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Total Results: 6,014 records

Showing results for "examining".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838309/psn-pdf
    October 12, 2022 - Duplicate medication order errors: safety gaps and recommendations for improvement. October 12, 2022 Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6. https://psnet.ahrq.gov/issue/duplic…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47405/psn-pdf
    January 27, 2019 - Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy. January 27, 2019 Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatie…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46898/psn-pdf
    April 16, 2019 - TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. April 16, 2019 Parker AL, Forsythe LL, Kohlmorgen IK. TeamSTEPPS : An evidence-based approach to reduce clinical errors threatening safety in outpatient settings: An integrative review…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844988/psn-pdf
    February 22, 2023 - Assessment of patient retention of inpatient care information post-hospitalization. February 22, 2023 Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j.jcjq.2022.11.002. https://psn…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838322/psn-pdf
    October 12, 2022 - COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. October 12, 2022 Washington, DC: United States Government Accountability Office; September 14, 2022. Publication GAO-22-105133.  https://psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50706/psn-pdf
    December 04, 2019 - Improving end-of-rotation transitions of care among ICU patients December 4, 2019 Denson JL, Knoeckel J, Kjerengtroen S, et al. Improving end-of-rotation transitions of care among ICU patients. BMJ Qual Saf. 2019;29(3):250-259. doi:10.1136/bmjqs-2019-009867. https://psnet.ahrq.gov/issue/improving-end-rotation-tran…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845347/psn-pdf
    March 01, 2023 - Race differences in a malpractice event database in a large healthcare system. March 1, 2023 Thomas AD, Pandit C, Krevat S. Race differences in a malpractice event database in a large healthcare system. J Patient Saf. 2023;19(2):67-70. doi:10.1097/pts.0000000000001090. https://psnet.ahrq.gov/issue/race-differences…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50854/psn-pdf
    January 29, 2020 - Association of state opioid duration limits with postoperative opioid prescribing. January 29, 2020 Agarwal S, Bryan JD, Hu HM, et al. Association of State Opioid Duration Limits With Postoperative Opioid Prescribing. JAMA Netw Open. 2019;2(12):e1918361. doi:10.1001/jamanetworkopen.2019.18361. https://psnet.ahrq.g…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34687/psn-pdf
    February 10, 2011 - The costs of adverse drug events in hospitalized patients. February 10, 2011 Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA. 1997;277(4):307-11. https://psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patie…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866168/psn-pdf
    January 02, 2000 - Missed diagnoses of acute cardiac ischemia in the emergency department. January 2, 2000 Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.1056/nejm200004203421603. https://psnet.ahrq.gov/issue/missed-diag…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865722/psn-pdf
    May 01, 2024 - Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. May 1, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(8):1-4. https://psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside- intravenous-iv-pole A multitude of latent…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47688/psn-pdf
    March 19, 2019 - Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. March 19, 2019 Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in tho…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42840/psn-pdf
    January 08, 2014 - A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study. January 8, 2014 O'Cathain A, Knowles E, Maheswaran R, et al. A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study. BMJ Qual Saf…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73610/psn-pdf
    January 01, 2022 - Patient factors and hospital outcomes associated with atypical presentation in hospitalized older adults with COVID-19 during the first surge of the pandemic. August 18, 2021 Marziliano A, Burns E, Chauhan L, et al. Patient factors and hospital outcomes associated with atypical presentation in hospitalized older a…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60846/psn-pdf
    January 01, 2021 - Safety climate associated with adverse events in nursing homes: a national VA study. August 26, 2020 Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.2020.05.028. https://psnet.ahrq.go…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37790/psn-pdf
    April 11, 2011 - Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administration retrospective study of adverse events. April 11, 2011 Cope JU, Morrison AE, Samuels-Reid J. Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administ…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860732/psn-pdf
    April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. April 16, 2024 Dorset, UK: Health Services Safety Investigations Body; April 2024. https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs- serious-incident …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44011/psn-pdf
    May 06, 2015 - Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. May 6, 2015 Naveh E, Katz-Navon T, Stern Z. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. Adv Health Sc…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34639/psn-pdf
    March 02, 2011 - Preventable deaths: who, how often, and why? March 2, 2011 Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9. https://psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why One of the first studies to examine the link between quality of care and hospital deat…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861778/psn-pdf
    January 31, 2024 - Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. January 31, 2024 Washington, DC: The Veterans Affairs Inspector General; January 10, 2024. Report No. 23-00777-52. https://psnet.ahrq.gov/issue/care-deficiencies-and-l…
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