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Showing results for "harms".

8481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47959/psn-pdf
      May 15, 2019 - A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt. May 15, 2019 Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events Among Adolescents Hospitalized After a Suicide Attempt. Hosp Pediatr. 2019;9(5):365-372. …

8482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60914/psn-pdf
      September 16, 2020 - Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. September 16, 2020 Barreveld AM, McCarthy RJ, Elkassabany N, et al. Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. Anesthesiology. 2020;132(6):1558-1568. do…

8483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72582/psn-pdf
      December 16, 2020 - Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. December 16, 2020 Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. Report No 19-08542-11. https://psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died I…

8484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/862153/psn-pdf
      February 07, 2024 - Anticipating patient safety events in psychiatric care. February 7, 2024 Yerstein MC, SUNDARARAJ DEEPIKA, McClean M, et al. Anticipating patient safety events in psychiatric care. J Psychiatr Pract. 2024;30(1):68-72. doi:10.1097/pra.0000000000000760. https://psnet.ahrq.gov/issue/anticipating-patient-safety-events-p…

8485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73500/psn-pdf
      July 14, 2021 - 'An ongoing nightmare': people with obesity face major obstacles when seeking medical care. July 14, 2021 Schapiro R. NBC News. June 27, 2021. https://psnet.ahrq.gov/issue/ongoing-nightmare-people-obesity-face-major-obstacles-when-seeking- medical-care System failures cause care delays in a wide range of pat…

8486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47843/psn-pdf
      March 06, 2019 - Structural iatrogenesis—a 43-year-old man with "opioid misuse." March 6, 2019 Stonington S, Coffa D. Structural Iatrogenesis - A 43-Year-Old Man with "Opioid Misuse". N Engl J Med. 2019;380(8):701-704. doi:10.1056/NEJMp1811473. https://psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse The…

8487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45409/psn-pdf
      May 17, 2021 - ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. May 17, 2021 Horsham, PA: Institute of Safe Medication Practices; 2021 https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-long-term-care-ltc-settings Long-term care patients often have concurrent conditions that increase their risk of…

8488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47165/psn-pdf
      June 13, 2018 - Changing how we think about healthcare improvement. June 13, 2018 Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014. https://psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement In learning organizations, leadership behavior creates a s…

8489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43647/psn-pdf
      November 12, 2014 - Mid Staffordshire NHS Foundation Trust Quality Report. November 12, 2014 Newcastle Upon Tyne, UK: Care Quality Commission; October 9, 2014. https://psnet.ahrq.gov/issue/mid-staffordshire-nhs-foundation-trust-quality-report The Mid Staffordshire Trust has been under much scrutiny in recent years. This report highlig…

8490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43639/psn-pdf
      October 29, 2014 - Ebola case raises concern about everyday hospital safety. October 29, 2014 Rodricks D. Baltimore Sun. October 14, 2014. https://psnet.ahrq.gov/issue/ebola-case-raises-concern-about-everyday-hospital-safety Although significant progress has been made in improving patient safety over the past decade, many medical e…

8491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852278/psn-pdf
      August 09, 2023 - Identifying failure modes in telemedicine: an instructional needs assessment. August 9, 2023 Monkman H, Kuziemsky C, Homco J, et al. Identifying failure modes in telemedicine: an instructional needs assessment. Stud Health Technol Inform. 2023;304:39-43. doi:10.3233/shti230365. https://psnet.ahrq.gov/issue/identif…

8492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74176/psn-pdf
      December 15, 2021 - Reducing medication errors for adults in hospital settings. December 15, 2021 Ciapponi A, Fernandez Nievas SE, Seijo M, et al. Reducing medication errors for adults in hospital settings. Cochrane Database Syst Rev. 2021;11(11):CD009985. doi:10.1002/14651858.cd009985.pub2. https://psnet.ahrq.gov/issue/reducing-medi…

8493. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47662/psn-pdf
      February 21, 2024 - Lucian Leape Patient Safety Fellowship Award. February 21, 2024 International Society for Quality in Health Care https://psnet.ahrq.gov/issue/lucian-leape-patient-safety-fellowship-award Inspired by the work and leadership of Dr. Lucian Leape, this award is a mentoring program to develop physicians and leaders see…

8494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60969/psn-pdf
      November 08, 2023 - Network of Patient Safety Databases Chartbook. November 8, 2023 Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23- 0082. https://psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook The sharing of data is a core element of a learning health system. AHRQ h…

8495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866650/psn-pdf
      September 04, 2024 - Doctors saved her life. She didn’t want them to. September 4, 2024 Raphael K. Doctors saved her life. She didn’t want them to. New York Times. August 26, 2024; https://psnet.ahrq.gov/issue/doctors-saved-her-life-she-didnt-want-them Lack of shared understanding and crisp definition of medical actions can have lastin…

8496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842434/psn-pdf
      June 01, 2024 - AHRQ Safety Program for Telemedicine. January 22, 2024 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-safety-program-telemedicine Telemedicine efforts harbor both risk and reward to patients and clinicians. The AHRQ Safety Program for Telemedicine is a national effort to develop and …

8497. A shared decision-making tool for drug interactions between warfarin and nonsteroidal anti-inflammatory drugs: Design and usability study. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/citation/shared
      January 01, 2023 - A shared decision-making tool for drug interactions between warfarin and nonsteroidal anti-inflammatory drugs: Design and usability study. Citation Reese TJ, Del Fiol G, Morgan K, Hurwitz JT, Kawamoto K, Gomez-Lumbreras A, Brown ML, Thiess H, Vazquez SR, Nelson SD, Boyce R, Malone D. A shared decisio…

8498. 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…

8499. 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…

8500. 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…