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Showing results for "event".

  1. Technology, Education and Safety. | PSNet

    psnet.ahrq.gov/issue/technology-education-and-safety-3
    October 11, 2023 - Special or Theme Issue Technology, Education and Safety. Citation Text: Technology, Education and Safety. Harbell MW, ed. Curr Opin Anaesthesiol. 2024;37(6):666-742. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  2. A mediation skills model to manage disclosure of errors and adverse events to patients. | PSNet

    psnet.ahrq.gov/issue/mediation-skills-model-manage-disclosure-errors-and-adverse-events-patients
    May 31, 2017 - Commentary A mediation skills model to manage disclosure of errors and adverse events to patients. Citation Text: Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.2…

  3. Experts offer smart tips for smart pumps. | PSNet

    psnet.ahrq.gov/issue/experts-offer-smart-tips-smart-pumps
    May 20, 2020 - Newspaper/Magazine Article Experts offer smart tips for smart pumps. Citation Text: Experts offer smart tips for smart pumps. Gebhart F. Drug Topics. July 23, 2007. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  4. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-393
    June 28, 2023 - This study of more than 23,000 patients with an index event related to OUD sought to determine racial … likely to receive high-risk medications than Black or Hispanic patients in the 180 days after the index event

  5. Home | PSNet

    psnet.ahrq.gov/
    March 25, 2025 - This website is up to date as of March 24, 2025. You will not be able to register for an account and will no longer be able to obtain Continuing Medical Education (CME), Maintenance of Certification (MOC), or Continuing Pharmacy Education (CPE) credits. We are not taking submissions for WebM&M cases, Innovations, Train…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34799/psn-pdf
    December 23, 2008 - Drug related admissions to a cardiology department; frequency and avoidability. December 23, 2008 Hallas J, Haghfelt T, Gram LF, et al. Drug related admissions to a cardiology department; frequency and avoidability. J Intern Med. 1990;228(4):379-84. https://psnet.ahrq.gov/issue/drug-related-admissions-cardiology-d…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40440/psn-pdf
    July 02, 2014 - Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. July 2, 2014 Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Ac…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38211/psn-pdf
    May 21, 2009 - Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. May 21, 2009 Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration system in reducing preventable adverse…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35468/psn-pdf
    April 12, 2011 - Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. April 12, 2011 Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissions, and clinician referrals: detect…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44243/psn-pdf
    November 09, 2015 - Concept analysis: wrong-site surgery. November 9, 2015 Watson DS. Concept analysis: wrong-site surgery. AORN J. 2015;101(6):650-6. doi:10.1016/j.aorn.2015.03.012. https://psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery Despite large-scale efforts to prevent wrong-site surgeries, they continue to occur. Th…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45526/psn-pdf
    January 01, 2019 - Improving incident reporting among physician trainees. September 28, 2016 Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847731/psn-pdf
    April 19, 2023 - Lessons from health care leaders: rethinking and reinvesting in patient safety. April 19, 2023 doi:10.1056/CAT.23.0090. https://psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety Progress in patient safety has been disappointingly slow. This commentary shares thoughts from a…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50734/psn-pdf
    December 11, 2019 - The evolution of patient safety procedures in an oral surgery department December 11, 2019 Graham C, Reid S, Lord TC, et al. The evolution of patient safety procedures in an oral surgery department. Br Dent J. 2019;226(1):32-38. doi:10.1038/sj.bdj.2019.5. https://psnet.ahrq.gov/issue/evolution-patient-safety-proce…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74859/psn-pdf
    February 23, 2022 - Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. February 23, 2022 doi:http://doi.org/10.23750/abm.v92iS2.11507. https://psnet.ahrq.gov/issue/characteristics-registered-clinical-trials-assessing-strategies-medication-errors- p…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867756/psn-pdf
    March 12, 2025 - Why is it so hard to reduce harm from medicines? March 12, 2025 Rochford A. Why is it so hard to reduce harm from medicines? Future Healthc J. 2024;11(4):100205. doi:10.1016/j.fhj.2024.100205. https://psnet.ahrq.gov/issue/why-it-so-hard-reduce-harm-medicines Medication errors and adverse drug events (ADEs) impact …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74253/psn-pdf
    January 12, 2022 - Patient safety concerns in COVID-19-related events: a study of 343 event reports from 71 hospitals in

  17. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-394
    June 28, 2023 - quality improvement initiative in Ohio to improve outcomes for patients with a severe hypertensive event … quality improvement initiative in Ohio to improve outcomes for patients with a severe hypertensive event

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49408/psn-pdf
    July 01, 2003 - surgery.(2) The Joint Commission on Accreditation of Healthcare Organization’s (JCAHO’s) sentinel event … Sentinel Event Statistics Web site. [ go to related site ] https://psnet.ahrq.gov//#references https

  19. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient | PSNet

    psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
    October 04, 2023 - a result, inadvertent dose stacking and opioid polypharmacy may have contributed to this mortality event … December 7, 2022 10,000 good catches: increasing safety event reporting in a pediatric

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49388/psn-pdf
    February 01, 2003 - Bates and colleagues have shown that 6.5% of admitted patients suffered an adverse drug event.(5) Of … stage is difficult, because it requires direct observations and reliable, robust near-miss and adverse-event
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