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Showing results for "evaluated".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838638/psn-pdf
    September 01, 2012 - Directed peer review in surgical pathology. September 1, 2012 Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7. https://psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology Diagnostic error in pathology can result in delaye…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45756/psn-pdf
    December 21, 2016 - Accidental IV infusion of heparinized irrigation in the OR. December 21, 2016 ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. https://psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or Accidental administration of irrigation solutions are a wrong-route error that can re…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42564/psn-pdf
    September 11, 2013 - Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. September 11, 2013 Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1002/bjs.9168. https://psnet.ah…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47700/psn-pdf
    January 16, 2019 - Current challenges in health information technology–related patient safety. January 16, 2019 Sittig DF, Wright A, Coiera E, et al. Current challenges in health information technology–related patient safety. Health Inform J. 2020;26(1):181-189. doi:10.1177/1460458218814893. https://psnet.ahrq.gov/issue/current-chal…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44274/psn-pdf
    February 18, 2019 - Concepts for the development of a customizable checklist for use by patients. February 18, 2019 Fernando RJ, Shapiro FE, Rosenberg NM, et al. Concepts for the Development of a Customizable Checklist for Use by Patients. J Patient Saf. 2019;15(1):18-23. doi:10.1097/PTS.0000000000000203. https://psnet.ahrq.gov/issue…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45549/psn-pdf
    October 12, 2016 - Preventing diagnostic errors in primary care. October 12, 2016 Ely JW, Graber ML. Preventing Diagnostic Errors in Primary Care. Am Fam Physician. 2016;94(6):426-32. https://psnet.ahrq.gov/issue/preventing-diagnostic-errors-primary-care The Improving Diagnosis in Health Care report advocated for enhancing patient en…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46838/psn-pdf
    March 07, 2018 - Behavioral & Mental Health Toolbox. March 7, 2018 Center for Health Design. Concord, CA: Center for Health Design; 2018. https://psnet.ahrq.gov/issue/behavioral-mental-health-toolbox Behavioral and mental health patients have unique concerns that affect their safety. This toolkit provides strategies, insights, and…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43008/psn-pdf
    November 21, 2014 - Understanding safety culture in long-term care: a case study. November 21, 2014 Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7. https://psnet.ahrq.gov/issue/understanding-safety-culture-lon…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38055/psn-pdf
    January 12, 2009 - Improving patient safety: patient-focused, high-reliability team training. January 12, 2009 McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595. https://psnet.ahrq.gov/issue/improving-p…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50580/psn-pdf
    October 23, 2019 - Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia. October 23, 2019 Rein L. Washington Post. October 5, 2019. https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding- investigation-va-hospital The Vete…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43825/psn-pdf
    January 28, 2015 - A systematic review of adult admissions to ICUs related to adverse drug events. January 28, 2015 Jolivot P-A, Hindlet P, Pichereau C, et al. A systematic review of adult admissions to ICUs related to adverse drug events. Crit Care. 2014;18(6):643. doi:10.1186/s13054-014-0643-5. https://psnet.ahrq.gov/issue/systema…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44606/psn-pdf
    October 28, 2015 - 'Trust but verify'—five approaches to ensure safe medical apps. October 28, 2015 Wicks P, Chiauzzi E. 'Trust but verify'--five approaches to ensure safe medical apps. BMC Med. 2015;13:205. doi:10.1186/s12916-015-0451-z. https://psnet.ahrq.gov/issue/trust-verify-five-approaches-ensure-safe-medical-apps Mobile heal…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45885/psn-pdf
    May 03, 2017 - E-collection: Safety and Error Prevention in Health. May 3, 2017 https://psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health The increasing implementation of health information technology has introduced both benefits and challenges to patient safety. Articles in this series explore the impacts of t…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43839/psn-pdf
    January 28, 2015 - Patient Safety. January 28, 2015 J Health Serv Res Policy. 2015;20(suppl 1):S1-S60. https://psnet.ahrq.gov/issue/patient-safety-11 Articles in this special supplement explore research commissioned by National Institute for Health Research in the United Kingdom to address four patient safety research gaps: how orga…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45801/psn-pdf
    August 03, 2017 - Overcoming diagnostic errors in medical practice. August 3, 2017 Bordini BJ, Stephany A, Kliegman RM. Overcoming Diagnostic Errors in Medical Practice. J Pediatr. 2017;185. doi:10.1016/j.jpeds.2017.02.065. https://psnet.ahrq.gov/issue/overcoming-diagnostic-errors-medical-practice This commentary describes a progra…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45071/psn-pdf
    April 27, 2016 - Using simulation to identify sources of medical diagnostic error in child physical abuse. April 27, 2016 Anderst J, Nielsen-Parker M, Moffatt M, et al. Using simulation to identify sources of medical diagnostic error in child physical abuse. Child Abuse Negl. 2016;52:62-69. doi:10.1016/j.chiabu.2015.12.015. https:…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853980/psn-pdf
    September 27, 2023 - RFID tags reduce restocking errors of anesthesia medications. September 27, 2023 Banks MA. Specialty Pharmacy Continuum. September 15, 2023. https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications Radiofrequency identification (RFID) devices are being used to improve processes in the…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43424/psn-pdf
    August 13, 2014 - Office-based anesthesia: safety and outcomes. August 13, 2014 Shapiro FE, Punwani N, Rosenberg NM, et al. Office-Based Anesthesia. Anesth Analg. 2014;119(2):276- 285. doi:10.1213/ane.0000000000000313. https://psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes Office-based anesthesia has become more w…

  19. Understanding Complex Clinical Decision Tasks for Better Health Information Technology System Design - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r36hs023349-islam-final-report-2015.pdf
    January 01, 2015 - developed population information display by querying a VA clinical database about similar patients; 6) evaluated … Guided by the findings of Aim 1, in Aim 3 we designed and evaluated a novel information display tool

  20. A Systematic Review of Postpartum Home Blood Pressure Monitoring, Postpartum Treatment of Hypertensive Disorders of Pregnancy, and Peripartum Magnesium Sulfate Regimens for Preeclampsia With Severe Features (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/hypertensive-disorders-pregnancy-protocol-amendment.pdf
    April 20, 2022 - A Systematic Review of Postpartum Home Blood Pressure Monitoring, Postpartum Treatment of Hypertensive Disorders of Pregnancy, and Peripartum Magnesium Sulfate Regimens for Preeclampsia With Severe Features Evidence-based Practice Center Systematic Review Protocol Project Title: A Systematic Review of Postpa…
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