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Showing results for "examining".

1761. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43484/psn-pdf
      September 17, 2014 - A review of the evidence of harm from self-tests. September 17, 2014 Brown AN, Djimeu EW, Cameron DB. A review of the evidence of harm from self-tests. AIDS Behav. 2014;18 Suppl 4:S445-9. doi:10.1007/s10461-014-0831-y. https://psnet.ahrq.gov/issue/review-evidence-harm-self-tests This review explored the evidence o…

1762. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73711/psn-pdf
      September 15, 2021 - A crisis within a crisis. September 15, 2021 Ellis NT, Broaddus A. CNN. August 25, 2021.  https://psnet.ahrq.gov/issue/crisis-within-crisis Maternal safety is an ongoing challenge worldwide. This news feature examines how the COVID pandemic has revealed disparities and implicit biases that impact the mat…

1763. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50648/psn-pdf
      November 06, 2019 - Faced with a drug shortfall, doctors scramble to treat children with cancer. November 6, 2019 Rabin RC. New York Times. October 14, 2019. https://psnet.ahrq.gov/issue/faced-drug-shortfall-doctors-scramble-treat-children-cancer Drug shortages create potential complexities in drug therapy that can result in unsafe m…

1764. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39340/psn-pdf
      March 17, 2010 - Adverse Events in Hospitals: Methods for Identifying Events. March 17, 2010 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; March 2010. Report No. OEI-06-08-00221. https://psnet.ahrq.gov/issue/adverse-events-hospitals-methods-identifying-events This report…

1765. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41431/psn-pdf
      June 06, 2012 - First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. June 6, 2012 Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778. https://psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety This publication examines patient safe…

1766. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837776/psn-pdf
      August 03, 2022 - When the water breaks. August 3, 2022 Jones LA. The Philadelphia Inquirer. July 17, 2022.  https://psnet.ahrq.gov/issue/when-water-breaks Racial disparities and inequities detract from safe maternal care. This feature article discusses the history of obstetric care in the United States and examines the r…

1767. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43113/psn-pdf
      April 09, 2014 - Transforming the health care environment collaborative. April 9, 2014 Burgess C, Curry MP. Transforming the health care environment collaborative. AORN J. 2014;99(4):529- 39. doi:10.1016/j.aorn.2014.01.012. https://psnet.ahrq.gov/issue/transforming-health-care-environment-collaborative This commentary examines the…

1768. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39326/psn-pdf
      July 31, 2012 - Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging. July 31, 2012 Center for Devices and Radiological Health; CDRH; US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/initiative-reduce-unnecessary-radiation-exposure-medical-imaging This Web site provides information on an init…

1769. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42558/psn-pdf
      March 13, 2014 - Progress in patient safety: a glass fuller than it seems. March 13, 2014 Pronovost P, Wachter R. Progress in patient safety: a glass fuller than it seems. Am J Med Qual. 2014;29(2):165-9. doi:10.1177/1062860613495554. https://psnet.ahrq.gov/issue/progress-patient-safety-glass-fuller-it-seems This commentary examin…

1770. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41753/psn-pdf
      March 11, 2013 - Barriers and facilitators to communicating nursing errors in long-term care settings. March 11, 2013 Wagner LM, Damianakis T, Pho L, et al. Barriers and facilitators to communicating nursing errors in long- term care settings. J Patient Saf. 2013;9(1):1-7. doi:10.1097/PTS.0b013e3182699919. https://psnet.ahrq.gov/i…

1771. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73542/psn-pdf
      July 28, 2021 - Diagnostic safety event reporting. July 28, 2021 Carr S. ImproveDx. July 2021;8(4). https://psnet.ahrq.gov/issue/diagnostic-safety-event-reporting Adverse event reporting can clarify when mistakes happen and what reduction strategies to apply. This article describes existing efforts to examine diagnostic error thr…

1772. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38041/psn-pdf
      July 02, 2009 - Never events: Utah hospitals saw nearly 60 serious errors in 2007. July 2, 2009 May H. Salt Lake Tribune. August 18, 2008. https://psnet.ahrq.gov/issue/never-events-utah-hospitals-saw-nearly-60-serious-errors-2007 This article examines 2007 state health data on never events in the context of a label-related medica…

1773. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.212_slideshow.ppt
      February 01, 2010 - Spotlight Case July 2008 Spotlight Case Adolescent Diabetes: A Routine Visit? Source and Credits This presentation is based on the February 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Gail B. Slap, MD, MSc, Children’s Hospital of P…

1774. Rapid Mis-St(r)ep | PSNet
      psnet.ahrq.gov/web-mm/rapid-mis-strep
      February 01, 2004 - Rapid Mis-St(r)ep Citation Text: Kaplan EL. Rapid Mis-St(r)ep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

1775. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37242/psn-pdf
      September 12, 2016 - Failure-to-rescue: comparing definitions to measure quality of care. September 12, 2016 Silber JH, Romano PS, Rosen AK, et al. Failure-to-rescue: comparing definitions to measure quality of care. Med Care. 2007;45(10):918-25. https://psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care T…

1776. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866863/psn-pdf
      October 02, 2024 - The nature of adverse events in dentistry. October 2, 2024 Tokede B, Yansane A, Walji MF, et al. The nature of adverse events in dentistry. J Patient Saf. 2024;20(7):454-460. doi:10.1097/pts.0000000000001255. https://psnet.ahrq.gov/issue/nature-adverse-events-dentistry Patient safety in dentistry is relatively und…

1777. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837813/psn-pdf
      January 21, 2021 - Recognizing Excellence in Diagnosis. January 21, 2021 The Leapfrog Group. https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis Examination of diagnostic failure and identification of reduction strategies require multidisciplinary expertise to be successful. This collaborative initiative will initially dev…

1778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72512/psn-pdf
      November 25, 2020 - The untold story of a cyberattack, a hospital and a dying woman. November 25, 2020 Ralston W. Wired Magazine. November 11, 2020. https://psnet.ahrq.gov/issue/untold-story-cyberattack-hospital-and-dying-woman Health information system downtime can affect patient safety. This story discusses a ransomware incide…

1779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72809/psn-pdf
      March 03, 2021 - Dying on the waitlist. March 3, 2021 Armstrong D. Allen M. ProPublica. February 18, 2021. https://psnet.ahrq.gov/issue/dying-waitlist The COVID-19 pandemic has revealed systemic weaknesses in health care access and delivery. This story examines how equipment shortages affected treatment decisions to culminate in r…

1780. Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. | PSNet
      psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
      September 09, 2015 - March 18, 2020 Examining causes and prevention strategies of adverse events in deceased