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Showing results for "harms".

7801. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45583/psn-pdf
      January 18, 2017 - ASHP IV Adult Continuous Infusions. January 18, 2017 Bethesda, MD: American Society of Health-System Pharmacists; 2016. https://psnet.ahrq.gov/issue/ashp-iv-adult-continuous-infusions Miscalculations of intravenous infusion concentrations can result in patient harm. Representing the first phase of a standards deve…

7802. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39826/psn-pdf
      September 08, 2010 - Communicating After Harm in Healthcare. September 8, 2010 Communication Advisory Committee. Edmonton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541266 https://psnet.ahrq.gov/issue/guidelines-informing-media-after-adverse-event This guideline provides an organizational strategy, flow charts,…

7803. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42753/psn-pdf
      November 20, 2013 - Dealing with a medical mistake: should physicians apologize to patients? November 20, 2013 Tabler NG Jr. https://psnet.ahrq.gov/issue/dealing-medical-mistake-should-physicians-apologize-patients This article discusses how apologies address patients' needs when a medical mistake has occurred and how such disclosur…

7804. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38689/psn-pdf
      June 10, 2009 - Omitted and unjustified medications in the discharge summary. June 10, 2009 Perren A, Previsdomini M, Cerutti B, et al. Omitted and unjustified medications in the discharge summary. Qual Saf Health Care. 2009;18(3):205-8. doi:10.1136/qshc.2007.024588. https://psnet.ahrq.gov/issue/omitted-and-unjustified-medication…

7805. Collecting Bacterial Cultures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-bacterial-cultures.pdf
      June 01, 2021 - Collecting Bacterial Cultures AHRQ Pub. No. 17(21)-0029 June 2021 • Only collect bacterial cultures from residents with signs or symptoms suggesting bacterial infection. • Bacteria growing in urine or sputum i…

7806. CountyNeonatalAbstinenceSyndrome (pdf file)
      hcup-us.ahrq.gov/reports/CountyNeonatalAbstinenceSyndrome.pdf
      November 19, 2021 - CountyNeonatalAbstinenceSyndrome DISTRIBUTION AND CORRELATES OF NEONATAL ABSTINENCE SYNDROME ACROSS US COUNTIES, 2016 Recommended Citation: Fingar KR, Henke RM, Stocks C, Faherty LJ, Skinner HG, Karaca Z, Owens PL. Distribution and Correlates of Neonatal Abstinence Syndrome Across US Counties, 2016. ONLINE. Nove…

7807. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33612/psn-pdf
      May 01, 2005 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience May 1, 2005 Conway JB, Weingart SN. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/organizat…

7808. SOPS Community Pharmacy Survey Items and Composites (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
      June 02, 2025 - SOPS Community Pharmacy Survey Items and Composites SOPSTM Community Pharmacy Survey Items and Composites Version: 1.0 Language: English Note • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a Web-based sur…

7809. Module 3: Script and Slides (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
      May 01, 2017 - Module 3: Script and Slides AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 3: Problem Solving and Escalation AHRQ Safety Program for Reducing CAUTI in Hospitals Facilitator Notes SLIDE 1 Title: Management Practices for Sustainability, Module 3: Problem Solving and Escalati…

7810. Module 3: Problem Solving and Escalation - Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
      June 01, 2017 - Module 3: Problem Solving and Escalation - Facilitator Notes Slide 1: Management Practices for Sustainability Module 3: Problem Solving and Escalation Say: In this module, we will focus on two elements in the frontline management system that we have outlined—having well-understood problem-solving and prob…

7811. Identifying Targets for Improving Antibiotic Use
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
      November 01, 2019 - Identifying Targets for Improving Antibiotic Use Identifying Targets for Improvement in Antibiotic Decision Making Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 Identifying Targets AHRQ Safety Program for Improving Antibiotic Use – Acute Care 1 Objectives R…

7812. Engineering Safety into Practice through Implementation of the 2025 SAFER Guides - Slide Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/safer-guides-slides.pdf
      February 18, 2025 - Engineering Safety into Practice through Implementation of the 2025 SAFER Guides - Slide Presentation Engineering Safety into Practice through Implementation of the 2025 SAFER Guides NATIONAL WEBINAR SERIES JANUARY 21, 2024 Housekeeping Instructions • This webinar will be recorded and available for viewing on …

7813. Sustainability: Learning From Defects: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
      December 01, 2017 - Sustainability: Learning From Defects: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Sustainability Sustainability: Learning From Defects Slide 2: Learning Objectives After this session, you will be able to– Describe the difference between first-orde…

7814. Rotator-Cuff-Tear-Surveillance-140925 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/rotator-cuff-tear-surveillance-140925.pdf
      February 01, 2014 - • Key question # 5: What are the associated risks, adverse effects, and potential harms of nonoperative … No Signal Key question #5 Adverse events or potential harms associated with operative and nonoperative … No Signal Key question #5 Adverse events or potential harms associated with operative and nonoperative … Key question 5: What are the associated risks, adverse effects, and potential harms of nonoperative and … Key Question 5: What are the associated risks, adverse effects, and potential harms of non-operative

7815. Disposition of Comments Report for CER 134 Pharmacotherapy for Adults With Alcohol-Use Disorders in Outpatient Settings (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/alcohol-misuse-drug-therapy_disposition-comments.pdf
      May 13, 2014 - For many of the included drugs, published studies have evaluated harms in other populations (e.g., … Evidence about efficacy, comparative effectiveness, and harms is important information. … And “While major harms were rarely reported in the studies, some minor harms (e.g., diarrhea) were … For many of the included drugs, published studies have evaluated harms in other populations (e.g., … TEP Reviewer #3 Discussion/ Conclusion Pages 88-89, Harms section: As mentioned above, acamprosate

7816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46280/psn-pdf
      December 03, 2018 - Lost Mothers: Maternal Care and Preventable Deaths. December 3, 2018 New York, NY: ProPublica, Inc; 2017-2020. https://psnet.ahrq.gov/issue/lost-mothers-maternal-care-and-preventable-deaths Maternal mortality is a sentinel event that affects mothers and families across a wide range of socioeconomic characteristics…

7817. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38102/psn-pdf
      April 15, 2019 - Epidemiology of adverse events in air medical transport. April 15, 2019 MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad Emerg Med. 2008;15(10):923-931. doi:10.1111/j.1553-2712.2008.00241.x. https://psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transpo…

7818. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45064/psn-pdf
      April 20, 2016 - Making Care Safer. April 20, 2016 Agency for Healthcare Research and Quality. Priorities in Focus. March 2016. https://psnet.ahrq.gov/issue/making-care-safer The National Quality Strategy is part of AHRQ's ongoing efforts to enhance patient safety. This brief summarizes the results of the Partnership for Patients …

7819. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41578/psn-pdf
      October 09, 2013 - Improving Patient Safety in Long-Term Care Facilities: Training Modules. October 9, 2013 Taylor SL, Saliba D. Rockville, MD: Agency for Healthcare Research and Quality; July 2012. AHRQ Publication No. 12-0001. https://psnet.ahrq.gov/issue/improving-patient-safety-long-term-care-facilities-training-modules This se…

7820. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841489/psn-pdf
      December 14, 2022 - Rise to Health Coalition. December 14, 2022 Boston, MA; Institute for Healthcare Improvement: December 2022. https://psnet.ahrq.gov/issue/rise-health-coalition Systemic efforts to improve health equity support patient safety. This announcement highlights an initiative for collective work to address four areas of e…