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Showing results for "examining".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37218/psn-pdf
    March 04, 2011 - Medicaid markets and pediatric patient safety in hospitals. March 4, 2011 Smith RB, Cheung R, Owens P, et al. Medicaid markets and pediatric patient safety in hospitals. Health Serv Res. 2007;42(5):1981-98. https://psnet.ahrq.gov/issue/medicaid-markets-and-pediatric-patient-safety-hospitals This study examined th…

  2. 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…

  3. 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…

  4. 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…

  5. 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…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840166/psn-pdf
    November 16, 2022 - Polypharmacy. November 16, 2022 Schneider E, Koretz BK, eds. Clin Geriatr Med. 2022;38(4):621-732. https://psnet.ahrq.gov/issue/polypharmacy-0 Polypharmacy is a known contributor to medication complexity and error. This special issue examines the impact unnecessary medications have in a variety of care environment…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38557/psn-pdf
    April 22, 2009 - Antecedents of severe and nonsevere medication errors. April 22, 2009 Chang Y-K, Mark BA. Antecedents of severe and nonsevere medication errors. J Nurs Scholarsh. 2009;41(1):70-8. doi:10.1111/j.1547-5069.2009.01253.x. https://psnet.ahrq.gov/issue/antecedents-severe-and-nonsevere-medication-errors This study examin…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61102/psn-pdf
    November 04, 2020 - Negligence and AI's human users. November 4, 2020 Selbst AD. Boston U Law Rev. 2020;100:1315-1376. https://psnet.ahrq.gov/issue/negligence-and-ais-human-users Artificial intelligence (AI) is apt to expand clinical, personal, and legal boundaries. This discussion examines complexities associated with defining negli…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42613/psn-pdf
    September 25, 2013 - Approaches to decreasing medication and other care errors in the ICU. September 25, 2013 Valentin A. Approaches to decreasing medication and other care errors in the ICU. Curr Opin Crit Care. 2013;19(5):474-9. doi:10.1097/MCC.0b013e328364d4f9. https://psnet.ahrq.gov/issue/approaches-decreasing-medication-and-other…

  10. 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…

  11. 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…

  12. 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…

  13. 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…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42321/psn-pdf
    June 19, 2013 - Rapid response teams: qualitative analysis of their effectiveness. June 19, 2013 Leach LS, Mayo AM. Rapid response teams: qualitative analysis of their effectiveness. Am J Crit Care. 2013;22(3):198-210. doi:10.4037/ajcc2013990. https://psnet.ahrq.gov/issue/rapid-response-teams-qualitative-analysis-their-effectiven…

  15. 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…

  16. USA, CA, Berkeley | Digital Healthcare Research

    digital.ahrq.gov/location/usa-ca-berkeley
    January 01, 2023 - USA, CA, Berkeley Improving Diabetes and Depression Self-Management Via Adaptive Mobile Messaging Description This research used machine learning algorithms to customize and distribute health messages to people with low income through text messaging, finding that the adaptive …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38987/psn-pdf
    May 04, 2014 - Disclosing harmful medical errors to patients: tackling three tough cases. May 4, 2014 Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030. https://psnet.ahrq.gov/issue/disclosing-harmful-medical-er…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34604/psn-pdf
    December 24, 2008 - Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. December 24, 2008 Kruzikas DT, Jiang HJ, Remus D, et al for Agency for Healthcare Research and Quality; Rockville, MD: US Department of Health and Human Services, Agency for Healthcare Research and Quality, 2004 AHRQ publication no 04-0…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46883/psn-pdf
    March 14, 2018 - Cultures of caring: healthcare 'scandals', inquiries, and the remaking of accountabilities. March 14, 2018 Goodwin D. Cultures of caring: Healthcare 'scandals', inquiries, and the remaking of accountabilities. Soc Stud Sci. 2018;48(1):101-124. doi:10.1177/0306312717751051. https://psnet.ahrq.gov/issue/cultures-car…

  20. Improving Customer Service and Access in a Surgical Practice (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/Case_Study_Specialty_Practice_Updated.pdf
    October 01, 2011 - take for improvement. 33 As the quality improvement work matured and the need arose for examining
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