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Showing results for "event".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50949/psn-pdf
    February 26, 2020 - In Case #1, the root cause analysis identified several areas for improvement for this near-miss event … increased this value to $20,430.12 In contrast, a retrievable lost specimen incurred a cost of $401.25 per event

  2. Center for Leadership, Innovation and Research in EMS. | PSNet

    psnet.ahrq.gov/issue/center-leadership-innovation-and-research-ems
    March 17, 2011 - Multi-use Website Center for Leadership, Innovation and Research in EMS. Citation Text: Center for Leadership, Innovation and Research in EMS. PO Box 2286, St. Cloud, MN, 56302. Copy Citation Save Save to your library Print Download PDF Share …

  3. Assessing patient safety culture: a review and synthesis of the measurement tools. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-safety-culture-review-and-synthesis-measurement-tools
    July 10, 2008 - Review Assessing patient safety culture: a review and synthesis of the measurement tools. Citation Text: Singla AK, Kitch BT, Weissman JS, et al. Assessing Patient Safety Culture. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000235388.39149.5a. Copy Citation Format: DOI …

  4. USP drug safety review: medication errors involving NMBAs.    | PSNet

    psnet.ahrq.gov/issue/usp-drug-safety-review-medication-errors-involving-nmbas
    July 27, 2005 - Newspaper/Magazine Article USP drug safety review: medication errors involving NMBAs.    Citation Text: USP drug safety review: medication errors involving NMBAs.    Santell JP. Drug Topics. May 22, 2006. Copy Citation Save Save to your library Print …

  5. Physician assistants and the disclosure of medical error. | PSNet

    psnet.ahrq.gov/issue/physician-assistants-and-disclosure-medical-error
    May 11, 2016 - Commentary Physician assistants and the disclosure of medical error. Citation Text: Brock DM, Quella A, Lipira L, et al. Physician assistants and the disclosure of medical error. Acad Med. 2014;89(6):858-62. doi:10.1097/ACM.0000000000000261. Copy Citation Format: DOI Google…

  6. Patient Safety in Public Hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-safety-public-hospitals
    November 20, 2013 - Book/Report Patient Safety in Public Hospitals. Citation Text: Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689. Copy Citation Save Save to your library P…

  7. Beyond the Quick Fix: Strategies for Improving Patient Safety. | PSNet

    psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
    March 14, 2018 - Book/Report Beyond the Quick Fix: Strategies for Improving Patient Safety. Citation Text: Beyond the Quick Fix: Strategies for Improving Patient Safety. Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015. Copy Citation …

  8. Strategies and tips for maximizing failure mode and effect analysis in your organization. | PSNet

    psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-organization
    January 13, 2016 - Book/Report Strategies and tips for maximizing failure mode and effect analysis in your organization. Citation Text: Strategies and tips for maximizing failure mode and effect analysis in your organization. Chicago, IL: American Society of Healthcare Risk Management; 2002. Copy Citat…

  9. Requires DHSS to make reported information about certain adverse events publicly available. | PSNet

    psnet.ahrq.gov/issue/requires-dhss-make-reported-information-about-certain-adverse-events-publicly-available
    January 31, 2018 - Legislation/Case Law Requires DHSS to make reported information about certain adverse events publicly available. Citation Text: Requires DHSS to make reported information about certain adverse events publicly available. 212 New Jersey Legislature. Assembly, No. 4327. June 11, 2017. …

  10. Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. | PSNet

    psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
    February 23, 2018 - Book/Report Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. Citation Text: Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763. Copy Citation Save …

  11. Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. | PSNet

    psnet.ahrq.gov/issue/utah-tenth-anniversary-2001-2011-patient-safety-report-identifying-opportunities-improvement
    March 17, 2011 - Book/Report Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. Citation Text: Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. Salt Lake City, UT: Utah Department of Health, HealthIn…

  12. Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. | PSNet

    psnet.ahrq.gov/issue/eliminating-serious-preventable-and-costly-medical-errors-never-events
    May 26, 2021 - Press Release/Announcement Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. Citation Text: Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. Baltimore, MD: Centers for Medicare and Medicaid Services; May 18, 2006. Copy Citation …

  13. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-396
    June 28, 2023 - large pediatric healthcare system, 42% reported experiencing psychological distress after an adverse event … After involvement in an adverse event, respondents said that they would prefer peer support and the ability

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44369/psn-pdf
    July 16, 2018 - The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. July 16, 2018 Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implemen…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40024/psn-pdf
    December 21, 2014 - Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children. December 21, 2014 Camp M, Chang DC, Zhang Y, et al. Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1 946 831 operations in child…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47613/psn-pdf
    December 05, 2018 - Prevalence of potentially inappropriate prescribing in older people in primary care and its association with hospital admission: longitudinal study. December 5, 2018 Pérez T, Moriarty F, Wallace E, et al. Prevalence of potentially inappropriate prescribing in older people in primary care and its association with h…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42091/psn-pdf
    December 31, 2014 - Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. December 31, 2014 Radley DC, Wasserman MR, Olsho LE, et al. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Info Asso. 2013;20(3):470-476. doi:…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47266/psn-pdf
    August 08, 2018 - Outpatient opioid prescriptions for children and opioid- related adverse events. August 8, 2018 Chung CP, Callahan T, Cooper WO, et al. Outpatient Opioid Prescriptions for Children and Opioid-Related Adverse Events. Pediatrics. 2018;142(2):e20172156. doi:10.1542/peds.2017-2156. https://psnet.ahrq.gov/issue/outpati…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44715/psn-pdf
    May 19, 2019 - Electronic health record–related events in medical malpractice claims. May 19, 2019 Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.0000000000000240. https://psnet.ahrq.gov/issue/electronic-health-record-rel…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50426/psn-pdf
    January 01, 2020 - Community pharmacy medication review, death and re- admission after hospital discharge: a propensity score- matched cohort study. September 4, 2019 Lapointe-Shaw L, Bell CM, Austin PC, et al. Community pharmacy medication review, death and re- admission after hospital discharge: a propensity score-matched cohort s…
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