Results

Total Results: over 10,000 records

Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47456/psn-pdf
    April 30, 2019 - ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. April 30, 2019 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices Standardized practices have not been uniformly adopted to support safe IV medicati…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857459/psn-pdf
    December 06, 2023 - Five strategies for a safer EHR modernization journey. December 6, 2023 Sittig DF, Yackel EE, Singh H. Five strategies for a safer EHR modernization journey. J Gen Intern Med. 2023;38(S4):940-942. doi:10.1007/s11606-023-08331-z. https://psnet.ahrq.gov/issue/five-strategies-safer-ehr-modernization-journey Large-sca…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46836/psn-pdf
    February 21, 2018 - Drone delivery of medications: review of the landscape and legal considerations. February 21, 2018 Lin CA, Shah K, Mauntel LCC, et al. Drone delivery of medications: Review of the landscape and legal considerations. Am J Health Syst Pharm. 2018;75(3):153-158. doi:10.2146/ajhp170196. https://psnet.ahrq.gov/issue/dr…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60625/psn-pdf
    June 24, 2020 - Medical bias: from pain pills to COVID-19, racial discrimination in health care festers. June 24, 2020 O'Donnell J, Alltucker K. Medical bias: from pain pills to COVID-19, racial discrimination in health care festers. USA Today. 2020;Jun 14. https://psnet.ahrq.gov/issue/medical-bias-pain-pills-covid-19-racial-disc…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48045/psn-pdf
    June 05, 2019 - Obstetric practice guidelines: labor's love lost? June 5, 2019 Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474. https://psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost Guidelines play a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45234/psn-pdf
    November 18, 2016 - Recommended responsibilities for management of MR safety. November 18, 2016 Calamante F, Ittermann B, Kanal E, et al. Recommended responsibilities for management of MR safety. J Magn Reson Imaging. 2016;44(5):1067-1069. doi:10.1002/jmri.25282. https://psnet.ahrq.gov/issue/recommended-responsibilities-management-mr…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45382/psn-pdf
    January 23, 2017 - The impact of major intraoperative adverse events on hospital readmissions. January 23, 2017 Nandan AR, Bohnen JD, Chang DC, et al. The impact of major intraoperative adverse events on hospital readmissions. Am J Surg. 2017;213(1):10-17. doi:10.1016/j.amjsurg.2016.03.018. https://psnet.ahrq.gov/issue/impact-major-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48188/psn-pdf
    August 14, 2019 - Analysis of human performance deficiencies associated with surgical adverse events. August 14, 2019 Suliburk JW, Buck QM, Pirko CJ, et al. Analysis of Human Performance Deficiencies Associated With Surgical Adverse Events. JAMA Netw Open. 2019;2(7):e198067. doi:10.1001/jamanetworkopen.2019.8067. https://psnet.ahr…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43164/psn-pdf
    May 03, 2016 - Patient safety in the era of healthcare reform. May 3, 2016 Leape L. Patient safety in the era of healthcare reform. Clin Orthop Relat Res. 2015;473(5):1568-73. doi:10.1007/s11999-014-3598-6. https://psnet.ahrq.gov/issue/patient-safety-era-healthcare-reform The publication of To Err Is Human spurred efforts to imp…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41239/psn-pdf
    March 21, 2012 - Emotional impact of patient safety incidents on family physicians and their office staff. March 21, 2012 O'Beirne M, Sterling P, Palacios-Derflingher L, et al. Emotional impact of patient safety incidents on family physicians and their office staff. J Am Board Fam Med. 2012;25(2):177-83. doi:10.3122/jabfm.2012.02.…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48175/psn-pdf
    August 07, 2019 - Strengthening the medical error "meme pool." August 7, 2019 Mazer BL, Nabhan C. Strengthening the Medical Error "Meme Pool". J Gen Intern Med. 2019;34(10):2264- 2267. doi:10.1007/s11606-019-05156-7. https://psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool Published estimates on the number preventable med…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44702/psn-pdf
    December 16, 2015 - Alarm fatigue: impacts on patient safety. December 16, 2015 Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260. https://psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety Alarm fatigue is a recognized safety conce…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44046/psn-pdf
    August 21, 2015 - Development of an instrument to measure the unintended consequences of EHRs. August 21, 2015 Carrington JM, Gephart SM, Verran JA, et al. Development of an Instrument to Measure the Unintended Consequences of EHRs. West J Nurs Res. 2015;37(7):842-58. doi:10.1177/0193945915576083. https://psnet.ahrq.gov/issue/devel…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43355/psn-pdf
    July 23, 2014 - Nearing zero...reducing grade C medication errors. July 23, 2014 Cockerham J, Figueroa-Altmann A, Foxen C, et al. Nearing zero..reducing grade C medication errors. Nurs Manage. 2014;45(7):26-31. doi:10.1097/01.NUMA.0000451033.38845.d3. https://psnet.ahrq.gov/issue/nearing-zeroreducing-grade-c-medication-errors Thi…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46352/psn-pdf
    October 15, 2018 - Optimal Resources for Surgical Quality and Safety. October 15, 2018 Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242. https://psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety Surgery is complex and involves a wide range of possibilities for error that can r…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846763/psn-pdf
    March 29, 2023 - Why hospitals still make serious medical errors—and how they are trying to reduce them. March 29, 2023 Landro L. Wall Street Journal. March 12, 2023. https://psnet.ahrq.gov/issue/why-hospitals-still-make-serious-medical-errors-and-how-they-are-trying- reduce-them Patient harm from health care is persistent d…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73535/psn-pdf
    July 28, 2021 - Wrong-patient orders in obstetrics. July 28, 2021 Kern-Goldberger AR, Kneifati-Hayek J, Fernandes Y, et al. Wrong-patient orders in obstetrics. Obstet Gynecol. 2021;138(2):229-235. doi:10.1097/aog.0000000000004474. https://psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics Patient misidentification errors can re…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43459/psn-pdf
    August 27, 2014 - Serious Reportable Events. August 27, 2014 Nova Scotia Department of Health and Wellness. https://psnet.ahrq.gov/issue/serious-reportable-events Incident reporting systems are an important method for capturing, analyzing, and learning about a broad range of potential safety issues. This Web site provides access to…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846460/psn-pdf
    March 22, 2023 - I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. March 22, 2023 Tamayo-Sarver J. Fast Company. March 13, 2023. https://psnet.ahrq.gov/issue/im-er-doctor-heres-what-i-found-when-i-asked-chatgpt-diagnose-my-patients Artificial intelligence (AI) harbors risks and biases that can mis…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45272/psn-pdf
    October 12, 2016 - Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. October 12, 2016 Jones A, Johnstone M-J, Duke M. Recognising and responding to 'cutting corners' when providing nursing care: a qualitative study. J Clin Nurs. 2016;25(15-16):2126-33. doi:10.1111/jocn.13352. https://p…