Results

Total Results: 9,445 records

Showing results for "experiences".

5121. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852272/psn-pdf
      January 01, 2024 - Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. August 9, 2023 Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. Jt Comm J Qual Patien…

5122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37386/psn-pdf
      January 06, 2017 - Medication reconciliation in ambulatory oncology. January 6, 2017 Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33(12):750-7. https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology The Joint Commission mandates systems…

5123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45225/psn-pdf
      June 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016 Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. J Investig Med High Impact Case R…

5124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45055/psn-pdf
      December 04, 2016 - Analysis of clinical decision support system malfunctions: a case series and survey. December 4, 2016 Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093/jamia/ocw005. https://psnet.ah…

5125. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44244/psn-pdf
      November 03, 2015 - Evaluation of outcomes from a national patient-initiated second-opinion program. November 3, 2015 Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second- opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020. https://psnet.ahrq.gov/issue/evaluation-outcom…

5126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39314/psn-pdf
      December 21, 2014 - Patient characteristics and the occurrence of never events. December 21, 2014 Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277. https://psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events …

5127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841775/psn-pdf
      April 04, 2016 - Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. April 4, 2016 Hoffman KM, Trawalter S, Axt JR, et al. Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks a…

5128. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46459/psn-pdf
      August 20, 2018 - Readiness of US general surgery residents for independent practice. August 20, 2018 George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.0000000000002414. https://psnet.ahrq.gov/issue/readiness-us-general-surger…

5129. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851914/psn-pdf
      August 02, 2023 - Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes. August 2, 2023 Estock JL, Codario RA, Keddem S, et al. Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes. Diabetes Tec…

5130. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866729/psn-pdf
      September 18, 2024 - Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. September 18, 2024 Gangopadhyaya A. Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. J Patient Saf. 2024;20(8)…

5131. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854624/psn-pdf
      January 01, 2024 - Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: a multicentre retrospective observational study. October 18, 2023 Klopotowska JE, Leopold J?H, Bakker T, et al. Adverse drug events caused by three high?risk drug–drug interactions in patients admitte…

5132. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46450/psn-pdf
      August 20, 2018 - Improving Diagnostic Quality and Safety Final Report. August 20, 2018 Washington, DC: National Quality Forum. September 19, 2017. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report Although diagnostic error is a well-recognized source of preventable patient harm, measuring and mitiga…

5133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41732/psn-pdf
      October 03, 2012 - Double checking the administration of medicines: what is the evidence? A systematic review. October 3, 2012 Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/archdischild-2011-301093. https://p…

5134. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73197/psn-pdf
      April 28, 2021 - Medical Office Survey: 2020 User Database Report. April 28, 2021 Famolaro T, Hare R, Thornton S, et al. Surveys on Patient Safety CultureTM (SOPSTM). Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0034. https://psnet.ahrq.gov/issue/medical-office-survey-2020-user…

5135. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42474/psn-pdf
      September 19, 2015 - A new, evidence-based estimate of patient harms associated with hospital care. September 19, 2015 James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. https://psnet.ahrq.gov/issue/new-evidence-based-estimate-pat…

5136. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/856583/psn-pdf
      January 01, 2024 - Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. November 29, 2023 Metz VE, Ray GT, Palzes V, et al. Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health …

5137. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47672/psn-pdf
      January 17, 2019 - Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists. January 17, 2019 Basco WT. Comparing the Care of Pediatric Hospitalists With That of General Pediatricians. JAMA Netw Open. 2018;1(8). doi:10.1001/jamanetworkopen.2018.5686. https://psnet.ahrq.gov/is…

5138. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42229/psn-pdf
      July 03, 2014 - Relationship between occurrence of surgical complications and hospital finances. July 3, 2014 Eappen S, Lane BH, Rosenberg B, et al. Relationship between occurrence of surgical complications and hospital finances. JAMA. 2013;309(15):1599-606. doi:10.1001/jama.2013.2773. https://psnet.ahrq.gov/issue/relationship-be…

5139. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42758/psn-pdf
      October 17, 2016 - Suffering in silence: a qualitative study of second victims of adverse events. October 17, 2016 Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035. https://psnet.ahrq.gov/issue/suffer…

5140. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45535/psn-pdf
      January 23, 2017 - Surgical specimen management: a descriptive study of 648 adverse events and near misses. January 23, 2017 Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396. https://psnet.ahrq.gov/issue/…