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Showing results for "disorders".

  1. psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-within-veterans-health-administration
    November 06, 2019 - Congressional Testimony Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. Citation Text: Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. US House of Representatives Committee on Veterans' Affa…
  2. psnet.ahrq.gov/issue/microanalysis-video-operating-room-underused-approach-patient-safety-research
    January 22, 2014 - Study Microanalysis of video from the operating room: an underused approach to patient safety research. Citation Text: Bezemer J, Cope A, Korkiakangas T, et al. Microanalysis of video from the operating room: an underused approach to patient safety research. BMJ Qual Saf. 2017;26(7):583-…
  3. psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
    July 24, 2024 - Commentary Alarm fatigue: use of an evidence-based alarm management strategy. Citation Text: Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223. Copy Citation Format: DOI Google Scholar BibTeX EndNote …
  4. psnet.ahrq.gov/issue/pediatric-medication-errors-postanesthesia-care-unit-analysis-medmarx-data
    January 06, 2017 - Study Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. Citation Text: Payne CH, Smith CR, Newkirk LE, et al. Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data. AORN J. 2007;85(4):731-40; quiz 741-4. Copy Citati…
  5. psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient-safety-conditions
    August 18, 2021 - Book/Report Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Citation Text: Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Gangopadhyaya A. Washington DC: Urban Institu…
  6. psnet.ahrq.gov/issue/use-cascading-a3s-drive-systemwide-improvement
    January 29, 2015 - Commentary Use of cascading A3s to drive systemwide improvement. Citation Text: Winner LE, Burroughs TJ, Cady-Reh JA, et al. Use of Cascading A3s to Drive Systemwide Improvement. Jt Comm J Qual Patient Saf. 2017;43(8):422-428. doi:10.1016/j.jcjq.2017.03.011. Copy Citation Format: …
  7. digital.ahrq.gov/type-care/behavioral-health
    January 01, 2023 - Behavioral Health Empower NICU - A Bridge to Resources for Adjusting and Coping with Emotions (EmBRACE) Description This research will develop, evaluate, and test the efficacy of Empower NICU – A Bridge to Resources for Adjusting and Coping with Emotions (EmBRACE), a mobile he…
  8. psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-healthcare
    April 25, 2016 - Commentary The underappreciated role of habit in highly reliable healthcare. Citation Text: Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf. 2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512. Copy Citation Format: DOI Goog…
  9. digital.ahrq.gov/program-overview/research-reports/2021-year-review
    January 01, 2021 - Improving Healthcare Through AHRQ's Digital Healthcare Research Program: 2021 Year in Review Executive Summary "The Digital Healthcare Research Program funds research to create actionable findings around 'what and how digital healthcare technologies work best' for its key stakehold…
  10. psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
    February 15, 2024 - Press Release/Announcement FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. Citation Text: FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…
  11. psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
    March 16, 2022 - Government Resource Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. Citation Text: Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. Alexandria, VA: Department of Defense, Office of the Inspector General; February 21…
  12. psnet.ahrq.gov/issue/potential-false-positive-results-antigen-tests-rapid-detection-sars-cov-2-letter-clinical
    April 08, 2020 - Press Release/Announcement Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--letter to clinical laboratory staff and health care providers. Citation Text: Potential for false positive results with antigen tests for rapid detection of SARS-CoV-2--l…
  13. psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
    August 07, 2018 - Book/Report With Safety in Mind: Mental Health Services and Patient Safety. Citation Text: With Safety in Mind: Mental Health Services and Patient Safety. Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006. Copy Citation Save …
  14. psnet.ahrq.gov/issue/diagnosis-reducing-errors-and-improving-quality
    October 12, 2022 - Book/Report Diagnosis: Reducing Errors and Improving Quality. Citation Text: Diagnosis: Reducing Errors and Improving Quality. Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine, 21e. New York, NY: McGraw Hill; 2022 Copy Citati…
  15. psnet.ahrq.gov/issue/improving-pathologists-communication-skills
    May 18, 2022 - Commentary Improving pathologists' communication skills. Citation Text: Dintzis SM. Improving Pathologists' Communication Skills. AMA J Ethics. 2016;18(8):802-8. doi:10.1001/journalofethics.2016.18.8.medu1-1608. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…
  16. psnet.ahrq.gov/issue/prevention-fatal-opioid-overdose
    October 03, 2018 - Commentary Prevention of fatal opioid overdose. Citation Text: Beletsky L, Rich JD, Walley AY. Prevention of fatal opioid overdose. JAMA. 2012;308(18):1863-4. doi:10.1001/jama.2012.14205. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…
  17. psnet.ahrq.gov/issue/pharmacist-physician-relationship-detection-ambulatory-medication-errors
    September 30, 2020 - Study The pharmacist-physician relationship in the detection of ambulatory medication errors. Citation Text: Brown A, Bailey JH, Lee J, et al. The pharmacist-physician relationship in the detection of ambulatory medication errors. Am J Med Sci. 2006;331(1):22-24. Copy Citation Fo…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49712/psn-pdf
    June 01, 2014 - May I Have Another?—Medication Error June 1, 2014 Wolf MS. May I Have Another?—Medication Error. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/may-i-have-another-medication-error The Case A 40-year-old man was admitted to the hospital after having a seizure. Upon admission, the patient, a pharmacology-tra…
  19. digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-overview
    January 01, 2021 - Research Overview Digital healthcare knowledge and tools can enhance the efforts of patients, clinicians, and health systems working to improve healthcare quality and safety. AHRQ’s DHR program funds research to create actionable findings on what and how digital healthcare works best for t…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
    March 12, 2008 - Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Evaluation of Medications Removed from Automated Dispensing Machines Using the Override Function Leading to Multiple System Changes Karla Miller, PharmD; Manisha Shah, MBA, RT; Lau…