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Showing results for "harms".

8541. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846756/psn-pdf
      March 29, 2023 - Frequency of medication administration timing error in hospitals: a systematic review. March 29, 2023 Pullam T, Russell CL, White-Lewis S. Frequency of medication administration timing error in hospitals: a systematic review. J Nurs Care Qual. 2023;38(2):126-133. doi:10.1097/ncq.0000000000000668. https://psnet.ahr…

8542. 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…

8543. 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…

8544. 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…

8545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43602/psn-pdf
      October 15, 2014 - Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. October 15, 2014 Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Com…

8546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61075/psn-pdf
      October 28, 2020 - FDA advises health care professionals and patients about insulin pen packaging and dispensing. October 28, 2020 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 13, 2020. https://psnet.ahrq.gov/issue/fda-advises-health-care-professionals-and-patients-about-insulin-pen- packag…

8547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46062/psn-pdf
      December 19, 2017 - Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. December 19, 2017 Alshehri GH, Keers RN, Ashcroft DM. Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic review. Drug Saf. 2017;40(10):871-886. …

8548. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47737/psn-pdf
      March 06, 2019 - Quality improvement and safety in pediatric emergency medicine. March 6, 2019 Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010. https://psnet.ahrq.gov/issue/quality-improvement-and-safety-pedia…

8549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36829/psn-pdf
      March 28, 2011 - Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors. March 28, 2011 Kostopoulou O, Delaney B. Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system facto…

8550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44172/psn-pdf
      September 28, 2016 - Preventing high-alert medication errors in hospital patients. September 28, 2016 Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23. https://psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients High-alert medications have the potential to cause serious patient harm. This article fo…

8551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34811/psn-pdf
      March 28, 2005 - Medication error prevention by clinical pharmacists in two children's hospitals. March 28, 2005 Folli HL; Poole RL; Benitz WE; Russo JC https://psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals This prospective study recorded the rate and potential for harm caused by err…

8552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838187/psn-pdf
      September 28, 2022 - Diagnostic delays in infectious diseases. September 28, 2022 Suneja M, Beekmann SE, Dhaliwal G, et al. Diagnostic delays in infectious diseases. Diagnosis (Berl). 2022;9(3):332-339. doi:10.1515/dx-2021-0092. https://psnet.ahrq.gov/issue/diagnostic-delays-infectious-diseases Delayed diagnosis of infectious diseases…

8553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47963/psn-pdf
      June 02, 2019 - Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. June 2, 2019 Webster CS. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Br J Anaesth. 2019;122(6):723-725. doi:10.1016/j.bja.2019.02…

8554. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843094/psn-pdf
      January 25, 2023 - Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. January 25, 2023 Collaborative for Accountability and Improvement Policy Committee. Seattle, WA: University of Washington; 2022 https://psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-c…

8555. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72763/psn-pdf
      February 17, 2021 - Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection, USP due to mislabeling of syringe barrel measurement markings. February 17, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 3. 2021.    https://psnet.ahrq.gov/issue/apotex-corp-issues…

8556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44259/psn-pdf
      April 01, 2024 - Training Program for Nurses on Shift Work and Long Work Hours. April 1, 2024 Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and He…

8557. Conclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship9.html
      August 01, 2024 - Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Conclusion Previous Page Next Page Table of Contents Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Introduction Background Diagnostic Error in the Testing Process Diagnostic …

8558. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46354/psn-pdf
      November 21, 2017 - Controlled trial to improve resident sign-out in a medical intensive care unit. November 21, 2017 Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657. https://psnet.ahrq.gov/issue/contr…

8559. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45908/psn-pdf
      April 05, 2017 - Towards a framework for managing risk associated with technology-induced error. April 5, 2017 Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. https://psnet.ahrq.gov/issue/towards-framework-managing-risk-associated…

8560. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36529/psn-pdf
      August 09, 2011 - 5 Million Lives Campaign. August 9, 2011 Institute for Healthcare Improvement; IHI https://psnet.ahrq.gov/issue/5-million-lives-campaign The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than 3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths…