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Showing results for "factor".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854376/psn-pdf
    October 11, 2023 - Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. October 11, 2023 Michelson KA, McGarghan FLE, Waltzman ML, et al. Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. Hosp Pediatr. 2023;13(7):e170-e174. doi:10.1542/hpeds…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40743/psn-pdf
    February 01, 2019 - Radiation risks of diagnostic imaging and fluoroscopy. December 23, 2016 Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019). https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging The Joint Commission issues Sentinel Event Alerts periodically to highlight emerging patient safety issues …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866158/psn-pdf
    June 19, 2024 - Anesthesia-related closed claims in free-standing ambulatory surgery centers. June 19, 2024 Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700. https://psnet.ahrq.gov/issue/anesthes…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34703/psn-pdf
    December 24, 2008 - An alternative strategy for studying adverse events in medical care. December 24, 2008 Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet. 1997;349(9048):309-13. https://psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844049/psn-pdf
    February 08, 2023 - A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. February 8, 2023 St Clair B, Jorgensen M, Nguyen A, et al. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Gerontol Geriatr Med. 2022;8:23337214221144192. doi:10.1…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867593/psn-pdf
    January 22, 2025 - Becoming Hand Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital safety. January 22, 2025 Cheng B, Chan M, Abi-Farrage D, et al. Becoming hand hygiene heroes: implementation of an infection prevention and control campaign for patient and family hospital s…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73281/psn-pdf
    May 19, 2021 - Measuring safety in older adult care homes: a scoping review of the international literature. May 19, 2021 Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmjopen-2020-043206. https://psnet.ahrq…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72475/psn-pdf
    November 18, 2020 - Omissions of care in nursing homes: a uniform definition for research and quality improvement. November 18, 2020 Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11):1587-1591.e2. doi:10.1016/j.jamda…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45537/psn-pdf
    July 27, 2018 - Patient Safety in Ambulatory Settings. July 27, 2018 Shekelle PG, Sarkar U, Shojania K, et al. Technical Brief No. 27. Rockville, MD: Agency for Healthcare Research and Quality; October 2016. AHRQ Publication No. 16-EHC033-EF. https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings Most patient safety rese…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73293/psn-pdf
    May 19, 2021 - Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. May 19, 2021 Remtulla R, Hagana A, Houbby N, et al. Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. BMC Health Serv Res. 2021;21(1):269. doi:10.1186…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865525/psn-pdf
    April 10, 2024 - Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). April 10, 2024 Rosen AK, Beilstein-Wedel E, Chan J, et al. Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). Jt C…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60053/psn-pdf
    January 01, 2021 - A review of adverse event reports from emergency departments in the Veterans Health Administration. March 18, 2020 Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):e898-e903. doi:10.1097/pts.0000000000000…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866731/psn-pdf
    September 18, 2024 - Root cause analysis of cases involving diagnosis. September 18, 2024 Graber ML, Castro GM, Danforth M, et al. Root cause analysis of cases involving diagnosis. Diagnosis (Berl). 2024;11(4):353-368. doi:10.1515/dx-2024-0102. https://psnet.ahrq.gov/issue/root-cause-analysis-cases-involving-diagnosis Root cause analy…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39032/psn-pdf
    September 19, 2016 - The natural history of recovery for the healthcare provider "second victim" after adverse patient events. September 19, 2016 Scott SD, Hirschinger LE, Cox KR, et al. The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Qual Saf Health Care. 2009;18(5):325-330. d…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846753/psn-pdf
    March 29, 2023 - Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review. March 29, 2023 Mikhail J, King L. Exploration of ward-based nurses' perspectives on their preparedness to recognize clinical deterioration: a scoping review. J Patient Saf. 2023;19(2):99-109.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867178/psn-pdf
    November 20, 2024 - Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. November 20, 2024 Li LZ, Yang P, Singer SJ, et al. Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(11):e2443059. doi:10.1001…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47026/psn-pdf
    January 23, 2019 - Charter on Physician Well-being. January 23, 2019 Thomas LR, Ripp JA, West CP. Charter on Physician Well-being. JAMA. 2018;319(15):1541-1542. doi:10.1001/jama.2018.1331. https://psnet.ahrq.gov/issue/charter-physician-well-being Clinician burnout is a growing concern with known patient safety implications. This com…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44949/psn-pdf
    February 01, 2019 - Detecting and treating suicide ideation in all settings. December 23, 2016 Detecting and treating suicide ideation in all settings. Sentinel event alert. 2016;(56):1-7. https://psnet.ahrq.gov/issue/detecting-and-treating-suicide-ideation-all-settings The Joint Commission publishes sentinel event alerts to emphasize…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859350/psn-pdf
    December 20, 2023 - What are the experiences of team members involved in root cause analysis? A qualitative study. December 20, 2023 Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi:10.1186/s12913-023-10164-9. h…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45577/psn-pdf
    February 08, 2017 - EHR-related medication errors in two ICUs. February 8, 2017 Carayon P, Du S, Brown RL, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag. 2017;36(3):6-15. doi:10.1002/jhrm.21259. https://psnet.ahrq.gov/issue/ehr-related-medication-errors-two-icus Despite the demonstrated success of technology …
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