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Showing results for "harms".

8861. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60792/psn-pdf
      August 12, 2020 - Nurse workarounds in the electronic health record: an integrative review. August 12, 2020 Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050. https://psnet.ahrq.gov/issue/nurse-workaroun…

8862. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41958/psn-pdf
      April 17, 2013 - Surgical never events in the United States. April 17, 2013 Mehtsun WT, Ibrahim AM, Diener-West M, et al. Surgical never events in the United States. Surgery. 2013;153(4):465-472. doi:10.1016/j.surg.2012.10.005. https://psnet.ahrq.gov/issue/surgical-never-events-united-states More than a decade ago, stories of wron…

8863. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40191/psn-pdf
      May 28, 2014 - The Value of Close Calls in Improving Patient Safety. May 28, 2014 Wu AW, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2011. ISBN: 9781599404158. https://psnet.ahrq.gov/issue/value-close-calls-improving-patient-safety Close calls (sometimes called near misses) pose unique challenges and opportunities when …

8864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43581/psn-pdf
      December 26, 2014 - Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epidemic. December 26, 2014 Beauchamp GA, Winstanley EL, Ryan SA, et al. Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in the current opioid epid…

8865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851663/psn-pdf
      July 26, 2023 - Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. July 26, 2023 Washington, DC: VA Office of the Inspector General; June 28, 2023. Report no. 22-02725-132. https://psnet.ahrq.gov/issue/quality-care-concerns-and-facility-…

8866. Sorry Works! | PSNet
      psnet.ahrq.gov/issue/sorry-works
      November 15, 2024 - Multi-use Website Sorry Works! Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 17, 2011 Sorry Works! supports a full-disclosure approach to medical errors. They encourage…

8867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837897/psn-pdf
      August 24, 2022 - Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices. August 24, 2022 McKay C, Schenkat D, Murphy K, et al. Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and …

8868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73220/psn-pdf
      May 05, 2021 - Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? May 5, 2021 Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for telehealth implementation amidst the COVID…

8869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73578/psn-pdf
      August 11, 2021 - Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. August 11, 2021 Chalmers K, Gopinath V, Brownlee S, et al. Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. JAMA Health Forum. 2021;…

8870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44688/psn-pdf
      February 23, 2018 - Improving diagnosis in health care—the next imperative for patient safety. February 23, 2018 Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp1512241. https://psnet.ahrq.gov/issue/improving-diagnosis-health-care…

8871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837677/psn-pdf
      July 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022 Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186. https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-…

8872. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47376/psn-pdf
      November 02, 2018 - Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. November 2, 2018 Cochon L, Lacson R, Wang A, et al. Assessing information sources to elucidate diagnostic process errors in radiologic imaging - a human factors framework. J Am Med Info Asso. 2018;…

8873. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845304/psn-pdf
      March 01, 2023 - For children admitted to hospital, what interventions improve medication safety on ward rounds? March 1, 2023 King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588. doi:10.1136/archdis…

8874. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72639/psn-pdf
      January 13, 2021 - Assessment of physician sleep and wellness, burnout, and clinically significant medical errors. January 13, 2021 Trockel MT, Menon NK, Rowe SG, et al. Assessment of Physician Sleep and Wellness, Burnout, and Clinically Significant Medical Errors. JAMA Netw Open. 2020;3(12):e2028111. doi:10.1001/jamanetworkopen.202…

8875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851645/psn-pdf
      July 26, 2023 - Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. July 26, 2023 Fanikos J, Tawfik Y, Almheiri D, et al. Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. Am J Med. 2023;136(9):927-936. doi:10.1016/j.amjmed.2023.05.013. ht…

8876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50732/psn-pdf
      December 11, 2019 - Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis December 11, 2019 Pereira-Lima K, Mata DA, Loureiro SR, et al. Association Between Physician Depressive Symptoms and Medical Errors: A Systematic Review and Meta-analysis. JAMA Netw Open. 2019;2(11):e1916097.…

8877. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847054/psn-pdf
      April 05, 2023 - Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise. April 5, 2023 Zwaan L, Smith KM, Giardina TD, et al. Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise. Patient Educ Couns. 2023;110:107650. doi:10.1016/j…

8878. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45361/psn-pdf
      December 22, 2018 - Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. December 22, 2018 Hauck KD, Wang S, Vincent CA, et al. Healthy Life-Years Lost and Excess Bed-Days Due to 6 Patient Safety Incidents: Empirical Evidence From English Hospitals. Med Care. 2017;5…

8879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46999/psn-pdf
      June 27, 2018 - Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. June 27, 2018 Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and- polsts Patient harm associated with adva…

8880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836722/psn-pdf
      March 09, 2022 - Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review. March 9, 2022 Syrowatka A, Song W, Amato MG, et al. Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review. Lancet Digit Health. 2022;4(2):e137-e148. doi:10…