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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45283/psn-pdf
    June 29, 2016 - Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016 Graber ML, Bailey R, Johnston D. RTI International; Washington, DC: US Department of Health and Human Services, Office of the National Coordinator for Health Information Technology; 2016. https://psn…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44393/psn-pdf
    August 12, 2015 - FDA Drug Safety Communication: FDA warns about prescribing and dispensing errors resulting from brand name confusion with antidepressant Brintellix (vortioxetine) and antiplatelet Brilinta (ticagrelor). August 12, 2015 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; July 30, 2015. https…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45130/psn-pdf
    July 18, 2018 - Surgical fires: decreasing incidence relies on continued prevention efforts. July 18, 2018 Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts Although surgical fir…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837514/psn-pdf
    June 22, 2022 - Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. June 22, 2022 Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. Infect Control Hosp Epidemiol. 2022;43(5):553-569…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850171/psn-pdf
    June 07, 2023 - Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. June 7, 2023 Wimmer S, Toni I, Botzenhardt S, et al. Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Pharmacol Res Perspect. 2023;11(3):e01092. doi:10.…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45767/psn-pdf
    April 17, 2017 - Medication errors attributed to health information technology. April 17, 2017 Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8. https://psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology The unintended consequences associated with health information technologies for …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865722/psn-pdf
    May 01, 2024 - Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. May 1, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(8):1-4. https://psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside- intravenous-iv-pole A multitude of latent…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42992/psn-pdf
    July 03, 2014 - Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. July 3, 2014 Roulet L, Ballereau F, Hardouin J-B, et al. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. J Emerg Med.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39916/psn-pdf
    July 02, 2014 - Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social context. July 2, 2014 Coffey M, Thomson K, Tallett S, et al. Pediatric residents' decision-making around disclosing and reporting adverse events: the importance of social context. Acad Med. 2010;85(10):161…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867346/psn-pdf
    December 11, 2024 - Identifying factors influencing clinicians' reporting of medication errors: a systematic review and qualitative evidence synthesis using the theoretical domains framework. December 11, 2024 Takhtinejad NJ, Stewart D, Nazar Z, et al. Identifying factors influencing clinicians’ reporting of medication errors: a sys…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837207/psn-pdf
    May 25, 2022 - Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies with national coverage. May 25, 2022 Silva LT, Modesto ACF, Amaral RG, et al. Hospitalizations and deaths related to adverse drug events worldwide: systematic review of studies with national coverage. Eur J Clin Phar…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43702/psn-pdf
    May 07, 2018 - Strengthen your resolve: no unlabeled containers anywhere, ever! May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 6, 2014;19:1-4. https://psnet.ahrq.gov/issue/strengthen-your-resolve-no-unlabeled-containers-anywhere-ever Despite the designation of proper labeling as a National Patient Safety …

  13. What are "patient safety activities"? | PSO

    pso.ahrq.gov/faq/what-are-patient-safety-activities
    SHARE: What are "patient safety activities"? There are eight patient safety activities that are carried out by, or on behalf of a PSO, or a healthcare provider: Efforts to improve patient safety and the quality of healthcare delivery The collection and ana…

  14. September 18: Strengthening Partnerships with Patients and Families to Assess and Improve the Experience of Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/cahps-webcast.html
    August 01, 2025 - September 18: Strengthening Partnerships with Patients and Families to Assess and Improve the Experience of Care Date: September 18, 2025 Time: 11:00 AM - 3:00 PM EDT This free virtual research meeting from AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program will focus on the integ…

  15. In Conversation with...James P. Bagian, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
    September 01, 2006 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms … In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60609/psn-pdf
    June 24, 2020 - When the Indications for Drug Administration Blur June 24, 2020 Munsch J, Doroy A. When the Indications for Drug Administration Blur . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur Disclosure of Relevant Financial Relationships: As a provider accredited by the Accre…

  17. Chapter 1. Building the Project Foundation: Gaining Leadership Support Within the Organization | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/match/chapter-1.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 1. Building the Project Foundation: Gaining Leadership Support Within the Organization Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for…

  18. Chapter 1. Building the Project Foundation: Gaining Leadership Support Within the Organization | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/chapter-1.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Chapter 1. Building the Project Foundation: Gaining Leadership Support Within the Organization Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60543/psn-pdf
    May 27, 2020 - Wrong Catheter in the Right Patient May 27, 2020 Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/wrong-catheter-right-patient The Case  A 55-year-old man with history of emphysema was admitted to the hospital for pneumonia. The patient had two?peripheral…

  20. Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
    August 01, 2023 - Background and Information for Translators of the AHRQ Hospital Survey on Pateint Safety Culture Version 2.0 Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey Version 2.0 Background and Information for Translators August 2023 Purpose and Use of This…
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