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Showing results for "harms".

8221. Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. | PSNet
      psnet.ahrq.gov/issue/weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural-and-urban
      January 19, 2022 - Study Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. Citation Text: Mekonnen B, Wang G, Rajbhandari-Thapa J, et al. Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. J…

8222. Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. | PSNet
      psnet.ahrq.gov/issue/failure-utilize-functions-electronic-prescribing-system-and-subsequent-generation-technically
      February 15, 2012 - Study Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. Citation Text: Baysari M, Reckmann MH, Li L, et al. Failure to utilize functions of an electronic prescribing system and the subsequent g…

8223. Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. | PSNet
      psnet.ahrq.gov/issue/learning-diagnostic-errors-improve-patient-safety-when-gps-work-or-alongside-emergency
      December 15, 2021 - Study Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. Citation Text: Cooper A, Carson-Stevens A, Cooke M, et al. Learning from diagnostic errors …

8224. Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit and general ward. | PSNet
      psnet.ahrq.gov/issue/evaluation-automated-surveillance-system-using-trigger-alerts-prevent-adverse-drug-events
      August 30, 2017 - Study Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit and general ward. Citation Text: DiPoto JP, Buckley MS, Kane-Gill SL. Evaluation of an automated surveillance system using trigger alerts to prevent adverse…

8225. Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. | PSNet
      psnet.ahrq.gov/issue/minding-gaps-assessing-communication-outcomes-electronic-preconsultation-exchange
      November 30, 2016 - Study Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. Citation Text: Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54. …

8226. The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. | PSNet
      psnet.ahrq.gov/issue/safety-electronic-prescribing-manifestations-mechanisms-and-rates-system-related-errors
      February 15, 2012 - Study The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. Citation Text: Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and rates…

8227. A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis. | PSNet
      psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
      January 11, 2023 - Study Classic A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis. Citation Text: Avery A, Rodgers S, Cantrill JA, et al. A pharmacist-led info…

8228. PSNet How-to Videos | PSNet
      psnet.ahrq.gov/curated-library/video-library
      September 01, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed PSNet How-to Videos  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: AHRQ Date Created: November 30, 2022…

8229. Association between end-of-rotation resident transition in care and mortality among hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
      August 15, 2018 - Study Association between end-of-rotation resident transition in care and mortality among hospitalized patients. Citation Text: Denson JL, Jensen A, Saag HS, et al. Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients. JAMA. 2016;316(2…

8230. Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. | PSNet
      psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
      September 10, 2014 - Government Resource Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. Citation Text: Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix H…

8231. Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. | PSNet
      psnet.ahrq.gov/issue/medication-errors-associated-code-situations-us-hospitals-direct-and-collateral-damage
      June 29, 2011 - Study Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. Citation Text: Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S. Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf…

8232. Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention. | PSNet
      psnet.ahrq.gov/issue/patients-and-families-teachers-mixed-methods-assessment-collaborative-learning-model-medical
      July 12, 2017 - Study Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention. Citation Text: Langer T, Martinez W, Browning DM, et al. Patients and families as teachers: a mixed methods assessment of a collaborative lea…

8233. Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/composite-measures-english.pdf
      January 01, 2015 - Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items Ambulatory Surgery Center Survey on Patient Safety Culture: Composites and Items In this document, the items in the Ambulatory Surgery Center Survey on Patient Safety Culture are grouped according to the safety culture composites the…

8234. Pharmacotherapy for Adults With Alcohol-Use Disorders in Outpatient Settings | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/alcohol-misuse-drug-therapy/research

8235. 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…

8236. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46988/psn-pdf
      April 25, 2018 - Opioid Stewardship. April 25, 2018 Ochsner J. 2018;18(1):20-45. https://psnet.ahrq.gov/issue/opioid-stewardship Both organizational and national strategies are required to reduce opioid-related harm. This special issue section explores one health system's efforts to address the opioid epidemic. Articles discuss em…

8237. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60842/psn-pdf
      August 26, 2020 - Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. August 26, 2020 Daliri S, Bouhnouf M, van de Meerendonk HWPC, et al. Longitudinal medication reconciliation at hospital admission, discharge and post-discharge. Res Social Adm Pharm. 2020;17(4):677-684. doi:10.1016/j.saphar…

8238. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846164/psn-pdf
      March 15, 2023 - Crowding in the Emergency Department: Challenges for the Care of Children. March 15, 2023 Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10.1542/peds.2022-060971. https://psnet.ahrq.gov/issue/crowdin…

8239. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73178/psn-pdf
      April 28, 2021 - Risk perception on the labour ward: a mixed methods study. April 28, 2021 McCarthy C, Meaney S, Rochford M, et al. Risk perception on the labour ward: a mixed methods study. J Patient Saf Risk Manag. 2021;26(2):56-63. doi:10.1177/25160435211002428. https://psnet.ahrq.gov/issue/risk-perception-labour-ward-mixed-met…

8240. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46478/psn-pdf
      March 27, 2018 - Promote a culture of safety with good catch reports. March 27, 2018 Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14. https://psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports Near misses or good catches present organizations with learning opportunities. Using data compariso…