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Total Results: 9,438 records

Showing results for "experiences".

5201. 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/…

5202. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43349/psn-pdf
      July 16, 2014 - Multifaceted interventions improve adherence to the surgical checklist. July 16, 2014 Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist. Surgery. 2014;156(2):336-344. doi:10.1016/j.surg.2014.03.032. https://psnet.ahrq.gov/issue/multifaceted-interventions-imp…

5203. 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…

5204. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60347/psn-pdf
      January 01, 2021 - Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. May 20, 2020 Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. J Patient Saf. 2021;17(…

5205. 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…

5206. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45174/psn-pdf
      November 18, 2016 - Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. November 18, 2016 Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness. Psychiatr Serv. 20…

5207. 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…

5208. 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…

5209. 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…

5210. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40304/psn-pdf
      March 23, 2011 - Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds. March 23, 2011 Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of High-Alert Medication Triggers and Clinician Workarounds. Ann Pharmacoth…

5211. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72468/psn-pdf
      November 18, 2020 - Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. November 18, 2020 Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Eff…

5212. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72719/psn-pdf
      February 10, 2021 - The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. February 10, 2021 Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. J Pediatr. 2021;232:257-263. doi:10.1016/j.jpeds.20…

5213. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35737/psn-pdf
      July 15, 2010 - Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. July 15, 2010 Kennedy P, Pronovost P. Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. Crit Care Med. 2006;34(3 Suppl)…

5214. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72752/psn-pdf
      February 17, 2021 - Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. February 17, 2021 O’Neill SM, Clyne B, Bell M, et al. Why do healthcare professionals fail to escalate as per the early warning system (…

5215. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47561/psn-pdf
      February 22, 2019 - "Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. February 22, 2019 Louch G, Mohammed MA, Hughes L, et al. "Change is what can actually make the tough times better": A patient-centred patient safety interven…

5216. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854819/psn-pdf
      October 25, 2023 - Second victim syndrome in intensive care unit healthcare workers: a systematic review and meta-analysis on types, prevalence, risk factors, and recovery time. October 25, 2023 Naya K, Aikawa G, Ouchi A, et al. Second victim syndrome in intensive care unit healthcare workers: a systematic review and meta-analysis o…

5217. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44103/psn-pdf
      July 08, 2015 - Results of survey on pediatric medication safety—part 1 and part 2. July 8, 2015 ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5. https://psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2 Hospitalized children are susceptible to medication …

5218. The Patient Safety Group. | PSNet
      psnet.ahrq.gov/issue/patient-safety-group
      March 27, 2024 - Multi-use Website The Patient Safety Group. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 9, 2006 Development of The Patient Safety Group was motivated by the death of…

5219. 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…

5220. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48172/psn-pdf
      July 31, 2019 - Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. July 31, 2019 Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ. 20…