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Total Results: 2,289 records

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  1. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
    January 01, 2024 - Spotlight Spotlight Intraoperative Awareness during Rhinoplasty 1 Source and Credits This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Christian Bohringer MBBS and Jaijeet Toor MD AHRQ WebM&M Edit…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49759/psn-pdf
    May 01, 2016 - Falling Through the Crack (in the Bedrails) May 1, 2016 Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/falling-through-crack-bedrails Case Objectives Review the epidemiology of patient falls and associated injuries in the hospital set…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45047/psn-pdf
    April 13, 2016 - Is misdiagnosis inevitable? April 13, 2016 Page L. Medscape Business of Medicine. March 28, 2016. https://psnet.ahrq.gov/issue/misdiagnosis-inevitable This news article reports on the prevalence of diagnostic error and describes characteristics that contribute to the problem, including insufficient clinician famil…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41758/psn-pdf
    October 10, 2012 - The Broselow tape as an effective medication dosing instrument: a review of the literature. October 10, 2012 Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.pedn.2012.04.009. https://psnet.ah…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43215/psn-pdf
    May 28, 2014 - When medical students make errors. May 28, 2014 https://psnet.ahrq.gov/issue/when-medical-students-make-errors This newspaper article highlights the need for medical students to be educated about how to disclose errors to patients and families when mistakes occur, even if the patient was not harmed. https://psnet.…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47348/psn-pdf
    September 05, 2018 - Hospital-Acquired Condition Reduction Program (HACRP). September 5, 2018 QualityNet. Centers for Medicare and Medicaid Services. https://psnet.ahrq.gov/issue/hospital-acquired-condition-hac-reduction-program Eliminating hospital-acquired harm requires policy, organizational, and individual approaches to motivate …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40416/psn-pdf
    June 27, 2018 - Reducing alarm hazards: selection and implementation of alarm notification systems. June 27, 2018 Gee T, Moorman BA. Patient Saf Qual Healthc. March/April 2011;8:14-17. https://psnet.ahrq.gov/issue/reducing-alarm-hazards-selection-and-implementation-alarm-notification- systems Highlighting dangers presented by al…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40642/psn-pdf
    July 27, 2011 - Prevalence of adverse drug events in ambulatory care: a systematic review. July 27, 2011 Taché S, Sönnichsen A, Ashcroft DM. Prevalence of adverse drug events in ambulatory care: a systematic review. Ann Pharmacother. 2011;45(7-8):977-89. doi:10.1345/aph.1P627. https://psnet.ahrq.gov/issue/prevalence-adverse-drug-…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37533/psn-pdf
    April 22, 2011 - Systematic evaluation of errors occurring during the preparation of intravenous medication. April 22, 2011 Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.061743. https://psnet.ahrq.gov/issue/sys…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39991/psn-pdf
    November 02, 2011 - Measuring the cost of hospital adverse patient safety events. November 2, 2011 Carey K, Stefos T. Measuring the cost of hospital adverse patient safety events. Health Econ. 2011;20(12):1417-30. doi:10.1002/hec.1680. https://psnet.ahrq.gov/issue/measuring-cost-hospital-adverse-patient-safety-events This analysis o…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39783/psn-pdf
    August 25, 2010 - Ethics, oversight and quality improvement initiatives. August 25, 2010 Taylor HA, Pronovost PJ, Sugarman J. Ethics, oversight and quality improvement initiatives. Quality and Safety in Health Care. 2010;19(4). doi:10.1136/qshc.2009.038034. https://psnet.ahrq.gov/issue/ethics-oversight-and-quality-improvement-initia…

  12. US emergency department visits for outpatient adverse drug events, 2013–2014. | PSNet

    psnet.ahrq.gov/issue/us-emergency-department-visits-outpatient-adverse-drug-events-2013-2014
    February 23, 2018 - Study Classic US emergency department visits for outpatient adverse drug events, 2013–2014. Citation Text: Shehab N, Lovegrove MC, Geller AI, et al. US Emergency Department Visits for Outpatient Adverse Drug Events, 2013-2014. JAMA. 2016;316(20):2115-2125. doi:1…

  13. Medication overdoses leading to emergency department visits among children. | PSNet

    psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children
    March 05, 2008 - Study Medication overdoses leading to emergency department visits among children. Citation Text: Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018. Cop…

  14. Temporal trends in rates of patient harm resulting from medical care. | PSNet

    psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
    April 04, 2011 - Study Classic Temporal trends in rates of patient harm resulting from medical care. Citation Text: Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJ…

  15. Adverse events in hospitalized pediatric patients. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients
    July 11, 2017 - Study Emerging Classic Adverse events in hospitalized pediatric patients. Citation Text: Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients. Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360. Copy Citati…

  16. Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. | PSNet

    psnet.ahrq.gov/issue/sustaining-reductions-central-line-associated-bloodstream-infections-michigan-intensive-care
    June 16, 2011 - Study Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. Citation Text: Pronovost P, Watson S, Goeschel CA, et al. Sustaining Reductions in Central Line-Associated Bloodstream Infections in Michigan Intensive Care…

  17. Overrides of medication alerts in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/overrides-medication-alerts-ambulatory-care
    September 01, 2016 - Study Overrides of medication alerts in ambulatory care. Citation Text: Isaac T, Weissman JS, Davis RB, et al. Overrides of medication alerts in ambulatory care. Arch Intern Med. 2009;169(3):305-311. doi:10.1001/archinternmed.2008.551. Copy Citation Format: DOI Google Schol…

  18. National surveillance of emergency department visits for outpatient adverse drug events. | PSNet

    psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events
    February 27, 2009 - Study Classic National surveillance of emergency department visits for outpatient adverse drug events. Citation Text: Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA. 200…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40430/psn-pdf
    October 18, 2011 - Eliminating CLABSI: A National Patient Safety Imperative. October 18, 2011 Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11- 0037-1-EF. https://psnet.ahrq.gov/issue/eliminating-clabsi-national-patient-safety-imperative This publication reports the impact hospital p…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42491/psn-pdf
    September 18, 2013 - The incidence of diagnostic error in medicine. September 18, 2013 Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615. https://psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine This review examines eight research methods used to es…
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