C-L, et al. Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. PLoS One. 2…

  6. Adverse drug events in U.S. adult ambulatory medical care. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care
    June 21, 2010 - Study Classic Adverse drug events in U.S. adult ambulatory medical care. Citation Text: Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x…

  7. Effective implementation of work-hour limits and systemic improvements. | PSNet

    psnet.ahrq.gov/issue/effective-implementation-work-hour-limits-and-systemic-improvements
    September 28, 2010 - Study Classic Effective implementation of work-hour limits and systemic improvements. Citation Text: Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl…

  8. Principles of conservative prescribing. | PSNet

    psnet.ahrq.gov/issue/principles-conservative-prescribing
    April 22, 2017 - Review Classic Principles of conservative prescribing. Citation Text: Schiff G, Galanter W, Duhig J, et al. Principles of conservative prescribing. Arch Intern Med. 2011;171(16):1433-1440. doi:10.1001/archinternmed.2011.256. Copy Citation Format: …

  9. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-among-hospitalized-medicare-patients-epidemiology-and-national-estimates
    April 05, 2016 - Study Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. Citation Text: Classen D, Jaser L, Budnitz DS. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new…

  10. Types of unintended consequences related to computerized provider order entry. | PSNet

    psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry
    February 18, 2011 - Study Classic Types of unintended consequences related to computerized provider order entry. Citation Text: Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2006;13(5):…

  11. Diagnostic error in medicine: analysis of 583 physician-reported errors. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors
    June 24, 2009 - Study Classic Diagnostic error in medicine: analysis of 583 physician-reported errors. Citation Text: Schiff G, Hasan O, Kim S, et al. Diagnostic error in medicine: analysis of 583 physician-reported errors. Arch Intern Med. 2009;169(20):1881-1887. doi:10.1001/a…

  12. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. | PSNet

    psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban
    February 22, 2011 - Study What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Citation Text: Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambu…

  13. How will we know patients are safer? An organization-wide approach to measuring and improving safety. | PSNet

    psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
    May 20, 2009 - Study How will we know patients are safer? An organization-wide approach to measuring and improving safety. Citation Text: Pronovost P, Holzmueller CG, Needham DM, et al. How will we know patients are safer? An organization-wide approach to measuring and improving safety. Crit Care Med…

  14. Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. | PSNet

    psnet.ahrq.gov/issue/association-pediatric-resident-physician-depression-and-burnout-harmful-medical-errors
    April 24, 2018 - Study Emerging Classic Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. Citation Text: Brunsberg KA, Landrigan CP, Garcia BM, et al. Association of Pediatric Resident Physician Depression and B…

  15. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. | PSNet

    psnet.ahrq.gov/issue/tempos-management-primary-care-key-factor-classifying-adverse-events-and-improving-quality
    March 15, 2017 - Study 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. Citation Text: Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. BMJ Qual Saf.…

  16. Individual Clinician Performance Issues | PSNet

    psnet.ahrq.gov/primer/individual-clinician-performance-issues
    March 15, 2025 - Individual Clinician Performance Issues Citation Text: Individual Clinician Performance Issues. 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 7 X…

  17. Weekly Resource | PSNet

    psnet.ahrq.gov/periodic-issue/weekly-resource
    March 25, 2025 - March 12, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867759/psn-pdf
    March 12, 2025 - Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. March 12, 2025 Andrew C, Fitzsimons M. Intrahospital patient transport: checklists, adverse events, and other considerations for the anesthesia professional. APSF Newsletter. 2025;40(1):24-26. ht…

  19. The Unintended Consequences of Florida Medical Liability Legislation | PSNet

    psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
    February 01, 2003 - The Unintended Consequences of Florida Medical Liability Legislation Paul Barach, MD, MPH | December 1, 2005  View more articles from the same authors. Citation Text: Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet].…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849660/psn-pdf
    May 31, 2023 - Strategies to Improve Organizational Health Literacy. May 31, 2023 Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy Background Health literacy is important at both the personal …
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