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Showing results for "evaluated".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42621/psn-pdf
    October 31, 2014 - The global burden of unsafe medical care: analytic modelling of observational studies. October 31, 2014 Jha AK, Larizgoitia I, Audera-Lopez C, et al. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf. 2013;22(10):809-15. doi:10.1136/bmjqs-2012-001748. https://psnet…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73074/psn-pdf
    March 24, 2021 - In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. March 24, 2021 Silver-Greenberg J, Gebeloff R. New York Times. March 13, 2021. https://psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and- rape-dont-dock-five…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867382/psn-pdf
    December 18, 2024 - Pharmacists’ perceptions of error reporting systems. December 18, 2024 Hartt CM, Weigand H, MacDonald AJ, et al. Pharmacists’ perceptions of error reporting systems. J Patient Saf Risk Manag. 2024;29(6):268-273. doi:10.1177/25160435241288287. https://psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-syst…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848813/psn-pdf
    May 10, 2023 - Blood and blood products transfusion errors: what can we do to improve patient safety. May 10, 2023 Brown C, Brown M. Blood and blood products transfusion errors: what can we do to improve patient safety? Br J Nurs. 2023;32(7):326-332. doi:10.12968/bjon.2023.32.7.326. https://psnet.ahrq.gov/issue/blood-and-blood-p…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47269/psn-pdf
    August 15, 2018 - AHRQ Announces Interest in Health Services Research to Address the Opioids Crisis. August 15, 2018 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. August 2, 2018. Publication No. NOT-HS-18-015. https://psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-address…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36442/psn-pdf
    July 23, 2023 - TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. July 23, 2023 Department of Health and Human Services, Agency for Healthcare Research and Quality, Department of Defense. https://psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety Effective teamwo…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44246/psn-pdf
    November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. November 15, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm The National Patient Safety Foundation issued these guidelines for improving root cause a…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43496/psn-pdf
    November 01, 2016 - Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. November 1, 2016 Boutwell A, Bourgoin A , Maxwell J, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0047-EF. https://psnet.ahrq.gov/issue/designing-…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38026/psn-pdf
    March 21, 2017 - Does error and adverse event reporting by physicians and nurses differ? March 21, 2017 Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545. https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-ph…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43957/psn-pdf
    June 21, 2015 - Enhancing the effectiveness of team debriefings in medical simulation: more best practices. June 21, 2015 Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3):115-125. https://psnet.ahrq.gov/issue…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61122/psn-pdf
    January 01, 2022 - Implementing high-reliability organization principles into practice: a rapid evidence review. November 11, 2020 Veazie S, Peterson K, Bourne D, et al. Implementing high-reliability organization principles into practice: a rapid evidence review. J Patient Saf. 2022;18(1):e320-e328. doi:10.1097/pts.0000000000000768. …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866321/psn-pdf
    July 17, 2024 - Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention at a large academic medical center. July 17, 2024 Zheng L, Pon T, Bajorek SA, et al. Impact of pharmacist?led discharge medication reconciliation on error and patient harm prevention at a large academic medical center…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841485/psn-pdf
    December 14, 2022 - Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. December 14, 2022 Wani MM, Gilbert JHV, Mohammed CA, et al. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. J Patient Saf. 20…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845634/psn-pdf
    March 08, 2023 - Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. March 8, 2023 Aydin Akbuga G, Sürme Y, Esenkaya D. Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study. AORN J. 2023;117(2):e1-e10. doi:10.1002/aorn.13861. https://psnet.…

  15. Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
    January 01, 2023 - • Upon presentation, the patient was evaluated by the intensivist team who recommended admission

  16. In Conversation With… John D. Birkmeyer, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
    January 31, 2024 - No matter how we measured skill on the front end or which outcome or aspect of quality we evaluated on

  17. Confusion With Acetaminophen | PSNet

    psnet.ahrq.gov/web-mm/confusion-acetaminophen
    December 01, 2009 - Confusion With Acetaminophen Citation Text: Heubi JE. Confusion With Acetaminophen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49404/psn-pdf
    June 01, 2003 - Not a Miscarriage June 1, 2003 Learman LA. Not a Miscarriage. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/not-miscarriage The Case A 32-year-old woman, gravida 3, para 1, with a history of Type 2 diabetes mellitus on metformin, presented at 7 and 2/7 weeks by last menstrual period (LMP). The patient rep…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49701/psn-pdf
    February 01, 2014 - An Easily Forgotten Tube February 1, 2014 Ousey K. An Easily Forgotten Tube. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/easily-forgotten-tube The Case A 45-year-old man was admitted to the intensive care unit (ICU) for acute liver failure secondary to alcohol abuse. His illness was complicated by acute…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33593/psn-pdf
    June 15, 2024 - Measurement of Patient Safety June 15, 2024 Measurement of Patient Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/measurement-patient-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient …
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