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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865598/psn-pdf
    April 17, 2024 - Guardians of grafts: reducing medication errors in transplant recipients. April 17, 2024 ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4. https://psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients Safe medication therapy for transplant patients is complex and h…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48043/psn-pdf
    October 01, 2023 - Health Services Safety Investigations Body. October 1, 2023 Lytchett House, 13 Freeland Park, Wareham Road, Poole, Dorset, BH16 6FA. https://psnet.ahrq.gov/issue/health-services-safety-investigations-body Independent investigations examine system weaknesses in health care to inform improvement, reduce risk, and pr…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866072/psn-pdf
    June 05, 2024 - WHO Global Report on Patient Safety. June 5, 2024 Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458. https://psnet.ahrq.gov/issue/who-global-report-patient-safety Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the seven objectives of the…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42991/psn-pdf
    March 12, 2014 - Medication errors in hospitalised children. March 12, 2014 Manias E, Kinney S, Cranswick N, et al. Medication errors in hospitalised children. J Paediatr Child Health. 2014;50(1):71-7. doi:10.1111/jpc.12412. https://psnet.ahrq.gov/issue/medication-errors-hospitalised-children Consistent with findings from prior st…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867237/psn-pdf
    December 04, 2024 - Morbidity and mortality: delays in my patient’s cancer care. December 4, 2024 Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513. https://psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care Sy…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46688/psn-pdf
    January 01, 2018 - New solutions to reduce wrong route medication errors. December 18, 2017 Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279. https://psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors Tubing misconnec…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46243/psn-pdf
    June 05, 2019 - AHRQ Safety Program for Improving Surgical Care and Recovery. June 5, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery Patients are vulnerable to harm after surgery. This program used methods from the Comprehensive Unit- based S…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46144/psn-pdf
    June 28, 2017 - Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. June 28, 2017 Sharma M, Krishnamurthy M, Snyder R, et al. Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. Clin Pract. 2017;7(2). doi:10.4081/cp.2017.953. https://psnet.ahrq.gov/…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43317/psn-pdf
    July 02, 2014 - More than 750 hospitals face Medicare crackdown on patient injuries. July 2, 2014 Rau J. Kaiser Health News. June 22, 2014. https://psnet.ahrq.gov/issue/more-750-hospitals-face-medicare-crackdown-patient-injuries Financial incentives have shown both benefits and limitations in driving efforts to improve patient sa…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46854/psn-pdf
    June 20, 2018 - FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. June 20, 2018 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. May 29, 2018. https://psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related- patient-inju…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47540/psn-pdf
    April 03, 2019 - Medication handling: towards a practical, human-centred approach. April 3, 2019 Marshall SD, Chrimes N. Medication handling: towards a practical, human-centred approach. Anaesthesia. 2019;74(3):280-284. doi:10.1111/anae.14482. https://psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approac…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39949/psn-pdf
    October 27, 2010 - Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better? October 27, 2010 Crocker M, Cato-Addison WB, Pushpananthan S, et al. Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better? Br J Neurosurg. 2010;24(4):391-…

  13. Coordinated use of Health Level 7 standards to support clinical decision support: Case study with shared decision making and drug-drug interactions. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/citation/coordinated
    January 01, 2023 - Coordinated use of Health Level 7 standards to support clinical decision support: Case study with shared decision making and drug-drug interactions. Citation Thiess H, Del Fiol G, Malone DC, Cornia R, Sibilla M, Rhodes B, Boyce RD, Kawamoto K, Reese T. Coordinated use of Health Level 7 standards to su…

  14. National Steering Committee for Patient Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/about/national-steering-committee.html
    June 01, 2021 - National Steering Committee for Patient Safety YouTube embedded video: https://www.youtube-nocookie.com/embed/QUxyRDRTyLA AHRQ is co-leading the National Steering Committee for Patient Safety, which includes members from  two dozen organizations that are joining together to create a national action plan to ac…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855107/psn-pdf
    January 01, 2019 - Foundations of Safety Science: a century of understanding accidents and disasters. January 1, 2019 Dekker S. Taylor & Francis Group, Boca Raton, FL: CRC Press; 2019. ISBN:  9781138481787. https://psnet.ahrq.gov/issue/foundations-safety-science-century-understanding-accidents-and-disasters Safety science p…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74093/psn-pdf
    November 17, 2021 - Prevent errors during emergency use of hypertonic sodium chloride solutions. November 17, 2021 ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4. https://psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions Delays in diagnosis and treatment duri…

  17. 30. Adolescent Smokers (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide30.html
    October 01, 2014 - 30. Adolescent Smokers (continued) Treating Tobacco Use and Dependence: 2008 Update Overview Text version of slide presentation. Children and Adolescents: Recommendation: Clinicians should ask pediatric and adolescent patients about tobacco use and provide a strong message regarding the importance of t…

  18. 201. Specific Populations and Other Topics (Continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide201.html
    October 01, 2014 - 201. Specific Populations and Other Topics (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Children and Adolescents Recommendation: Clinicians should ask pediatric and adolescent patients about tobacco use and provide a strong message regarding the impor…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838175/psn-pdf
    September 28, 2022 - Modes of failure in venous thromboembolism prophylaxis. September 28, 2022 Richie CD, Castle JT, Davis GA, et al. Modes of failure in venous thromboembolism prophylaxis. Angiology. 2022;73(8):712-715. doi:10.1177/00033197221083724. https://psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis Hosp…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38906/psn-pdf
    November 13, 2009 - Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. November 13, 2009 Franklin BD, Birch S, Savage I, et al. Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. Pharmacoepidemiol Drug Saf. 2009;…
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