Results

Total Results: over 10,000 records

Showing results for "harms".

8381. Healthcare Safety Competencies Affinity Group Environmental Scan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
      March 27, 2025 - Healthcare Safety Competencies Affinity Group Environmental Scan Page 1 of 15 Healthcare Safety Competencies Affinity Group Environmental Scan, Resources, and Strategies version 4.7.2025 Table of Contents Background ...............................................................................................…

8382. Learn About CUSP, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
      December 01, 2012 - Learn About CUSP, Facilitator Notes CUSP Toolkit The Learn about CUSP module of the CUSP Toolkit offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and how to use them. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. CUSP Supports Kotter's…

8383. Common Cause Analysis: Focus on Institutional Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
      January 20, 2008 - Common Cause Analysis: Focus on Institutional Change Common Cause Analysis: Focus on Institutional Change Anne Marie Browne, MSN, RN; Robert Mullen, PharmD; Jeanette Teets, MSN, CRNP, RN; Annette Bollig, MSN, RN; James Steven, MD, SM Abstract The Children’s Hospital of Philadelphia has created a mechanism …

8384. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
      January 01, 2003 - Do Transient Working Conditions Trigger Medical Errors? 53 Do Transient Working Conditions Trigger Medical Errors? Deborah Grayson, Stuart Boxerman, Patricia Potter, Laurie Wolf, Clay Dunagan, Gary Sorock, Bradley Evanoff Abstract Objective: Organizational factors affecting working conditions for health …

8385. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
      July 17, 2008 - The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data Katherine J. Jones, PT, PhD; Gary L. Cochran, PharmD, SM; Liyan Xu, MS; Anne …

8386. Automated Adverse Drug Event Detection and Intervention - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014882-ferranti-final-report-2008.pdf
      January 01, 2008 - Automated Adverse Drug Event Detection and Intervention - Final Report ‡ * Duke University Health System ‡ Duke Durham Regional Hospital † Duke University Hospital § Duke Raleigh Hospital Grant Final Repor…

8387. Improving Your Laboratory Testing Process Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
      December 01, 2017 - Improving Your Laboratory Testing Process Toolkit c IMPROVING YOUR LABORATORY TESTING PROCESS A Step-by-Step Guide for Rapid- Cycle Patient Safety and Quality Improvement Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov PATIENT SAFETY IMPROVING YOUR …

8388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846755/psn-pdf
      March 29, 2023 - Reducing diagnostic errors in the emergency department at the time of patient treatment. March 29, 2023 Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/1742-6723.14146. https://psnet.ahrq.…

8389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867643/psn-pdf
      February 26, 2025 - Psychology insights on apologizing to patients. February 26, 2025 Redelmeier DA, Roach J. Psychology insights on apologizing to patients. J Hosp Med. 2024;Epub Dec 30. doi:10.1002/jhm.13585. https://psnet.ahrq.gov/issue/psychology-insights-apologizing-patients Apologizing to the patient and family after a harmful …

8390. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43103/psn-pdf
      April 02, 2014 - Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? April 2, 2014 Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington University School of Nursing. March 14, 2014;22:1-8. https://psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-…

8391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46226/psn-pdf
      October 29, 2017 - Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. October 29, 2017 Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apology. Glob Qual Nurs Res. 2017;4:233339…

8392. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850353/psn-pdf
      June 14, 2023 - Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review. June 14, 2023 Sparling J, Hong Mershon B, Abraham J. Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review. Jt Comm J Qual Patient Saf. 20…

8393. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42908/psn-pdf
      December 29, 2014 - ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. December 29, 2014 Ghali WA, Pincus HA, Southern DA, et al. ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Int J Qual Health Care. 2013;25(6):621-625. doi:10.1093/intqhc/mzt074. h…

8394. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866399/psn-pdf
      July 31, 2024 - Typology of solutions addressing diagnostic disparities: gaps and opportunities. July 31, 2024 Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026. https://psnet.ahrq.gov/issue/typol…

8395. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838078/psn-pdf
      September 14, 2022 - Patient safety issues from information overload in electronic medical records. September 14, 2022 Nijor S, Rallis G, Lad N, et al. Patient safety issues from information overload in electronic medical records. J Patient Saf. 2022;18(6):e999-e1003. doi:10.1097/pts.0000000000001002. https://psnet.ahrq.gov/issue/pati…

8396. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73575/psn-pdf
      August 04, 2021 - Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. August 4, 2021 Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.  https://psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs Lack of appropriate follow up o…

8397. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73478/psn-pdf
      July 07, 2021 - Medical malpractice claims by members of the uniformed services. July 7, 2021 Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215. https://psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services Organizations with safety culture…

8398. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866281/psn-pdf
      July 10, 2024 - Updating Eindhoven: clarifying the features of a patient safety near miss. July 10, 2024 Woodier N, Burnett C, Sampson P, et al. Updating Eindhoven: clarifying the features of a patient safety near miss. J Patient Saf Risk Manag. 2024;29(4):195-201. doi:10.1177/25160435241247096. https://psnet.ahrq.gov/issue/updat…

8399. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45736/psn-pdf
      February 01, 2017 - Disruptive behaviour in the perioperative setting: a contemporary review. February 1, 2017 Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x. https://psnet.ahrq.gov/issue/disruptive…

8400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843092/psn-pdf
      January 25, 2023 - Better off at home--how we fail children with complex medical conditions. January 25, 2023 Newcomer CA. Better off at home--how we fail children with complex medical conditions. N Engl J Med. 2023;388(3):198-200. doi:10.1056/nejmp2213657. https://psnet.ahrq.gov/issue/better-home-how-we-fail-children-complex-medica…