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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45936/psn-pdf
    March 08, 2017 - Using information from external errors to signal a "clear and present danger." March 8, 2017 ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. https://psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger Monitoring external reports of error and harm can pr…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837766/psn-pdf
    August 03, 2022 - Iatrogenesis in the context of residential dementia care: a concept analysis. August 3, 2022 Morris P, McCloskey R, Bulman D. Iatrogenesis in the context of residential dementia care: a concept analysis. Innov Aging. 2022;6(4):iagc028. doi:10.1093/geroni/igac028. https://psnet.ahrq.gov/issue/iatrogenesis-context-r…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39458/psn-pdf
    April 12, 2011 - Hospital admission medication reconciliation in medically complex children: an observational study. April 12, 2011 Stone BL, Boehme S, Mundorff MB, et al. Hospital admission medication reconciliation in medically complex children: an observational study. Arch Dis Child. 2009. doi:10.1136/adc.2009.167528. https://p…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48164/psn-pdf
    August 14, 2019 - Patient safety issues continue to plague American hospitals. August 14, 2019 Wilensky GR. Patient Safety Issues Continue to Plague American Hospitals. The Milbank Q. 2019;97(3):641-644. doi:10.1111/1468-0009.12406. https://psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals High-quality,…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40361/psn-pdf
    April 13, 2011 - How trainees would disclose medical errors: educational implications for training programmes. April 13, 2011 White AA, Bell SK, Krauss MJ, et al. How trainees would disclose medical errors: educational implications for training programmes. Med Educ. 2011;45(4):372-80. doi:10.1111/j.1365-2923.2010.03875.x. https://…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61053/psn-pdf
    October 21, 2020 - Some health workers suffering from addiction steal drugs meant for patients. October 21, 2020 Mann B. All Things Considered. National Public Radio. October 5, 2020. https://psnet.ahrq.gov/issue/some-health-workers-suffering-addiction-steal-drugs-meant-patients Clinicians are susceptible for medication mi…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47084/psn-pdf
    July 25, 2018 - Best Practices for Safe Medication Administration During Anesthesia Care. July 25, 2018 APSF Committee on Technology. Anesthesia Patient Safety Foundation. https://psnet.ahrq.gov/issue/best-practices-safe-medication-administration-during-anesthesia-care Medication errors in anesthesia practice can be result in ser…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42984/psn-pdf
    February 26, 2014 - Delivering the truth: challenges and opportunities for error disclosure in obstetrics. February 26, 2014 Carranza L, Lyerly AD, Lipira L, et al. Delivering the Truth. Obstetrics & Gynecology. 2014;123(3). doi:10.1097/aog.0000000000000130. https://psnet.ahrq.gov/issue/delivering-truth-challenges-and-opportunities-e…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46677/psn-pdf
    June 25, 2018 - Diagnostic errors in paediatric cardiac intensive care. June 25, 2018 Bhat PN, Costello JM, Aiyagari R, et al. Diagnostic errors in paediatric cardiac intensive care. Cardiol Young. 2018;28(5):675-682. doi:10.1017/S1047951117002906. https://psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care R…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50784/psn-pdf
    January 08, 2020 - Improving Quality of Care and Patient Outcomes During Care Transitions (R01). January 8, 2020 Rockville, MD: Agency for Healthcare Research and Quality; December 6, 2019. PA-20-068. https://psnet.ahrq.gov/issue/improving-quality-care-and-patient-outcomes-during-care-transitions-r01 Communication during patient tra…

  11. Shared decision-making for drug-drug interactions: Formative evaluation of an anticoagulant drug interaction. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/citation/shared-decision
    January 01, 2023 - Shared decision-making for drug-drug interactions: Formative evaluation of an anticoagulant drug interaction. Citation Gomez Lumbreras A, Reese TJ, Del Fiol G, Tan MS, Butler JM, Hurwitz JT, Brown M, Kawamoto K, Thiess H, Wright M, Malone DC. Shared decision-making for drug-drug interactions: Formativ…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45139/psn-pdf
    May 25, 2016 - Alarm management: promoting safety and establishing guidelines. May 25, 2016 Criscitelli T. Alarm Management: Promoting Safety and Establishing Guidelines. AORN J. 2016;103(5):518- 21. doi:10.1016/j.aorn.2016.03.008. https://psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines Alarms…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43432/psn-pdf
    October 01, 2014 - The ethical imperative to think about thinking. October 1, 2014 Stark M, Fins JJ. The ethical imperative to think about thinking - diagnostics, metacognition, and medical professionalism. Camb Q Healthc Ethics. 2014;23(4):386-96. doi:10.1017/S0963180114000061. https://psnet.ahrq.gov/issue/ethical-imperative-think-a…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34708/psn-pdf
    February 18, 2011 - Understanding and responding to adverse events. February 18, 2011 Vincent CA. Understanding and Responding to Adverse Events. New Engl J Med. 2003;348(11):1051- 1056. doi:10.1056/nejmhpr020760. https://psnet.ahrq.gov/issue/understanding-and-responding-adverse-events In this article, Vincent describes the investiga…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48072/psn-pdf
    June 19, 2019 - Independent double checks: worth the effort if used judiciously and properly. June 19, 2019 ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7. https://psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly Independent double checks can reduce risk of human …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43699/psn-pdf
    November 26, 2014 - Diagnosing overdiagnosis: conceptual challenges and suggested solutions. November 26, 2014 Hofmann B. Diagnosing overdiagnosis: conceptual challenges and suggested solutions. Eur J Epidemiol. 2014;29(9):599-604. doi:10.1007/s10654-014-9920-5. https://psnet.ahrq.gov/issue/diagnosing-overdiagnosis-conceptual-challen…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837979/psn-pdf
    August 31, 2022 - Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). August 31, 2022 National Institutes of Health.  August 11, 2022. RFA-HD-23-035. https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional Maternity care is increasingly being recognized as …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50758/psn-pdf
    December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. December 18, 2019 Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268. https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine The modern patient safety movement …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836762/psn-pdf
    March 16, 2022 - Physician liability in the age of data reliance and errors. March 16, 2022 Montesantos L. Ann Health Law Life Sci. 2022;31(Spring):179-215. https://psnet.ahrq.gov/issue/physician-liability-age-data-reliance-and-errors Health information technologies (HIT) and advanced learning systems, if poorly designed, used, ma…

  20. Impact of System Failures on Healthcare Workers | PSNet

    psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
    August 30, 2023 - Recommendations for Supporting Healthcare Workers Because adverse events and harms are the result of
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