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Showing results for "harms".

  1. Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. | PSNet

    psnet.ahrq.gov/issue/increased-catheter-related-bloodstream-infection-rates-after-introduction-new-mechanical
    February 07, 2022 - Study Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. Citation Text: Maragakis LL, Bradley KL, Song X, et al. Increased catheter-related bloodstream infection rates after the introduction of a new mechanic…

  2. Decreasing handoff-related care failures in children's hospitals. | PSNet

    psnet.ahrq.gov/issue/decreasing-handoff-related-care-failures-childrens-hospitals
    April 24, 2018 - Study Decreasing handoff-related care failures in children's hospitals. Citation Text: Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844. Copy Citation Format: …

  3. Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. | PSNet

    psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study
    November 11, 2020 - Study Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. Citation Text: Turner K, Staggs V, Potter C, et al. Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. BMJ Qual Saf. 2020;29(12):10…

  4. The potential of artificial intelligence to improve patient safety: a scoping review. | PSNet

    psnet.ahrq.gov/issue/potential-artificial-intelligence-improve-patient-safety-scoping-review
    March 09, 2022 - Review Classic The potential of artificial intelligence to improve patient safety: a scoping review. Citation Text: Bates DW, Levine DM, Syrowatka A, et al. The potential of artificial intelligence to improve patient safety: a scoping review. NPJ Digit Med. 2021…

  5. Educating seniors to be patient safety self-advocates in primary care. | PSNet

    psnet.ahrq.gov/issue/educating-seniors-be-patient-safety-self-advocates-primary-care
    December 15, 2011 - Study Educating seniors to be patient safety self-advocates in primary care. Citation Text: Elder NC, Regan SL, Pallerla H, et al. Educating Seniors to Be Patient Safety Self-Advocates in Primary Care. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e318175d806. Copy Citation Form…

  6. Inappropriate diagnosis of pneumonia among hospitalized adults. | PSNet

    psnet.ahrq.gov/issue/inappropriate-diagnosis-pneumonia-among-hospitalized-adults
    July 17, 2024 - Study Inappropriate diagnosis of pneumonia among hospitalized adults. Citation Text: Gupta AB, Flanders SA, Petty LA, et al. Inappropriate diagnosis of pneumonia among hospitalized adults. JAMA Intern Med. 2024;184(4):548-556. doi:10.1001/jamainternmed.2024.0077. Copy Citation Form…

  7. Improving infusion pump safety through usability testing. | PSNet

    psnet.ahrq.gov/issue/improving-infusion-pump-safety-through-usability-testing
    July 15, 2020 - Commentary Improving infusion pump safety through usability testing. Citation Text: Miller K, Arnold R, Capan M, et al. Improving infusion pump safety through usability testing. J Nurs Care Qual. 2017;32(2):141-149. doi:10.1097/NCQ.0000000000000208. Copy Citation Format: DO…

  8. Using smart IV infusion pumps outside of patient rooms. | PSNet

    psnet.ahrq.gov/issue/using-smart-iv-infusion-pumps-outside-patient-rooms
    September 23, 2020 - Commentary Using smart IV infusion pumps outside of patient rooms. Citation Text: Messing EG, Abraham RS, Quinn NJ, et al. Using smart IV infusion pumps outside of patient rooms. Am J Nurs. 2022;122(2). doi:10.1097/01.naj.0000819772.45006.5d. Copy Citation Format: DOI Googl…

  9. The medication reconciliation process and classification of discrepancies: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-process-and-classification-discrepancies-systematic-review
    May 03, 2023 - Review The medication reconciliation process and classification of discrepancies: a systematic review. Citation Text: Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. d…

  10. Patients' experiences with communication-and-resolution programs after medical injury. | PSNet

    psnet.ahrq.gov/issue/patients-experiences-communication-and-resolution-programs-after-medical-injury
    May 05, 2021 - Study Patients' experiences with communication-and-resolution programs after medical injury. Citation Text: Moore J, Bismark M, Mello MM. Patients' Experiences With Communication-and-Resolution Programs After Medical Injury. JAMA Intern Med. 2017;177(11):1595-1603. doi:10.1001/jamaintern…

  11. COVID-19 pandemic: a time for collaboration and a unified global health front. | PSNet

    psnet.ahrq.gov/issue/covid-19-pandemic-time-collaboration-and-unified-global-health-front
    December 09, 2020 - Commentary COVID-19 pandemic: a time for collaboration and a unified global health front. Citation Text: Vervoort D, Ma X, Luc JGY. COVID-19 pandemic: a time for collaboration and a unified global health front. Int J Qual Health Care. 2021;33(1):mzaa065. doi:10.1093/intqhc/mzaa065. Cop…

  12. Apologies following an adverse medical event: the importance of focusing on the consumer's needs. | PSNet

    psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs
    June 27, 2011 - Study Apologies following an adverse medical event: the importance of focusing on the consumer's needs. Citation Text: Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):10…

  13. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. | PSNet

    psnet.ahrq.gov/issue/care-coordination-strategies-and-barriers-during-medication-safety-incidents-qualitative
    March 17, 2021 - Study Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. Citation Text: Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive…

  14. Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. | PSNet

    psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-patient-safety-narrative-review-and-synthesis-recent
    November 13, 2019 - Review Classic Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Citation Text: Millar R, Mannion R, Freeman T, et al. Hospital board oversight of quality and patient safety: a narrative review…

  15. Identification of common themes from never events data published by NHS England. | PSNet

    psnet.ahrq.gov/issue/identification-common-themes-never-events-data-published-nhs-england
    April 07, 2021 - Study Identification of common themes from never events data published by NHS England. Citation Text: Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7. C…

  16. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. | PSNet

    psnet.ahrq.gov/issue/nearly-all-thirty-most-frequently-used-emergency-department-drugs-experienced-shortages-2006
    April 27, 2022 - Study Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. Citation Text: Lin MP, Vargas-Torres C, Shin-Kim J, et al. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006–2019. Am J Emerg Med.…

  17. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. | PSNet

    psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability
    April 24, 2017 - Study Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. Citation Text: Jha V, Winterbottom A, Symons J, et al. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability …

  18. Patient error: a preliminary taxonomy. | PSNet

    psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
    June 02, 2010 - Study Patient error: a preliminary taxonomy. Citation Text: Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  19. Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. | PSNet

    psnet.ahrq.gov/issue/validating-domains-patient-contextual-factors-essential-preventing-contextual-errors
    September 20, 2011 - Study Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. Citation Text: Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual F…

  20. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. | PSNet

    psnet.ahrq.gov/issue/new-problems-and-iatrogenic-events-among-older-adults-first-30-days-post-acute-rehabilitation
    March 16, 2022 - Study New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Citation Text: Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-3…
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