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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43139/psn-pdf
    April 23, 2014 - Patient safety in obstetrics and obstetric anesthesia. April 23, 2014 Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86- 110. doi:10.1097/AIA.0000000000000017. https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia Labor and delive…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73325/psn-pdf
    May 26, 2021 - Communication of preclinical emergency teams in critical situations: a nationwide study. May 26, 2021 Zimmer M, Czarniecki DM, Sahm S. Communication of preclinical emergency teams in critical situations: a nationwide study. PLoS One. 2021;16(5):e0250932. doi:10.1371/journal.pone.0250932. https://psnet.ahrq.gov/iss…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43080/psn-pdf
    March 26, 2014 - Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. March 26, 2014 Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. Transfu…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74212/psn-pdf
    January 01, 2022 - Using failure mode and effects analysis to increase patient safety in cancer chemotherapy. December 22, 2021 Weber L, Schulze I, Jaehde U. Using Failure Mode and Effects Analysis to increase patient safety in cancer chemotherapy. Res Social Adm Pharm. 2022;18(8):3386-3393. doi:10.1016/j.sapharm.2021.11.009. https…

  5. Plan To Help Incorporate the Role of Champions for Resident Physicians | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/phys-championsgd/section9.html
    October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Plan To Help Incorporate the Role of Champions for Resident Physicians Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiolo…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43105/psn-pdf
    April 02, 2014 - Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. April 2, 2014 Larson JA, Johnson MH, Bhayani SB. Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. J Am Coll Surg. 2014;218(2):290-3. doi:10.1016/j.jam…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848382/psn-pdf
    May 03, 2023 - Events that inspired change: the importance of sharing what happened to stop it from happening again. May 3, 2023 Myers E, Allen C. Events that inspired change: the importance of sharing what happened to stop it from happening again. Patient Saf. 2023;5(1):62-63. doi:10.33940/001c.74079. https://psnet.ahrq.gov/iss…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860733/psn-pdf
    January 17, 2024 - Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. January 17, 2024 McGrory K, Bedi N. ProPublica, January 6, 2024. https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy Stories of mental health system failure provid…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46694/psn-pdf
    December 20, 2017 - False dawns and new horizons in patient safety research and practice. December 20, 2017 Mannion R, Braithwaite J. False Dawns and New Horizons in Patient Safety Research and Practice. Int J Health Policy Manag. 2017;6(12). doi:10.15171/ijhpm.2017.115. https://psnet.ahrq.gov/issue/false-dawns-and-new-horizons-patie…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865702/psn-pdf
    May 01, 2024 - Judgment errors in surgical care. May 1, 2024 Marsh KM, Turrentine FE, Jin R, et al. Judgment errors in surgical care. J Am Coll Surg. 2024;238(5):874- 879. doi:10.1097/xcs.0000000000001011. https://psnet.ahrq.gov/issue/judgment-errors-surgical-care Knowing when judgment errors are more likely to occur can increas…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45844/psn-pdf
    February 15, 2017 - Responsible e-prescribing needs e-discontinuation. February 15, 2017 Fischer SH, Rose AJ. Responsible e-Prescribing Needs e-Discontinuation. JAMA. 2017;317(5):469-470. doi:10.1001/jama.2016.19908. https://psnet.ahrq.gov/issue/responsible-e-prescribing-needs-e-discontinuation E-prescribing is a key strategy to impr…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47868/psn-pdf
    March 20, 2019 - Could CDC guidelines be driving some opioid patients to suicide? March 20, 2019 Dickson EJ. Rolling Stone. March 9, 2019. https://psnet.ahrq.gov/issue/could-cdc-guidelines-be-driving-some-opioid-patients-suicide Unintended consequences of restrictions enacted to combat the opioid crisis are a concern for patients …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45331/psn-pdf
    August 03, 2016 - Health information technologies: from hazardous to the dark side. August 3, 2016 Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671. https://psnet.ahrq.gov/issue/health-information-technologies-haz…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43843/psn-pdf
    February 11, 2015 - Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. February 11, 2015 Lee JH, Han H, Ock M, et al. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Int J Med Inform. 2014;83(12). doi:10.101…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42247/psn-pdf
    June 12, 2013 - A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. June 12, 2013 Khoo AL, Teng M, Lim BP, et al. A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. Jt Comm J Qual Patient …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840167/psn-pdf
    November 16, 2022 - 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. November 16, 2022 Kirkup B. Department of Health and Social Care. London, England: Crown Copyright; 2022.  ISBN: 9781528636759. https://psnet.ahrq.gov/issue/reading-signals-maternity-and-neonata…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38681/psn-pdf
    June 03, 2009 - To Err Is Human — To Delay Is Deadly. June 3, 2009 Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009. https://psnet.ahrq.gov/issue/err-human-delay-deadly The 10 years since the release of the Institute of Medicine's To Err Is Human report have yielded some improvements in patient safety, but this Consumers …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45262/psn-pdf
    April 01, 2021 - Each Baby Counts. April 1, 2021 Royal College of Obstetricians and Gynaecologists. https://psnet.ahrq.gov/issue/each-baby-counts-key-messages-2015 This organization highlights the importance of in-depth reporting and investigation of adverse events in labor and delivery, involving parents in the analysis, engaging…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841488/psn-pdf
    December 14, 2022 - ASHP Guidelines on Preventing Diversion of Controlled Substances. December 14, 2022 Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246. https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46693/psn-pdf
    December 20, 2017 - Coupling policymaking with evaluation—the case of the opioid crisis. December 20, 2017 Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis. New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014. https://psnet.ahrq.gov/issue/coupling-policymaking-evalu…
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