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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46485/psn-pdf
    October 18, 2017 - Medical team training improves team performance: AOA critical issues. October 18, 2017 Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290. https://psnet.ahrq.gov/issue/medical-team-t…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862152/psn-pdf
    February 07, 2024 - Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. February 7, 2024 Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47589/psn-pdf
    January 09, 2019 - Framework for Effective Board Governance of Health System Quality. January 9, 2019 Daley Ullem E, Gandhi TK, Mate K, et al. IHI White Paper. Boston, MA: Institute for Healthcare Improvement; 2018. https://psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality The role of hospital boards i…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47761/psn-pdf
    May 22, 2019 - Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. May 22, 2019 Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualitative study. Palliat Med. 2019;33(4…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48065/psn-pdf
    June 15, 2019 - Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. June 15, 2019 Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Anaesthesia. 2019;74(7):904-914. doi:10.1111/anae.14662. https://psnet.ahrq.gov/iss…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45622/psn-pdf
    December 07, 2016 - National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. December 7, 2016 D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-717. doi:10.1016/j.jogn.2016.07.001.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857447/psn-pdf
    December 06, 2023 - Completion of recommended tests and referrals in telehealth vs in-person visits. December 6, 2023 Zhong A, Amat MJ, Anderson TS, et al. Completion of recommended tests and referrals in telehealth vs in- person visits. JAMA Netw Open. 2023;6(11):e2343417. doi:10.1001/jamanetworkopen.2023.43417. https://psnet.ahrq.g…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866825/psn-pdf
    September 25, 2024 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022. September 25, 2024 Rodrick D, Timashenka A, Umscheid C. Adverse Events Among In-Hospital Medicare Patients In 2021 And 2022. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Publication no. 24-0084 https://psnet.ahrq.gov/issu…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73280/psn-pdf
    May 19, 2021 - Rates of serious surgical errors in California and plans to prevent recurrence. May 19, 2021 Cohen AJ, Lui H, Zheng M, et al. Rates of serious surgical errors in California and plans to prevent recurrence. JAMA Netw Open. 2021;4(5):e217058. doi:10.1001/jamanetworkopen.2021.7058. https://psnet.ahrq.gov/issue/rates-…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47576/psn-pdf
    December 19, 2018 - Accurate measurement in California's safety-net health systems has gaps and barriers. December 19, 2018 Khoong EC, Cherian R, Rivadeneira NA, et al. Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers. Health Aff (Millwood). 2018;37(11):1760-1769. doi:10.1377/hlthaff.2018.0709. ht…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46375/psn-pdf
    November 29, 2017 - Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. November 29, 2017 Vonnes C, Wolf D. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual. 2017;6(2):e000038. doi:10.1136/bmjoq-2017-000038. ht…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46877/psn-pdf
    March 14, 2018 - Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. March 14, 2018 Weiss AJ, Freeman WJ, Heslin KC, Barrett ML. HCUP Statistical Brief #234. Rockville, MD: Agency for Healthcare Research and Quality; January 2018. https://psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2010-versus-2014 Adverse drug even…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859354/psn-pdf
    December 20, 2023 - Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. December 20, 2023 Cenziper D, Sallah MD, Korsh M. ProPublica. December 7, 2023. https://psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power- protect-them Systemic regulato…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74182/psn-pdf
    December 15, 2021 - Honesty and transparency, indispensable to the clinical mission--Parts I-III. December 15, 2021 Brenner MJ, Boothman RC, Rushton CH, et al. Honesty and Transparency, Indispensable to the Clinical Mission—Parts I - III. Otolaryngol Clin North Am. 2021;55(1):43-103. doi:10.1016/j.otc.2021.07.016. https://psnet.ahrq.…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838920/psn-pdf
    October 26, 2022 - Investigation of mental and physical health of nurses associated with errors in clinical practice. October 26, 2022 Pappa D, Koutelekos I, Evangelou E, et al. Investigation of mental and physical health of nurses associated with errors in clinical practice. Healthcare (Basel). 2022;10(9):1803. doi:10.3390/healthcar…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44194/psn-pdf
    September 01, 2016 - The effect of provider characteristics on the responses to medication-related decision support alerts. September 1, 2016 Cho IS, Slight SP, Nanji KC, et al. The effect of provider characteristics on the responses to medication- related decision support alerts. Int J Med Inform. 2015;84(9):630-9. doi:10.1016/j.ijmed…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61101/psn-pdf
    November 04, 2020 - Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke. November 4, 2020 Farnborough, UK; Healthcare Safety Investigation Branch. October 2020 https://psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following- thrombol…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865341/psn-pdf
    March 27, 2024 - Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care. March 27, 2024 Forrest C, O'Sullivan MJ, Ryan M, et al. Patients' and doctors’ views and experiences of the patient safety trajectory of breast cancer care. Breast. 2024;75:103699. doi:10.1016/j.breast.2024.103699. …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60519/psn-pdf
    May 27, 2020 - Reducing the risk of diagnostic error in the COVID-19 era. May 27, 2020 Gandhi TK, Singh H. Reducing the risk of diagnostic error in the COVID-19 era. J. Hosp Med. 2020;15(6):363-366. doi:10.12788/jhm.3461. https://psnet.ahrq.gov/issue/reducing-risk-diagnostic-error-covid-19-era The authors present a nomenclature …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46793/psn-pdf
    February 28, 2018 - Patient safety movement: history and future directions. February 28, 2018 Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006. https://psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions The pati…
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